Long-term complications of urinary diversion
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Updated: Apr 3, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
1aUro-Oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran bNorris Comprehensive Cancer Center, Institute of Urology, University of Southern California, Los Angeles, California, USA.
Purpose Of Review:
Radical cystectomy and urinary diversion remains the cornerstone in surgical management of patients with muscle-invasive or high-risk nonmuscle-invasive bladder cancer. This approach has been associated with remarkable increase in patient survival and more patients are now living for years after surgery who may present with long-term complications. This review describes long-term complications associated with urinary diversion including renal function deterioration, voiding dysfunction, stoma and bowel-related complications, ureteroenteric stricture, metabolic disorders, and infectious complications.
Recent Findings:
The overall complication rate reported in recent large studies assessing long-term complications of urinary diversion is as high as 60%. Stoma-related complications followed by urinary tract infections are among the most common complications. Some of these complications may occur years after surgery; therefore, long-term follow-up of patients with urinary diversion is of utmost importance.
Summary:
Long-term regular follow-up is imperative in patients with urinary diversion as nonfatal complications may occur years after surgery.
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