1. Continent Diversion
A continent urinary diversion is created by making a urine reservoir from parts of the bowel, mostly the small intestine. A surgeon can choose to attach the ureters and the urethra to the new reservoir, placing it in the position of the bladder that has been removed. That reservoir is referred to as a neobladder or a continent urinary diversion. A patient who has a neobladder is able to pass urine the normal way.
The alternative for a neobladder is creating a stoma as an outlet for the reservoir. A patient has to connect a catheter to drain urine from the stoma a number of times a day. This form of reservoir is also referred to as a continent catheterizable diversion.
2. Incontinent or Non-continent Diversion
An incontinent diversion connects the ureters that drain urine out of the kidney into an opening of the abdominal wall. The patient then is required to wear an ostomy bag into which the ureters drain the urine.
Performing a urinary diversion is a precise procedure and its complexity depends on the reasons why it is performed. A patient requires strict medical attention both before and after undergoing the procedure. Even after one has recovered, the advice of a urologist is necessary in the management of the various forms of diversions. A patient should insist on receiving the attention of a specially trained urologist if they require a urinary diversion. St. Pete Urology over the years has developed an outstanding staff of specialists in the area and it is a good place to start. For more information, visit the St Pete Urology website.
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