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The Role of Urinary Diversion for Bladder Pain

  • Pelvic Pain (R Moldwin and S Bahlani, Section Editors)
  • Published:
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Abstract

Interstitial cystitis/bladder pain syndrome is a complex urologic disorder often managed in a non-operative fashion, but patients with severe symptoms occasionally require surgical intervention. Several approaches to reconstruction have been reported, including trigone-sparing cystectomy with enterocystoplasty, simple cystectomy with diversion, and diversion without cystectomy. While a trigone-sparing approach offers the potential for spontaneous voiding, it leaves bladder and urethral tissue that can cause pain postoperatively. Final choice of surgery is based upon surgeon and patient preference. In recent years, enhanced recovery after surgery (ERAS) protocols modeled after colorectal surgery have been utilized for radical cystectomy postoperative management with success. These approaches can be used for cystectomy for non-malignant cases as well.

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Authors and Affiliations

  1. Department of Urology, Wake Forest School of Medicine, 1 Medical Center Blvd, Winston-Salem, NC, 27157, USA

    David Koslov & Robert Evans

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  1. David Koslov
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  2. Robert Evans
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Correspondence to David Koslov.

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This article is part of the Topical Collection on Pelvic Pain

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Koslov, D., Evans, R. The Role of Urinary Diversion for Bladder Pain. Curr Bladder Dysfunct Rep 11, 181–186 (2016). https://doi.org/10.1007/s11884-016-0368-1

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