What is the most common incontinent urinary diversion procedure in the treatment of 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

Conduits can be constructed from either ileum or colon. The most common incontinent diversion is the ileal conduit (see the image below), which has been used for more than 40 years with excellent reliability and minimal morbidity.

In an ileal conduit, a small segment of ileum is t In an ileal conduit, a small segment of ileum is taken out of continuity with the gastrointestinal tract but is maintained on its mesentery. Ureters are anastomosed to one end of this ileal segment, and the other end is brought out as a stoma to the abdominal wall.

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