Types of Urinary Diversion Procedures Ileal Conduit: • Technically simpler, fewer complications, and well understood. No bladder retraining, No nocturnal, incontinence • Stomal complications (hernias), Urinary incontinence, Long-term stomal care expenses Continent Urinary diversion. E.g.: Indiana Pouch: • Normal to near-normal urinary continence, Stoma can be covered with band-aid. No bag. No nocturnal incontinence • Technically difficult surgery. Stomal complications. Intermittent catheterization issues. Complications of waste product absorption Orthotopic Neobladder: • Normal to near-normal urinary continence. No stoma. Better physical image. Better post operative sexual function • Technically difficult surgery. Postop bladder training. Nocturnal incontinence Complications of waste product absorption - Dr. Sudha Mannemuddhu @drM_sudha #Urinary #Diversion #Procedures #Types #Comparison #Management #Urology #Neobladder
