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Urinary diversion in females

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Abstract

Permanent urinary diversions are performed in the majority of patients after cystectomy for bladder carcinoma. An ileal conduit is the most common incontinent stoma created but long-term follow-up shows that up to 80% of patients may develop deterioration in the upper renal tract, stomal problems, pyelonephritis, urolithiasis or electrolyte abnormalities. Continent stomas require intermittent self-catheterization to empty their reservoirs, which are created from detubularized ileal or colonic bowel segments. Long-term follow-up is awaited with continent urinary diversions but the absence of a continually worn collection device is of major benefit to patients. The risk of developing colonic carcinoma and metabolic disturbances has detracted from the use of ureterosigmoidostomy as a common form of diversion, but recently the augmented valved rectum and the sigma rectal pouch have been described to minimize the metabolic changes previously described.

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Authors and Affiliations

  1. Department of Urology, Royal Liverpool Hospital, Liverpool

    J. V. Harney

  2. Department of Urology, Central Middlesex Hospital, London, UK

    W. Baluch &  M. Gleeson

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  1. J. V. Harney
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  2. W. Baluch
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  3. M. Gleeson
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Harney, J.V., Baluch, W. & Gleeson, M. Urinary diversion in females. Int Urogynecol J 6, 103–109 (1995). https://doi.org/10.1007/BF01962581

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