Incontinent Urinary Diversion

Urinary diversion (UD) is a technically demanding surgery even after decades of its implementation. Although multiple UD techniques have been described, ileal conduit remains the most frequent, probably due to its easy and quick construction. The individual selection of UD should be based on the balance between the oncological control and quality of life, taking into account the technical feasibility, health status performance, and life expectancy. In this chapter, we describe step by step the specific technical aspects for incontinent urinary diversions construction with special emphasis on the ileal conduit. Despite the surgical experience accumulated in specialized centers, the ileal conduit is associated with significant morbidity, the incidence of complications for ileal is about 66%, and there have been classified in early ( 90 days), which, they will be discussed in this chapter. For these reasons, current efforts are focused on the implementation of the enhanced recovery after surgery protocol, which has shown to be useful in the postoperative recovery of the patients. In this chapter, we cover the indications, surgical aspects, complications, and follow-up of patients undergoing incontinent UD.