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IndividualswhomightTheprocedureinvolvesdiversionofurinefromyourkidneystoyourskinthroughashortsegmentofsmallintestine(commonlycalleda urostomy)Itisoftencombinedwithremovalofthebladder,astreatmentforbladdercancer(radicalcystectomywithurinaryTherearemaintypesofurinary diversion:ilealconduit,neobladder,andcontinentcutaneousdiversionAurinarydiversionsurgeryisUrinarydiversioniswhenthenormalstructuresarebypassed andanopeningismadeintheurinarysystemtobringtheurineoutanotherwayThepublicationalsoprovidesbasicdesigninformationforurinepipingandstorage tanks(inclu-dingtanksizing,odourcontrolandventilationdesignissues)Bladdercancer,specificallyofurothelialorigin,isthesixthmostcommonlydiagnosed noncutaneousmalignancyintheUnitedStates,withanestimated,newcasesand,deathsinaloneThefundamentalgoalofurinarydiversionaftercystectomyisthe preventionofreasesinkidneyfunction,preservationofresidualkidneyfunction,andthecreationofaurinaryreservoirthatcananatomicallyandfunctionally emulatetheurinarybladderintermsofstorage,continence,andurination/voidingAurostomyorurinarydiversionisasurgerythatisperformedtoallowurineto safelypassfromthekidneysintoapouchonaperson’sabdomen(belly).Itisoneofthesurgeriesthataremostoftenusedforthetreatmentofbladdersthatno longerfunctionforavarietyofreasonsSeetheimagebelowUrinaryDiversionItisperformedforpeoplewhohaveotherwiseuntreatableurinaryincontinence (leakage)chronicurinaryinfections,orTheurinarysystemconsistsofthekidneys,theureters,thebladderandtheurethraTheurinethenpassesfromthekidneys, downtheureters,totheUrinarydiversionisatermusedwhenthebladderisremovedorthenormalstructuresarebeingbypassedandanopeningismadeinthe urinarysystemtodiverturineUrinarydiversionisatechniqueusedtocreateanewwayforurinetoleavethebodyaftersurgicalremovalofthebladdertotreat bladdercancerUrinarydiversionisindicatedwhenthebladdercannolongersafelyfunctionasareservoirforurinestorageThekidneysareresponsiblefor filteringthewasteproductsfromthebloodresultingintheproductionofurine.Thismightneedtobedoneifyourbladderstopsworkingtherightwayorneedsto beremovedbecauseofcanceroraninjuryWhatisurinarydiversion?MalignantDiseaseUrinarydiversionisatermusedwhenthebladderisremovedorthe normalstructuresarebeingbypassedandanopeningismadeintheurinarysystemtodiverturineTheilealconduitisthesimplesttypeofurinarydiversionandhas thefewestsurgicalcomplicationsurinalsandurinediversiontoiletsincludingsupplierinforma-tionandindicativecostsUrinarydiversionIndividualswhomight requireurinarydiversionwouldbethosewhosePracticeEssentialsThisarticlecoversthemostcommontypesofdiversion,themostcommonindicationsfor diversion,andthemostcommonearlyandlatecomplicationsfollowingurinarydiversionUrineismadeinthekidneys,movesthroughtheuretersandisstoredin thebladderuntilurineisemptiedDuringsurgerytotreatbladdercancer,asurgeonremovesthebladderandtheprostate(inmen)ortheuterus,fallopiantubes, ovaries,andpartofthevagina(inwomen)TheurinarysystemTounderstandhowyourostomyworks,getfamiliarwiththeurinarysystem(Figure1).Urine diversionistheThisreviewdescribeslong-termcomplicationsassociatedwithurinarydiversionincludingrenalfunctiondeterioration,voidingdysfunction,stoma andbowel-relatedcomplications,ureteroentericstricture,metabolicdisorders,andinfectiouscomplicationsInallofthetypesofurinarydiversions,apartofthe intestineissurgicallyconvertedtoeither1)apassagetubeforurinetoexitthebody,or2)areservoirtostoreurine(likeanormalbladder)UrinaryDiversion: SelectionofPatientandSurgicalManagementTheflowofurineisdivertedthroughanopeningintheabdominalwallTheflowofurineisdivertedthroughan openingintheabdominalwallIndicationsforUrinaryDiversionAurinarydiversionisasurgicalprocedurethatisperformedtoallowurinetosafelypassfromthe kidneysintoapouchonaperson’sabdomen(belly).Thesystem’smainpurposeistoremoveurinarywasteproductsfromthebody.