title: Orthotopic urinary diversion in the female patient.
abstract: Orthotopic reconstruction offers the most natural voiding pattern after radical cystecomty, allowing voluntary micturition through the intact native urethra. Several pathologic reviews have demonstrated that with careful selection of appropriate patients, a portion of the female urethra can be preserved for orthotopic reconstruction. Performing minimal dissection anteriorly, and avoiding injury of the pudendal innervations to the rhabdosphincter is crucial in maintaining the midurethral continence mechanism in female patients with neobladders.
authors.affiliation: Department of Urology, Uniformed Services, University of the Health Sciences, Naval Medical Center, San Diego 34800, Bob Wilson Drive, San Diego, CA 92134, USA.
authors.forename: Emily E
authors.initials: EE
authors.lastname: Cole
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Smith
mesh_terms: D005260:Female; D006801:Humans; D014547:Urinary Diversion / Q000379:methods*; D016476:Urinary Reservoirs, Continent