Urinary Diversion (Ileal Conduit)

Temporary or permanent diversion of the flow of urine through the ureter away from the URINARY BLADDER in the presence of a bladder disease or after cystectomy. There is a variety of techniques: direct anastomosis of ureter and bowel, cutaneous ureterostomy, ileal, jejunal or colon conduit, ureterosigmoidostomy, etc. (From Campbell's Urology, 6th ed, p2654)

Also Known As:

Networked: 2054 relevant articles (78 outcomes, 89 trials/studies)

Relationship Network

Therapy Context: Research Results

Experts

1.	Pruthi, Raj S: 19 articles (02/2015 - 09/2007)
2.	Wallen, Eric M: 15 articles (02/2014 - 09/2007)
3.	Steinberg, Gary D: 13 articles (02/2015 - 10/2002)
4.	Cookson, Michael S: 10 articles (11/2014 - 02/2002)
5.	Thüroff, J W: 9 articles (03/2015 - 09/2000)
6.	Thüroff, Joachim W: 9 articles (12/2013 - 11/2004)
7.	Stein, Raimund: 9 articles (12/2013 - 07/2005)
8.	Studer, Urs E: 8 articles (01/2015 - 03/2006)
9.	Smith, Joseph A: 8 articles (03/2009 - 07/2002)
10.	Stein, John P: 8 articles (02/2009 - 04/2005)

Related Diseases

1.	Urinary Bladder Neoplasms (Bladder Cancer) 05/01/2009 - "Radical cystectomy and urinary diversion is universally accepted as the most effective treatment for muscle invasive bladder cancer, but the operation is complicated, time-consuming and causes many complications. " 09/01/2000 - "Even though radical cystectomy still remains the 'gold standard' for the treatment of invasive bladder cancer, newer insights and developments are entering the urological arena: a 'tailored' surgical approach combining a less extensive procedure and a better quality of life seems feasible for selected patients without compromising the outcome; the type of urinary diversion has no impact on the risk of complications, the ability to receive postoperative salvage treatments and the natural history of the disease; the depth of extension of the tumour and the nodal involvement are the only independent 'classical' predictors of survival after radical cystectomy; pelvic node dissection is curative in patients with limited nodal involvement; the clinical application of newer molecular prognostic factors still remains controversial." 10/01/2012 - "Radical cystectomy with lymphadenectomy and urinary diversion is the gold standard treatment for bladder cancer in organ-confined muscle-invasive disease and selected patients who have high-grade non-muscle-invasive disease or are non-responders to BCG. " 07/01/2006 - "With the provision of a functionally adequate urinary diversion, cystectomy represents an effective treatment for patients with muscle-invasive bladder cancer without metastatic spread. " 09/01/2009 - "Laparoscopic RCX with extracorporeally constructed urinary diversion is a safe and effective operation for appropriate patients with bladder cancer. "
2.	Neoplasms (Cancer) 03/01/2013 - "At this time, it was felt a surgical resection consisting of a total penectomy, urethrectomy, cystoprostatectomy, and ileal conduit urinary diversion would be the best option for local cancer control in this particular patient. " 02/15/1999 - "It is unclear whether palliative endourologic or percutaneous urinary diversion in the treatment of advanced cancer provides significant improvement in quality or duration of life. " 01/01/2013 - "In this paper, we present the patient who underwent radical cystectomy with urinary diversion ureterocutaneostomy, was diagnosed with widespread bilateral UUS tumors and recurrent tumor at the urostomy site at active followup, for which he was given local Bacillus Calmette-Guérin (BCG) and cryotherapy, and was followed by disease-free for 2 years thereafter." 03/01/1999 - "[Improved tumor stent for internal palliative urinary diversion]." 03/01/1986 - "Proximal urinary diversion followed by radiation therapy to the tumor relieved the obstruction. "
3.	Calculi (Calculus) 10/01/2011 - "Patients with upper tract calculi and urinary diversions are challenging to the endourologist because of anatomic factors that can make percutaneous access more difficult; ultrasonography-guided access can be helpful in this setting. " 02/01/2007 - "Our technique of percutaneous cystolithotomy utilizing laparoscopic and endourologic instrumentation is safe and effective for the removal of large calculi from urinary diversions. " 01/01/1997 - "There was minimal blood loss, with an average operative time of 165 min. Ultrasonic lithotripsy of large stones through a percutaneous approach and Holmium laser lithotripsy for smaller stones via a flexible cystoscope placed through the efferent limb are safe and effective ways to treat calculi within continent urinary diversions." 05/01/2004 - "We evaluate the efficacy of ESWL in the management of calculi in patients with urinary diversion. " 10/01/1994 - "We evaluate the efficacy of selectively applied minimally invasive management of calculi in 30 patients with urinary diversions (ileal/jejunal conduit in 23, cutaneous ureterostomy in 2, nonrefluxing colon conduit in 4 and ureterosigmoidostomy in 1). "
4.	Fistula 03/01/1999 - "When the neourethra was reconstructed by the penile ventrolateral island skin flap or the transverse preputial island flap, urinary diversion is helpful for spontaneous healing of small fistulas and useful in reducing the incidence of fistulas." 01/01/2013 - "[A case of fistula of small intestine and ileal conduit urinary diversion improved by conservative therapy]." 10/01/1990 - "Further studies in larger animals are warranted using a CO2 laser in combination with postoperative cystostomy for urinary diversion in order to avoid fistulas in the early postoperative period." 04/01/2015 - "Of these, 39 patients underwent fistula repair, whereas 47 patients underwent either surgical or nonsurgical urinary diversion. " 02/01/2015 - "Ours is the first report on fistula repair using a standardized protocol in consecutive patients, and it is difficult to compare our results to other published series which included fistulas in various locations, heterogeneity in decision-making based on "simple vs "complex" designations, and varied use of urinary diversion. "
5.	Neurogenic Urinary Bladder (Bladder, Neurogenic) 05/01/2005 - "AC and urinary diversion provide a safe and effective long-term therapy in patients with refractory neurogenic bladder but stomal problems in patients with continent diversion continue to be a source of complications." 02/01/2000 - "Urinary diversion and orthotopic bladder substitution in children and young adults with neurogenic bladder: a safe option for treatment?" 09/01/1984 - "Initial management of urinary complications associated with neurogenic bladder in children has changed to the clean intermittent catheterization program, with greatly improved results compared to Credé's expression of the bladder, an indwelling urethral catheter or urinary diversion. " 07/01/2013 - "Children < 18 years of age undergoing urinary diversion/reconstruction with Yang-Monti's procedure for congenital conditions or neuropathic bladder formed the study group. " 11/01/2011 - "The objective of this study was to evaluate the impact of ileal conduit urinary diversion on the QoL of patients with neurogenic bladder dysfunction. "

Related Drugs and Biologics

1.	Cisplatin (Platino)
2.	aluminum sulfate (alum)
3.	Methotrexate (Mexate)
4.	Gelatin
5.	Epirubicin (Ellence)
6.	Vinblastine (Vinblastine Sulfate)
7.	Flucytosine (Ancobon)
8.	Citrates
9.	Amphotericin B (Amphotericin)
10.	nuclear matrix protein 22

Related Therapies and Procedures

1.	Cystectomy
2.	Urinary Diversion (Ileal Conduit)
3.	Stents
4.	Catheters
5.	Transplants (Transplant)