Skip to main content

Urinary Diversion in Neurological Disease

  • Reference work entry
  • First Online:
Handbook of Neurourology
  • 425 Accesses

Abstract

A urinary diversion is the end-point of management for a patient with a neurogenic bladder. This form of treatment is usually reserved when more conservative measures fail. The simplest diversion is a suprapubic catheter and may be introduced early when “normal” voiding or intermittent catheterization is not possible for a variety of reasons. The surface urinary diversion, ileal conduit, is a late stage procedure for patients whose management cannot be by other means. Preoperative counseling and supervised postoperative care (both short- and long-term) are essential.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 999.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 999.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. J. Colli, L.K. Lloyd, Bladder neck closure and suprapubic catheter placement as definitive management of neurogenic bladder. J. Spinal Cord Med. 34(3), 273–277 (2011)

    Article  PubMed  PubMed Central  Google Scholar 

  2. J. Ord, D. Lunn, J. Reynard, Bladder management and risk of bladder stone formation in spinal cord injured patients. J. Urol. 170(5), 1734–1737 (2003 Nov)

    Article  CAS  PubMed  Google Scholar 

  3. S. Ismail, G. Karsenty, E. Chartier-Kastler, O. Cussenot, E. Compérat, M. Rouprêt, V. Phé, Prevalence, management, and prognosis of bladder cancer in patients with neurogenic bladder: A systematic review. Neurourol. Urodyn. 37(4), 1386–1395 (2018 Apr)

    Article  PubMed  Google Scholar 

  4. R. Hamid, J. Bycroft, M. Arya, P.J.R. Shah, Screening cystoscopy and biopsy in patients with neuropathic bladder and chronic suprapubic indwelling catheters: Is it valid? J. Urol. 170(2 Pt 1), 425–427 (2003 Aug)

    Article  CAS  PubMed  Google Scholar 

  5. J.S. Wiener, J. Antonelli, A.M. Shea, L.H. Curtis, K.A. Schulman, T.L. Krupski, C.D. Scales Jr., Bladder augmentation versus urinary diversion in patients with spina bifida in the United States. J. Urol. 186(1), 161–165 (2011 Jul)

    Article  PubMed  Google Scholar 

  6. O.L. Westney, The neurogenic bladder and incontinent urinary diversion. Urol. Clin. North Am. 37(4), 581–592 (2010 Nov)

    Article  PubMed  Google Scholar 

  7. A.C. Peterson, L.H. Curtis, A.M. Shea, K.M. Borawski, K.A. Schulman, C.D. Scales Jr., Urinary diversion in patients with spinal cord injury in the United States. Urology 80(6), 1247–1251 (2012 Dec)

    Article  PubMed  Google Scholar 

  8. M.İ. Dönmez, A. Carrasco Jr., A.F. Saltzman, V. Vemulakonda, D.T. Wilcox, Long-term outcomes of cutaneous vesicostomy in patients with neuropathic bladder caused by spina bifida. J. Pediatr. Urol., pii: S1477-5131(17)30251-6 (2017 Jun 16)

    Google Scholar 

  9. D.A. Rivas, S. Karasick, M.B. Chancellor, Cutaneous ileocystostomy (a bladder chimney) for the treatment of severe neurogenic vesical dysfunction. Paraplegia 33(9), 530–535 (1995 Sep)

    CAS  PubMed  Google Scholar 

  10. A. Lawrence, B. Hu, O. Lee, A. Stone, Pyocystis after urinary diversion for incontinence – Is a concomitant cystectomy necessary? Urology 82(5), 1161–1165 (2013 Nov)

    Article  PubMed  Google Scholar 

  11. M.W. Rowley, J.Q. Clemens, J.M. Latini, A.P. Cameron, Simple cystectomy: Outcomes of a new operative technique. Urology 78(4), 942–945 (2011 Oct)

    Article  PubMed  Google Scholar 

  12. C. Deboudt, M.A. Perrouin-Verbe, L. Le Normand, B. Perrouin-Verbe, F. Buge, J. Rigaud, Comparison of the morbidity and mortality of cystectomy and ileal conduit urinary diversion for neurogenic lower urinary tract dysfunction according to the approach: Laparotomy, laparoscopy or robotic. Int. J. Urol. 23(10), 848–853 (2016 Oct). https://doi.org/10.1111/iju.13166. Epub 2016 Jul 17

  13. J. Guillotreau, E. Castel-Lacanal, M. Roumiguié, B. Bordier, N. Doumerc, X. De Boissezon, B. Malavaud, P. Marque, P. Rischmann, X. Gamé, Prospective study of the impact on quality of life of cystectomy with ileal conduit urinary diversion for neurogenic bladder dysfunction. Neurourol. Urodyn. 30(8), 1503–1506 (2011 Nov)

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Julian Shah .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Springer Nature Singapore Pte Ltd.

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Shah, J. (2023). Urinary Diversion in Neurological Disease. In: Liao, L., Madersbacher, H. (eds) Handbook of Neurourology. Springer, Singapore. https://doi.org/10.1007/978-981-99-1659-7_47

Download citation

  • DOI: https://doi.org/10.1007/978-981-99-1659-7_47

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-1658-0

  • Online ISBN: 978-981-99-1659-7

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics