CEBU TECHNOLOGICAL UNIVERSITY

in consortium with
CEBU CITY MEDICAL CENTER- COLLEGE OF NURSING

Group 3 URINARY DIVERSION or BIOPSY Section: B

What is Urinary Diversion? This is the question that comes to our mind
with the help of a video coming from Surgery 101. A video that would answer to our
queries regarding the matter about Urinary Diversion. By definition Urinary
Diversion is when urine flow is stopped or a sick location in the urinary system has to
be bypassed, urinary diversion is a surgical operation that establishes a new channel
for pee to depart your body. The urinary tract is your body's drainage system for
eliminating wastes and excess fluid in the form of urine.

 Urinary diversion techniques are usually limited by two main factors; patient or
medical criteria, or both. Important patient criteria are patient’s preference, age and
co morbidity, body mass index (BMI) and motivation. Medical criteria for choice of
the type of urinary diversion are renal function, upper urinary tract status, underlying
primary disease, indication for cystectomy and limitations concerning the
gastrointestinal tract. Complications after urinary diversion are generally due to the
surgical technique, the underlying disease process and its treatment, patient’s, co-
morbidities and the follow-up period.

We have also discovered that there are a lot of types of Urinary Diversion. We
have Cutaneous Ureterostomy, Illeal Conduit, Illeal Pouch, Orthotopic Neobladder,
Mitranoff, Ilcystoplasty, Artificial Sphincter, and Urethroplasty. Under these types
there are different modes of diversions, undergoing a diversion is also hard since
there are a lot of complications. This made me realize how vast a specific subject is
and how such things correlate with on another.

Cutaneous Ureterostomy is where ureters arte connected directly to the skin. This
can find the owner immediately due to upgrades. This is also indicated or people that
have low resistance. Illueal Condut in which a segement of boul usingc causeingThis
also means that riczel was at home. Illeal Pouch is used to create a reservior to
allow for continence. Also, minimal risk of urine leakage , less kidney reflux, and
lower risk of infection.The Mitrofanff used for patient has native bladder because it
allows for easier catheterization. Orthotopic Neobladder is used to create reservoir
and then it is connected to the native urethra. It requires extensive patient education
for this procedure. Bladder Augmentation used for patient with overactive bladder to
expand the bladder. Artificial Sphincter is used for male patient in order to help the to
achieve continence. Urethroplasty is surgical alteration of any portion of urethra.

The techniques of urinary diversion have evolved from simple diverting techniques
through a conduit to the orthotopic neobladder reconstruction with efforts to provide
an improved quality of life. Since the 1950s, the further evolution of lower urinary
tract reconstruction has developed along many distinct paths until reaching the most
recent form of diversion to the native, intact urethra; neobladder. Patient counseling
for better satisfaction about urinary diversion should be tailored to determine the
safest method for cancer control, with the fewest complications over both the short

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 CEBU TECHNOLOGICAL UNIVERSITY
in consortium with
CEBU CITY MEDICAL CENTER- COLLEGE OF NURSING

Group 3 URINARY DIVERSION or BIOPSY Section: B

and the long term, and the easiest adjustment for patients’ lifestyle, thereby
supporting the best patients’ quality of life. The choices of diversion may be limited
by either patient or medical criteria or even both.