Comprehensive Imaging and Surgical Review of Urinary Diversions: What the Radiologist Needs to Know

Urinary diversions are surgical procedures that reconstruct the lower urinary tract following cystectomy. The 2 common surgical approaches are based on the continence status of the urinary tract. Incontinent diversions have continuous urine drainage through a cutaneous stoma, whereas continent diver...

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Bibliographic Details
Published in:Current problems in diagnostic radiology 2019-03, Vol.48 (2), p.161-171
Main Authors: Shergill, Arvind K., Wang, David C., Thipphavong, Seng, Zlotta, Alexandre R., Jaffer, Nasir
Format: Article
Language:English
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Summary:Urinary diversions are surgical procedures that reconstruct the lower urinary tract following cystectomy. The 2 common surgical approaches are based on the continence status of the urinary tract. Incontinent diversions have continuous urine drainage through a cutaneous stoma, whereas continent diversions offer the patient the ability to self-void either via stoma catheterization or with the patient's own urethra. Given the large number of diversion procedures available, postsurgical anatomy may be complex. Multiple imaging modalities can be used to assess the postprocedural anatomy, potential complications, and for on-going oncologic monitoring. The purpose of this review is to describe the common surgical techniques and associated complications.
ISSN:0363-0188
1535-6302
DOI:10.1067/j.cpradiol.2018.02.001