Types of Urinary Diversion Procedures

Ileal Conduit:

 • Technically simpler, fewer complications, and well understood. No bladder retraining, No nocturnal, incontinence

 • Stomal complications (hernias), Urinary incontinence, Long-term stomal care expenses

Continent Urinary diversion. E.g.: Indiana Pouch:

 • Normal to near-normal urinary continence, Stoma can be covered with band-aid. No bag. No nocturnal incontinence

 • Technically difficult surgery. Stomal complications. Intermittent catheterization issues. Complications of waste product absorption

Orthotopic Neobladder:

 • Normal to near-normal urinary continence. No stoma. Better physical image. Better post operative sexual function

 • Technically difficult surgery. Postop bladder training. Nocturnal incontinence Complications of waste product absorption



- Dr. Sudha Mannemuddhu @drM_sudha



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