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.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology

UniBE Contributor:

Stangl, Fabian Peter and Thalmann, George

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1464-4096

Publisher:

Blackwell Science

Language:

English

Submitter:

Jeannine Wiemann

Date Deposited:

28 Dec 2020 11:25

Last Modified:

28 Dec 2020 11:25

Publisher DOI:

10.1111/bju.15239

PubMed ID:

32916771

Uncontrolled Keywords:

#Urology continent cutaneous urinary diversion continent urinary diversion cystectomy orthotopic bladder substitute

BORIS DOI:

10.48350/148996

URI:

https://boris.unibe.ch/id/eprint/148996

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