Urinary Diversion
This book offers a detailed description of various forms of urinary diversions, including the ileal conduit, orthotopic neobladder, and a variety of continent cutaneous diversions with specific focus on the techniques of reconstruction, appropriate patien
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Urinary Diversion
Siamak Daneshmand Editor
Urinary Diversion
Editor Siamak Daneshmand Institute of Urology Norris Comprehensive Cancer Center University of Southern California Los Angeles California USA
ISBN 978-3-319-52185-5 ISBN 978-3-319-52186-2 (eBook) DOI 10.1007/978-3-319-52186-2 Library of Congress Control Number: 2017933449 © Springer International Publishing AG 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
There are few topics in urology today that evoke such strong opinions from s urgeons than urinary diversion following radical cystectomy. This is in part due to lack of randomized trials which are virtually impossible to perform and the environment in which the surgeon trained and gained his or her experience. There are more than 30,000 radical cystectomies performed in the United States and Europe annually. It is estimated that up to 80% of men and 65% of women undergoing cystectomy are suitable candidates for continent diversion by means of an orthotopic neobladder. However, today, the vast majority of patients still undergo ileal conduit urinary diversion. Continent diversions have been around for over 30 years, and at select centers around the world including ours, the majority of patients undergo orthotopic diversion. So why the disparity? Many urologists performing cystectomies lack sufficient experience or training to offer continent diversion or believe there are higher complication rates with continent forms of diversion, a perception that is challenged by centers with experience. Most urologists perform no cystectomies or only a few annually. However, all are called on to manage short- and
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