Continent Urinary Diversion - What is Continent Urinary Diversion?

Kidney Health Care - David Mangusan Jr., PTRP

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Continent urinary diversion is a type of urinary diversion, which is done in people who are unable to release urine from their body naturally. It involves the creation of something like a pouch or reservoir inside the body. Commonly, a part of the digestive tract is used.

The ureters, which normally carry urine from the kidneys to bladder, carry urine into the pouch, where it can be stored.There are two types of continent diversion: continent cutaneous reservoir and bladder substitute. Depending on the type, the doctor may or may not form a stoma. A stoma is an opening in the abdomen where urine can be redirected to the outside.
Continent cutaneous reservoir. This type of continent diversion involves the making of a stoma. This method requires a person to empty the reservoir, the internal pouch, regularly through the stoma with the use of a catheter or thin plastic tube.
If the urethra is not removed during operation, a person may be able to have a urinary diversion that does not require a stoma or catheter.
Bladder substitute.A type of continent diversion, bladder substitute lets a person urinate through his or her own urethra. Sometimes, a catheter may be used to empty the bladder substitute through the person’s urethra.
In this procedure, the surgeon creates an internal pouch that stores urine much like the bladder did. It is connected to the urethra so the bladder may be emptied in a normal way. However, different muscles may be needed to expel the urine.
There are other ways to eliminate urine when the bladder is not functioning properly. The doctor may recommend a procedure called urostomy, where the ureter is directly connected to the opening in the abdomen (stoma). Read on our topic about urostomy.

Source:
National Kidney and Urologic Diseases Information Clearinghouse. Urostomy and Continent Urinary Diversion (http://kidney.niddk.nih.gov/kudiseases/pubs/urostomy/). NIH Publication No. 06–5629, May 2006. Retrieved November 2009
Image Credit: NIDDK Image Library


Page Last Revised: November 22, 2010

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