Urinary diversion.
The patient facing cystectomy now has the opportunity to select various forms of urinary diversion. Although not all of the newer techniques have stood the test of time, preliminary results indicate that these continent diversions should be considered safe and effective. These procedures definitely alter the patient's lifestyle, resulting in a significantly better adjustment to the need for bladder removal. With experience, these procedures can be performed with morbidity rates very similar to those encountered with ileal conduit diversion. As with any procedures, however, appropriate patient selection and surgical training are imperative.
Benson
M C
MC
Department of Urology, Columbia University College of Physicians and Surgeons, New York, New York.
Olsson
C A
CA
D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D015653:Cystectomy; D006801:Humans; D012648:Self Care; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014546:Urinary Catheterization; D014547:Urinary Diversion / Q000379:methods*; D016476:Urinary Reservoirs, Continent / Q000379:methods*; D014563:Urodynamics / Q000502:physiology