Urinary diversion and bladder reconstruction/replacement using intestinal segments for intractable incontinence or following cystectomy

Dorothy June Cody, Ghulam Nabi, Norman Dublin, Sam McClinton, David E Neal, Robert Pickard, Sze M Yong

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Surgery performed to improve or replace the function of the diseased urinary bladder has been carried out for over a century. Main reasons for improving or replacing the function of the urinary bladder are bladder cancer, neurogenic bladder dysfunction, detrusor overactivity and chronic inflammatory diseases of the bladder (such as interstitial cystitis, tuberculosis and schistosomiasis). There is still much uncertainty about the best surgical approach. Options available at the present time include: (1) conduit diversion (the creation of various intestinal conduits to the skin) or continent diversion (which includes either a rectal reservoir or continent cutaneous diversion), (2) bladder reconstruction and (3) replacement of the bladder with various intestinal segments.
Original languageEnglish
Article numberCD003306
JournalCochrane Database of Systematic Reviews
Issue number2
DOIs
Publication statusPublished - 15 Feb 2012

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