Published on: September 25, 2023

Updated on: November 24, 2023

Written by Dr. Abhishek Agarwal

Urinary diversion surgeries are advanced urological procedures performed to redirect the flow of urine when the normal pathway is compromised or needs modification. This article will delve into urinary diversion surgeries, exploring the different types and understanding the essential postoperative care for optimal recovery.

Understanding Urinary Diversion Surgeries:

Urinary diversion surgeries are primarily performed in cases where the bladder is removed due to cancer, congenital abnormalities, or severe bladder dysfunction. These surgeries aim to create a new pathway for urine to exit the body, bypassing the native bladder. The type of urinary diversion performed depends on the patient’s specific condition and overall health.

Types of Urinary Diversion Surgeries

1. ileum Conduit

In this procedure, a small segment of the small intestine (ileum) is used to create a conduit, connecting the ureters to an opening in the abdominal wall called a stoma. Urine is collected in an external bag attached to the stoma, allowing easy elimination.

2. Neobladder Construction

This surgery involves creating a new bladder (neobladder) using a segment of the intestine. The neobladder is then attached to the urethra, allowing patients to pass urine through the natural route.

3. Continent Urinary Diversion

In this procedure, a pouch is created from a segment of the intestine, serving as a reservoir for urine. The pouch is connected to the abdominal wall, and patients empty it by inserting a catheter through the stoma.

Postoperative Care for Urinary Diversion Surgeries:

Following urinary diversion surgeries, proper postoperative care is crucial to ensure a smooth recovery and minimize potential complications. Some essential aspects of postoperative care include:

1. Stoma Care

For patients with an ileal conduit or continent diversion, meticulous stoma care is essential to prevent infection and skin irritation around the stoma site. Regular cleaning and proper ostomy bag management are vital.

2. Catheter Care

Patients with neobladder or continent diversion may have a catheter for a short period after surgery. Proper catheter care is essential, including keeping the catheter clean and avoiding excessive movement.

3. Dietary Adjustments

After surgery, patients may need to make dietary adjustments, including staying hydrated and avoiding foods that can irritate the urinary system.

4. Follow-Up Visits

Regular follow-up visits with the healthcare provider are essential to monitor healing, address any concerns, and ensure optimal recovery.

Urinary diversion surgeries are transformative procedures that offer hope for individuals with complex urinary conditions. Understanding the different types of urinary diversions and adhering to postoperative care guidelines are key to a successful recovery. If you or a loved one are facing the prospect of urinary diversion surgery, consult with the top urologists in Mumbai to determine the most suitable option and postoperative care plan. At Advanced Urology Mumbai, our experienced team provides comprehensive care and support throughout the entire journey of urinary diversion surgery, ensuring the best possible outcomes for our patients.