Continence mechanisms following continent urinary diversion and orthotopic bladder replacement.
It is obvious that significant advances have been made in reconstruction of the lower urinary tract following radical pelvic surgery. In contrast to the standard ileal loop, patients no have an option to void per urethra, have social continence and avoid self-intermittent catheterization in the presence of an abdominal stoma. Further refinements in construction of the continence mechanism will undoubtedly occur in the future.
Scott Department of Urology, Baylor College of Medicine, Houston, TX 77030.
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D000818:Animals; D003106:Colon / Q000637:transplantation; D006801:Humans; D007082:Ileum / Q000637:transplantation; D012737:Sex Factors; D014521:Urethra / Q000601:surgery; D001745:Urinary Bladder Diseases / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000517:prevention & control*; D016476:Urinary Reservoirs, Continent