title: [Evolution of urinary bladder substitution].
abstract: The historical background to the currently used methods for continent bladder substitution is shortly outlined. The significance for the patient's quality of life of various methods for bladder reconstruction or urinary diversion is briefly discussed. The importance of reservoir configuration for achieving a high compliant urinary receptacle is pointed out. Factors affecting reabsorption of urinary constituents are stressed and the significance of an antireflux mechanism is discussed. Currently the majority of patients undergoing cystectomy for cancer or for other reasons can be offered bladder substitutes providing continence and easy emptying; that is, complete control over voiding. This can be achieved by orthotopic bladder reconstruction or by diverting the urine to the augmented and valved rectum or to the skin via a continent intestinal reservoir.
authors: Departamento de Cirugía, Universidad de Göteborg, Suecia.
authors: N G
authors: NG
authors: Kock
mesh_terms: D015653:Cystectomy; D006801:Humans; D007082:Ileum / Q000378:metabolism / Q000601:surgery; D007408:Intestinal Absorption; D007668:Kidney / Q000502:physiology; D011788:Quality of Life; D014547:Urinary Diversion / Q000379:methods*; D016476:Urinary Reservoirs, Continent / Q000379:methods
vernacular_title: Evolución de la sustitución de la vejiga urinaria.