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Patient Selection and Counseling for Urinary Diversion.
Elysia Sophia Spencer1, Matthew D Lyons1, Raj S Pruthi1
1Department of Urology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
The Urologic Clinics of North America
|November 25, 2017
Summary
Selecting the right urinary diversion requires careful patient assessment and preoperative counseling. A multidisciplinary team is essential for successful patient outcomes and managing complex urinary diversion techniques.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Urinary diversion is a complex surgical procedure.
- Patient selection and preoperative preparation are crucial for successful outcomes.
Purpose of the Study:
- To emphasize the importance of patient selection and preoperative counseling in urinary diversion.
- To highlight the need for a multidisciplinary approach in managing urinary diversion.
Main Methods:
- Review of critical aspects in urinary diversion planning.
- Emphasis on surgeon's understanding of patient's condition and support system.
- Involvement of a multidisciplinary team including ostomy nurses and urologic surgeons.
Main Results:
- Thorough understanding of patient's disease, functional, psycho-emotional status, and social support is vital.
- Setting appropriate patient expectations is a key outcome.
- Multidisciplinary team expertise ensures comprehensive care and troubleshooting for various diversion types.
Conclusions:
- Patient selection and preoperative counseling are paramount for determining the appropriate urinary diversion.
- A comprehensive understanding of the patient and a skilled multidisciplinary team are essential for successful urinary diversion management.
- Specialized skills in self-catheterization teaching are critical for specific diversion techniques.
Keywords:
Continent cutaneous diversionContinent urinary diversionIleal conduitOrthotopic neobladderPatient selectionPreop counselingUrinary diversionMore Related Videos
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