TY - CHAP M1 - Book, Section TI - Chapter 25. Urinary Diversion & Bladder Substitutions A1 - Konety, Badrinath R. A1 - Barbour, Susan A1 - Carroll, Peter R. A2 - McAninch, Jack W. A2 - Lue, Tom F. PY - 2013 T2 - Smith & Tanagho's General Urology, 18e 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. A decision is based on a patient's underlying disease and its 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 - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=56946762 ER -