L4: Urinary Diversion Flashcards
(22 cards)
Def of Urinary Diversion
Storage of urine in a reservoir other than the bladder or passage of urine in a pathway other than normal urethra
Methods of Urinary Diversion
Ileal loop Conduit
Orthopodic Diversions
Choice of Urinary Diversions depends on ……
1) Patient’s factor
2) Urinary tract factors
3) Oncological factors
4) Bowel segment factors
5) Others
Choice of Urinary Diversions depends on
- Patient’s Factor
Choice of Urinary Diversions depends on
- Urinary Tract Factors
Choice of Urinary Diversions depends on
- Oncological Factors
Oncological Factors in Choice of Urinary Diversions
- Histopathological Type
The type of primary bladder cancer has no effect on patient selection for orthotopic bladder replacement.
Oncological Factors in Choice of Urinary Diversions
- Tumor Stage
- Orthotopic bladder replacement has stimulated earlier cystectomy at a time when the potential for cure is highest.
- Extensive pelvic disease with positive but resectable lymph nodes are not contraindications
Oncological Factors in Choice of Urinary Diversions
- Urethral Invlolvment
…
Factors in Choice of Urinary Diversions
- Bowel Factors
Complications of Diversions
Early & Late
Complications of Diversions
- Early Complications
Early Complications of Diversions
- Pouch-Related
- Urinary leakage
- Pelvic collection
Early Complications of Diversions
- Pouch-unrelated
- Intestinal obstruction
- Intestinal fistula
- Infection
Late Complications of Diversions
- Non-Metabolic
Non-Metabolic Late Complications of Diversions
- Inlet-Related
- Stricture uretero-ileal anastomosis
- Reflux
Non-Metabolic Late Complications of Diversions
- Pouch-Related
- Stone
- Rupture
- UTI
Non-Metabolic Late Complications of Diversions
- Outlet-Related
- Retention
- Incontinence
- Para-stomal hernia
- Bleeding stoma
Metabolic Late Complications of Diversions
Metabolic Late Complications of Diversions
- Electrolyte Disturbance
