[Forms of urinary diversion--methods and imaging findings].
After cystectomy two principal types of urinary diversion are used for the surgical reconstruction of the urinary tract: incontinent and continent. In the continent type of urinary diversion, a differentiation must be made between those with and without catheterization for voiding. Besides urothelial cancer other reasons for urinary diversion include neurogenic bladder palsy (connatal or acquired) due to meningomyelocele or connatal diseases like bladder exstrophy. The main objective of the clinical urologist when selecting urinary diversion are to achieve continence and to preserve upper urinary tract function. Knowledge of the different forms of urinary diversion is critical for the exact interpretation of the images. This review presents the typical imaging techniques after a description of the basic surgical features of urinary diversion. CT urography and MR urography are becoming increasingly important as further imaging tools for controlling urinary diversions.
Obenauer
S
S
Abteilung für Diagnostische Radiologie, Georg-August-Universität Göttingen. obenauerheuser@yahoo.de
Plothe
K-D
KD
Ringert
R-H
RH
Grabbe
E
E
Heuser
M
M
D001746:Bladder Exstrophy / Q000601:surgery*; D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D015653:Cystectomy / Q000009:adverse effects / Q000401:mortality; D006801:Humans; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging; D008591:Meningomyelocele / Q000150:complications; D036542:Tomography, Spiral Computed; D014057:Tomography, X-Ray Computed; D014519:Ureterostomy; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods*; D016476:Urinary Reservoirs, Continent; D014553:Urinary Tract Physiological Phenomena; D014567:Urography