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Continent Cutaneous Diversion.

Shane M Pearce1, Siamak Daneshmand1

  • 1Department of Urology, USC/Norris Comprehensive Cancer Center, Institute of Urology, 1441 Eastlake Avenue, Suite 7416, Los Angeles, CA 90089, USA.

The Urologic Clinics of North America
|November 25, 2017
PubMed
Summary
This summary is machine-generated.

Continent cutaneous urinary diversion (CCUD) offers established surgical techniques for patients unable to use the urethra. This review covers CCUD history, patient selection, surgical methods, and outcomes for urinary diversion.

Keywords:
Bladder cancerContinent cutaneousIndiana pouchRight colon pouchUrinary diversion

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Area of Science:

  • Urology
  • Surgical Oncology
  • Gastrointestinal Surgery

Background:

  • Continent cutaneous urinary diversion (CCUD) techniques have advanced over 30 years.
  • CCUD is indicated when the urethra is unsuitable for orthotopic diversion (incontinence, radiation, malignancy).

Purpose of the Study:

  • To review the evolution, techniques, and outcomes of continent cutaneous urinary diversion.
  • To provide a comprehensive overview for clinicians regarding CCUD.

Main Methods:

  • Review of historical development and established CCUD procedures.
  • Discussion of patient selection criteria and preoperative assessment.
  • Detailed explanation of surgical techniques for reservoir creation using detubularized bowel (ileum or right colon).

Main Results:

  • Several well-established CCUD procedures are now available.
  • Detubularized bowel (ileum/colon) is used for spherical reservoir creation.
  • The article synthesizes information on history, selection, technique, and outcomes.

Conclusions:

  • CCUD represents a significant advancement in urinary diversion options.
  • Proper patient selection and surgical technique are crucial for successful CCUD outcomes.
  • This review offers valuable insights into the management of complex urinary diversion cases.