Continent Cutaneous Diversion

Shane M Pearce; Siamak Daneshmand

doi:10.1016/j.ucl.2017.09.004

Continent Cutaneous Diversion

Urol Clin North Am. 2018 Feb;45(1):55-65. doi: 10.1016/j.ucl.2017.09.004.

Authors

Shane M Pearce¹, Siamak Daneshmand²

Affiliations

¹ Department of Urology, USC/Norris Comprehensive Cancer Center, Institute of Urology, 1441 Eastlake Avenue, Suite 7416, Los Angeles, CA 90089, USA.
² Department of Urology, USC/Norris Comprehensive Cancer Center, Institute of Urology, 1441 Eastlake Avenue, Suite 7416, Los Angeles, CA 90089, USA. Electronic address: daneshma@med.usc.edu.

PMID: 29169451
DOI: 10.1016/j.ucl.2017.09.004

Abstract

Techniques in continent cutaneous urinary diversion (CCUD) have evolved significantly over the last 30 years resulting in several well-established procedures. CCUD is well suited for patients in whom the urethra cannot be used for orthotopic diversion due to preexisting incontinence, radiation damage, or malignancy. Reservoirs are constructed with adherence to basic principles of continent urinary diversion, including the use of detubularized bowel in a spherical conformation for pouch creation with either ileum or the right colon. The article reviews the history, patient selection, preoperative evaluation, surgical technique, and outcomes of CCUD.

Keywords: Bladder cancer; Continent cutaneous; Indiana pouch; Right colon pouch; Urinary diversion.

Publication types

Review

MeSH terms

Humans
Postoperative Complications / etiology
Postoperative Complications / therapy
Skin
Surgical Stomas*
Urinary Bladder Neoplasms / surgery
Urinary Diversion / methods*
Urinary Reservoirs, Continent*