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Related Experiment Video

Updated: Apr 20, 2026

A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction

A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction

Published on: December 20, 2014

Urinary diversion: how experts divert.

Richard E Hautmann¹, Hassan Abol-Enein², Cheryl T Lee³

¹Department of Urology, University of Ulm, Ulm, Germany.

|December 3, 2014

Summary

This summary is machine-generated.

Urinary diversion rates after radical cystectomy for bladder cancer vary significantly across different healthcare settings. Expanding continent reconstruction, like neobladder, could reduce disparities in patient outcomes.

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Vessel-sparing Excision and Primary Anastomosis

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Published on: January 7, 2019

Area of Science:

Urology
Oncology
Surgical Oncology

Background:

Radical cystectomy is a primary treatment for muscle-invasive bladder cancer.
Urinary diversion is a necessary procedure following cystectomy, with various options available.
Significant variations in the utilization of different urinary diversion techniques have been observed globally.

Purpose of the Study:

To analyze and compare the rates of various urinary diversion techniques used in bladder cancer treatment.
To investigate disparities in urinary diversion options across different types of medical institutions and geographical regions.

Main Methods:

A comprehensive literature review of population-based data from Sweden, Germany, and the US (National Inpatient Sample, Medicare).
Inclusion of data from pioneering institutions and leading urologic oncology centers post-2012 International Consultation on Bladder Cancer.
Analysis of data encompassing over 100,000 patients treated between 1964 and 2011.

Main Results:

Continent urinary diversion rates are below 15% in Sweden and the US.
In German high-volume centers and leading urologic oncology centers, neobladder rates reach 30%.
Pioneering institutions report up to 75% utilization of orthotopic neobladder reconstruction; anal diversion is rare (<1%).

Conclusions:

Substantial and persistent variations in urinary diversion techniques exist globally.
Increasing the adoption of continent urinary diversion, particularly neobladder, may mitigate disparities.
Wider implementation of continent reconstruction requires better quality-of-life data, technique sharing, and centralization of radical cystectomy procedures.