Advances in Urinary Diversion: From Cutaneous Ureterostomy to Orthotopic Neobladder Reconstruction—A Comprehensive Review

Author:

Barone Biagio1ORCID,Napolitano Luigi2ORCID,Reccia Pasquale3,Calace Francesco Paolo3,De Luca Luigi4,Olivetta Michelangelo5ORCID,Stizzo Marco6,Rubinacci Andrea2,Della Rosa Giampiero2,Lecce Arturo2,Romano Lorenzo2,Sciorio Carmine7,Spirito Lorenzo6ORCID,Mattiello Gennaro2,Vastarella Maria Giovanna8,Papi Salvatore2,Calogero Armando9,Varlese Filippo9,Tataru Octavian Sabin10,Ferro Matteo11ORCID,Del Biondo Dario12,Napodano Giorgio12,Vastarella Vincenzo1314,Lucarelli Giuseppe15ORCID,Balsamo Raffaele3,Fusco Ferdinando16,Crocetto Felice2ORCID,Amicuzi Ugo1

Affiliation:

1. Division of Urology, Department of Surgical Sciences, AORN Sant’Anna e San Sebastiano, 81100 Caserta, Italy

2. Department of Neurosciences and Reproductive Sciences and Odontostomatology, University of Naples Federico II, 80131 Naples, Italy

3. Urology Unit, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy

4. Division of Urology, Department of Surgical Multispecialty, AORN Antonio Cardarelli, 80131 Naples, Italy

5. Urology Unit, Gaetano Fucito Hospital, AOU San Giovanni di Dio e Ruggi d’Aragona, 84085 Mercato San Severino, Italy

6. Urology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80131 Naples, Italy

7. Urology Unit, ASST Ospedale Manzoni, 23900 Lecco, Italy

8. Gynaecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80131 Naples, Italy

9. Department of Advanced Biomedical Sciences, Section of General Surgery, University of Naples Federico II, 80131 Naples, Italy

10. Department of Simulation Applied in Medicine, The Institution Organizing University Doctoral Studies (I.O.S.U.D.), George Emil Palade University of Medicine, Pharmacy, Sciences, and Technology from Târgu Mureș, 540142 Târgu Mureș, Romania

11. Department of Urology, European Institute of Oncology (IEO) IRCCS, 20141 Milan, Italy

12. Department of Urology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy

13. Department of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy

14. Division of Cardiology, Cardiovascular Department, AORN Sant’Anna e San Sebastiano, 81100 Caserta, Italy

15. Urology, Andrology and Kidney Transplantation Unit, Department of Emergency and Organ Transplantation, University of Bari, 70124 Bari, Italy

Abstract

Bladder cancer ranks as the 10th most prevalent cancer globally with an increasing incidence. Radical cystectomy combined with urinary diversion represents the standard treatment for muscle-invasive bladder cancer, offering a range of techniques tailored to patient factors. Overall, urinary diversions are divided into non-continent and continent. Among the first category, cutaneous ureterostomy and ileal conduit represent the most common procedures while in the second category, it could be possible to describe another subclassification which includes ureterosigmoidostomy, continent diversions requiring catheterization and orthotopic voiding pouches and neobladders. In this comprehensive review, urinary diversions are described in their technical aspects, providing a summary of almost all alternatives to urinary diversion post-radical cystectomy.

Publisher

MDPI AG

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