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Tissue Characterization after a New Disaggregation Method for Skin Micro-Grafts Generation

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Published on: March 4, 2016

Continent cutaneous diversion.

Eila C Skinner¹

¹Stanford University, Stanford, California, USA.

Current Opinion in Urology

|October 2, 2015

Summary

This summary is machine-generated.

Continent cutaneous urinary diversion offers acceptable functional outcomes for patients after cystectomy, though a significant revision rate exists. Many patients accept complications to avoid external appliances.

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Area of Science:

Urology
Surgical Oncology

Background:

Continent cutaneous urinary diversion is an alternative to external appliances after cystectomy.
Various surgical techniques exist for its construction.

Purpose of the Study:

To review intermediate to long-term outcomes of common continent cutaneous urinary diversion techniques.
To discuss management strategies for early and late complications.

Main Methods:

Review of recently reported intermediate and long-term results.
Analysis of complication rates and adaptation to robotic approaches.

Main Results:

Multiple construction variations yield acceptable results but with a notable revision rate.
Long-term complication data and robotic surgery adaptations are emerging.

Conclusions:

Continent cutaneous diversion is infrequently performed in the USA post-cystectomy.
High complication and revision rates (10-20%) are reported, yet functional results are acceptable.
Patient willingness to accept complications for appliance avoidance is a key factor.