[De-diversions. Indications, techniques, and complications].
Today it is possible to restore the continuity of the urinary tract and to correct the underlying condition that had prompted the diversion procedure. Patients with a Bricker cutaneous ureteroileostomy will essentially benefit from this possibility. However, they must be carefully evaluated and meet the following criteria: patients with upper urinary tract disorders and/or symptoms arising from a malfunctioning urinary diversion, those who refuse a stoma for social or personal reasons, those requiring renal transplantation and those who had undergone urinary diversion for pathologies that can be resolved otherwise today. Undiversion, however, is not free from complications, which may present early (wound infection, suprapubic or intestinal fistula, irritation syndromes, mucus secretion) or late (diminished renal function, incontinence or urinary obstruction, electrolyte imbalance or problems arising from the artificial sphincter. In carefully selected patients, therefore, undiversion permits amending a surgical indication which, in the light of current knowledge and possibilities, can be resolved otherwise.
Jiménez Cruz
J F
JF
Servicio de Urología, Hospital La Fe, Valencia, España.
Broseta Rico
E
E
D000328:Adult; D002648:Child; D006801:Humans; D011183:Postoperative Complications; D012086:Reoperation; D014547:Urinary Diversion / Q000379:methods*
Desderivaciones. Indicaciones, técnicas y complicaciones.