Comprehensive Imaging and Surgical Review of Urinary Diversions: What the Radiologist Needs to Know

Publication date: Available online 6 February 2018
Source:Current Problems in Diagnostic Radiology
Author(s): Arvind K. Shergill, David C. Wang, Seng Thipphavong, Alexandre R. Zlotta, Nasir Jaffer
Urinary diversions are surgical procedures that reconstruct the lower urinary tract following cystectomy. The two common surgical approaches are based on the continence status of the urinary tract. Incontinent diversions have continuous urine drainage through a cutaneous stoma whereas continent diversions offer the patient the ability to self-void either via stoma catheterization or with the patient's own urethra. Given the large number of diversion procedures available, post-surgical anatomy may be complex. Multiple imaging modalities can be used to assess the post-procedural anatomy, potential complications, and for on-going oncologic monitoring. The purpose of this review is to describe the common surgical techniques and associated complications.



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