Urinary Diversion sets out the scientific principles of diversionary surgery, it also provides step-by-step guidance on the various operative procedures.

Features:

• A historical review of urinary diversion techniques
• Physiological considerations
• Orthotopic bladder replacement
• Urinary diversion to an abdominal stoma
• Techniques that use the anus for continence
• The prevention of reflux
• Future trends in artificial bladder construction

Contents

Introduction

• History of Urinary Diversion Techniques
• Anatomy of the Stomach, Small and Large Bowel as it Applies to Urinary Tract Reconstruction

Physiological Considerations of the Use of Bowel Segments in the Urinary Tract

• Metabolic Implications and Electrolyte Disturbances
• The Mechanics of Tubular and Detubularized Bowel for Bladder Substitution
• Bacteriuria in Patients with Reconstructed Lower Urinary Tracts
• Structural and Functional Changes of the Gastrointestinal Mucosa in Contact with Urine
• Renal Function Considerations in Bladder Substitution
• Bone Mineralization after Urinary Diversion
• Problem of Secondary Malignancy after Urinary Diversion and Cystoplasty
• The Effect of Enterocystoplasty on Skeletal Development in Children
• Bowel Dysfunction Following Enterocystoplasty

Orthotopic Bladder Replacement

• Nomenclature Classification of Urinary Diversion
• Patient Selection Criteria for Orthotopic Bladder Replacement
• Ileal Neobladders: Camey II
• Ileal Reservoir
• Ileocolonic Reservoirs: Mainz
• Bladder Replacement with Detubularized Right Colon
• Sigmoid Neobladder
• The Gastric continent Urinary Reservoir
• Orthotopic Bladder Replacement in Women
• Bladder and Bowel Replacement after Total Pelvic Exenteration
• Voiding Function and Continence Following Orthotopic Diversion

Continent Urinary Diversion to an Abdominal Stoma

• The Continent Kock and T-pouch Reservoirs: Crossover Techniques
• Continent Urostomy with Hydraulic valve
• Right Colon Reservoir Using a Tapered Ileal Outlet
• The Mitrofanoff Principle in Continent Urinary Diversion
• In Situ Modification of the Mitrofanoff Principle
• The Monti Principle in Continent Urinary Diversion

Tecniques that use the anus for Continence

• Ureterosigmoidostomy and Mainz Pouch II
• Urinary Diversion to the Modified Rectal Bladder: An Anal Sphincter-Controlled Bladder Aubstitute

Prevention of Reflux

• Is Reflux Prevention Necessary in Urinary Diversion?
• Reflux Prevention with Intussuscepted Nipple Valves and Tunnels
• The Le Duc-Camey Method for Reflux Prevention
• Use of the Split-Cuff Nipple Technique for Ureteral Reimplantation

Conduit Urinary Diversion

• Ileal Conduit Urinary Diversion
• Colon Conduit Diversion and Special Considerations in Radiated Patients
• Special Considerations in Neurogenic Bladder Patients
• Troubleshooting the Problematic Patient after Conduit Urinary Diversion
• Laparoscopic Bladder Augmentation

Index

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