What are the contraindications for continent urinary diversion following cystectomy for bladder cancer?

Updated: Feb 23, 2021
  • Author: Kara N Babaian, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

After cystectomy is performed, a urinary diversion must be created from an intestinal segment. Diversions can be incontinent or continent. Contraindications to performing continent urinary diversions are as follows:

  • Multiple comorbid health problems
  • Chronic renal insufficiency
  • Hepatic dysfunction
  • Advanced disease stage

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