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Urinary Diversion

The document discusses different types of cutaneous urinary diversions and continent urinary diversions. Some key types discussed include: 1. Conventional ileal conduit, which involves transplanting the ureters to an isolated section of terminal ileum. 2. Cutaneous ureterostomy, which brings the detached ureter through the abdominal wall and attaches it to an opening in the skin. 3. Continent ileal urinary diversion (Kock pouch), which involves transplanting the ureters to an isolated segment of ileum (pouch) with a one-way valve to allow drainage via catheter.

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Bentriz Bentriz
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0% found this document useful (0 votes)
92 views2 pages

Urinary Diversion

The document discusses different types of cutaneous urinary diversions and continent urinary diversions. Some key types discussed include: 1. Conventional ileal conduit, which involves transplanting the ureters to an isolated section of terminal ileum. 2. Cutaneous ureterostomy, which brings the detached ureter through the abdominal wall and attaches it to an opening in the skin. 3. Continent ileal urinary diversion (Kock pouch), which involves transplanting the ureters to an isolated segment of ileum (pouch) with a one-way valve to allow drainage via catheter.

Uploaded by

Bentriz Bentriz
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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8enIriz, Fcche| D.

8SN 3-1

Iypes o| Cutoneous D|vers|on



1. Convent|ono| I|eo| Condu|t: Ircn:p|cnIing Ihe ureIer: Ic cn
i:c|cIec :ecIicn cf Ihe Ierminc| i|eum {i|ec| ccncuiI) cnc
Lringing cne enc Ic Ihe cLccminc| wc||. Ihe ureIer mcy c|:c Le
Ircn:p|cnIec inIc Ihe Ircn:ver:e :igmcic cc|cn {cc|cn ccncuiI)
cr prcxiIrcn:ver:e :igmcic cc|cn {cc|cn ccncuiI) cr prcximc|
jejunum {jejunc| ccncuiI).






2. Cutoneous uterostomy: Lringing Ihe ceIcchec ureIer Ihrcugh
Ihe cLccminc| wc|| cnc cIIcching iI Ic cn cpening in Ihe :kin.






3. 'es|costomy: :uIuring Ihe L|cccer Ic Ihe cLccminc| wc|| cnc
crecIing cn cpening {:Icmc) Ihrcugh Ihe cLccminc| cnc
L|cccer wc||: fcr urincry crcincge.










4. ephrostomy: in:erIing c ccIheIer inIc Ihe renc| pe|vi: vic cn
inci:icn inIc Ihe kicney.


Iypes o| Cont|nent br|nory D|vers|on
1. Ind|ono Fouch Ihe :urgecn inIrccuce: Ihe ureIer: inIc c
:egmenI cf i|eum cnc cecum. Urine i: crcinec periccicc||y Ly
in:erIing c ccIheIer inIc Ihe :Icmc.



2. Cont|nent ||eo| ur|nory d|vers|on [Kock pouch}: Ircn:p|cnIing Ihe
ureIer: Ic cn i:c|cIec :egmenI cf i|eum {pcuch) wiIh c nipp|e-
|ike, cne-wcy vc|ve: urine i: crcinec Ly c ccIheIer.




3. n mc|e pcIienI:, Ihe Kcck pcuch ccn Le mccifiec Ly cIIcching
cne enc cf Ihe pcuch Ic Ihe ureIhrc, c||cwing mcre ncrmc|
vcicing. Ihe femc|e ureIhrc i: Icc :hcrI fcr Ihi: mccificcIicn.








4. bteros|gmo|dostomy: inIrccucing Ihe ureIer: inIc Ihe :igmcic,
IhereLy c||cwing urine Ic f|cw Ihrcugh Ihe cc|cn cnc cuI cf Ihe
recIum.

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