Trends of Urinary Diversion: Declining Popularity of Continent Diversion
Margit M. Fisch, MD, FEAPU, FEBU, discusses the evolving trends in urinary diversion, emphasizing the declining popularity of continent diversion techniques. She analyzes the factors contributing to this shift, citing advancements in surgical techniques, patient outcomes, and the growing preference for less complex procedures.
She delves into the challenges associated with continent diversions, including the higher risk of complications, the need for patient adherence to catheterization, and the potential for long-term issues such as stenosis or pouch-related problems.
Fisch questions the quality of recent data on continent diversion’s effectiveness and underscores the importance of ongoing research and innovation. She encourages urologists to stay informed and carefully consider evolving evidence when planning surgical strategies for urinary diversion.
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