Continent diversion: five decades of developments and evolution.

Stangl, Fabian P.; Thalmann, George N. (2020). Continent diversion: five decades of developments and evolution. BJU international, 126(6), pp. 653-660. Blackwell Science 10.1111/bju.15239

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OBJECTIVE

To provide a chronological overview of the evolution of continent urinary diversion (CUD) over the last 50 years and to highlight important milestones.

METHODS

We performed an extensive literature review and analysed different forms of urinary diversion worldwide. After the evaluation of surgical techniques, we assessed the advantages and disadvantages of assorted CUD approaches based on published long-term follow-up data.

RESULTS

A wide variety of surgical options for CUD is available and feasible to date, although consensus among urologists regarding the 'gold standard' is still lacking. Several forms of orthotopic bladder substitutes and continent cutaneous urinary reservoirs have been shown to provide excellent long-term results.

CONCLUSION

The last 50 years of CUD have seen constant evolution and refinement of techniques, but the best surgical approach remains unclear and there is no 'one-size-fits-all' option, but rather tailor-made approaches are necessary to ensure patient satisfaction.

Interest & Impact

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5 Citations in Web of Science ®
6 Citations in Scopus

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