What is orthotopic urinary diversion?

An orthotopic neobladder is an internal urinary diversion in which a segment of the small intestine is used to form a new (neo) reservoir for urine. The ureters are attached to the neobladder, as is the urethra, allowing voiding to be done via the natural course.

What is an orthotopic bladder?

Neobladder reconstruction, also called orthotopic neobladder reconstruction, is one option for urinary diversion. During the procedure, your surgeon uses a piece of intestine to create a new bladder that allows you to urinate voluntarily and maintain continence.

What does continent of bladder mean?

When someone is continent, they are able to control their bladder and/or their bowel of their own accord. Incontinence means the opposite – being unable to hold back the loss of urine or faeces.

When to use continent cutaneous reservoir for urinary diversion?

When involvement of the urinary outflow tract by tumour prevents the use of an orthotopic neobladder, a continent cutaneous reservoir may still offer the opportunity for continence albeit one that requires obligate self-catheterisation.

Can a continent neobladder be used for urinary reconstruction?

Evidence synthesis: Both continent and incontinent diversions are available for urinary reconstruction after RC. In appropriately selected patients, an orthotopic neobladder permits the elimination of an external stoma and preservation of body image without compromising cancer control.

How is a continent diversion different from An urostomy?

With a continent urinary diversion one has control over when the bladder is emptied versus a urostomy (ileal conduit) where one does not have control and urine output must be contained in a pouching system.

Which is the best diversion for urinary reconstruction?

Both continent and incontinent diversions are available for urinary reconstruction after RC. Orthotopic neobladders optimally preserve body image, while continent cutaneous diversions represent a reasonable alternative. Ileal conduits represent the fastest, easiest, least complication-prone, and mos …