TY - CHAP M1 - Book, Section TI - Urinary Diversion and Bladder Substitutions A1 - Meng, Maxwell V. A1 - Barbour, Susan A1 - Carroll, Peter R. A2 - McAninch, Jack W. A2 - Lue, Tom F. Y1 - 2020 N1 - T2 - Smith & Tanagho's General Urology, 19e AB - Selected patients with lower urinary tract cancers or severe functional or anatomic abnormalities of the bladder may require urinary diversion. Although this can be accomplished by establishing direct contact between the urinary tract and the skin surface, it is most often performed by incorporating various intestinal segments into the urinary tract. Virtually every segment of the gastrointestinal tract has been used to create urinary reservoirs or conduits. No single technique is ideal for all patients and clinical situations. The decision is based on a patient’s underlying disease and optimal method of treatment as well as on renal function, individual anatomy, and personal preference. An ideal method of urinary diversion would most closely approximate the normal bladder; it would be nonrefluxing, low-pressure, continent, and nonabsorptive. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1171180963 ER -