Urinary Diversion

Urinary Diversion: methods and their features

Urinary diversion is a procedure in which urine is removed from the urethra and collected in a special reservoir or pocket. This method may be necessary after bladder removal (cystectomy) or for bladder bypass.

There are several methods of urinary diversion, such as ureterosigmoidostomy and creation of a bladder from a segment of the ileum. In addition, continuous diversion of urine (continental diversion) can be accomplished by creating a special reservoir or pocket from a section of the small intestine, colon, or a combination of both.

Ureterosigmoidostomy is a technique that is used after cystectomy. In this method, urine is directed from the urethra to the sigmoid colon, where it is collected and then removed from the body through a stoma. This method is used when bladder bypass through the ileum is not possible.

Creating a bladder from a segment of the ileum is another method that is used to create a new bladder. In this method, a segment of the ileum is formed into a bladder shape, which is then connected to the urethra. This method may be preferable because the patient does not need a permanent stoma.

Continental diversion can be accomplished by creating a special reservoir or pocket from a section of the small intestine, colon, or a combination of both. This method has some advantages over creating an ileal bladder because the patient does not need to carry a urine bag. The reservoir is emptied by catheterization performed through a small stoma.

Although urinary diversion techniques can help patients who have had their bladder removed, they can also have their own challenges and limitations. For example, a ureterosigmoidostomy can lead to digestive problems, and creating a bladder from the ileum can cause intestinal problems. Patients who have undergone urinary diversion require careful medical evaluation and care.

Urinary Diversion: Methods and Benefits

Introduction:

Urinary diversion, also known as urinary diversion, is a procedure that is necessary after removal of the bladder or to bypass bladder function. This procedure allows urine to be collected and removed from the urethra and normal urinary function is maintained. In this article we will look at two main methods of urinary diversion: ureterosigmoidostomy and creation of a bladder from a segment of the ileum. We will also discuss permanent urinary diversion using a special reservoir or pocket from the small or large intestine and the benefits of this method.

Ureterosigmoidostomy:

Ureterosigmoidostomy is a method of urinary diversion in which the urethra is redirected and connected to the sigmoid colon. As a result, urine does not pass through the bladder, but is directly excreted through the rectum. This method can be used after bladder removal or in cases where bladder function is impaired. Ureterosigmoidostomy can be temporary or permanent, and the choice depends on the specific situation and needs of the patient.

Creating a bladder from a segment of the ileum:

Another method of urinary diversion is to create a bladder from a segment of the ileum. In this procedure, a segment of intestine is used to create a new bladder that replaces the removed organ. This method is usually used after cystectomy, that is, removal of the bladder. Patients who undergo this procedure can continue to urinate through the urethra.

Continuous diversion of urine (continental diversion):

Continuous urinary diversion, also known as continent diversion, involves creating a special reservoir or pocket from a section of the small or large intestine (or a combination of both). This reservoir replaces the function of the bladder and is capable of holding urine until the patient has a bowel movement. Emptying the reservoir requires catheterization through a small stoma, which allows for safe and controlled removal of urine. One of the advantages of this method is that the patient does not need to constantly wear a urine bag, which can increase the comfort of his daily life.

Advantages of urine diversion using a reservoir:

Diverting urine using a reservoir or pocket has several advantages over creating a bladder from the ileum. First of all, the patient is required to wear a urine bag, which can be uncomfortable and restrictive in daily life. In addition, creating a reservoir allows the patient to have more control over the emptying process, since he can independently catheterize the stoma as needed. This gives the patient greater freedom and independence to control their urination.

In addition, urinary diversion using a reservoir may have psychological benefits. Patients who have had their bladder removed may experience emotional discomfort and stress associated with the loss of this organ function. Creating a reservoir allows them to regain some degree of normality and control over their body, which promotes psychological well-being.

In conclusion, urinary diversion, also known as urinary diversion, is an important procedure that allows urine to be collected and eliminated after bladder removal or bypass. Ureterosigmoidostomy and creation of a bladder from a segment of the ileum are the two main methods of urinary diversion. Permanent drainage of urine using a reservoir or pocket from the bowel has a number of benefits, including increased comfort, greater freedom and independence in the patient's daily life. Each method has its own characteristics, and the choice depends on the individual needs and situation of the patient. It is important to have a detailed consultation with a medical professional to determine the most appropriate method of urinary diversion for each individual case.