Urinary Diversion

The Reservoir : Prostate cancer

By prostate Doc at 27 August, 2008, 10:08 am

The “ideal reservoir” should be compliant and accommodate a large volume under low pressure, without reflux or absorption of urinary constituents. The con- cept of detubularization and folding of the bowel into a spherical form greatly in- creases the storage capacity with significantly lower internal filling pressures without coordinated peristaltic contractions.

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Principles of Continent Urinary Diversion : Prostate

By prostate Doc at 27 August, 2008, 9:50 am

In general, patients considered appropriate surgical candidates for radical cystectomy should also be potential candidates for a continent urinary diversion. Relative contraindications relate to the ability of the patient to perform self-catheterization and to care for a neobladder owing to mental or physical impairments. Poor renal and hepatic function should also be considered a contraindication [...]

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Conduit Diversions : Prostate

By prostate Doc at 26 August, 2008, 11:01 am

Despite the current trend toward continent diversions, many patients may best be served with a conduit diversion following cystectomy. The ileal conduit remains a standard to which other forms of diversion can be compared.

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