Imaging Pearls ❯ Kidney ❯ Bladder Tumor Surgery: Loops and Diversion
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- Urinary Diversions: Complications Late complications (after 30 days post-op)
- Stone formation
- Infection
- Reflux to urinary tract
- Obstruction (usually ureteroenteric) - Urinary Diversions: Complications Early complications (under 30 days post-op)
- Bowel complications (ileus, SBO, leak, ischemia)
- Infections (UTI's including pyelonephritis, abscess
- Post operative fluid collections (urinomas, seromas, hematomas)
- Urinary tract complications (anastomotic leak, obstruction, ischemia
- Complications occur in up to 30.9% of cases with ileus most common complication. - Urinary Diversion: Surgeries
- Incontinent, cutaneous diversion
- Continent, cutaneous catheterizable reservoir (pouch)
- Continent urinary diversion to the intact native urethra (orthotopic neobladder) - Urinary Diversion: Reasons Improve or replace function of urinary bladder in patients with either
- Bladder cancer
- Neurogenic bladder dysfunction
- Detrusor overactivitiy
- Chronic inflammatory disease "CT has an important role in postoperative evaluation of patients with urinary diversion to identify correctablle causes early to prevent deterioration in renal function and detect tumor recurrence in patients who had bladder cancer."
Role of CT in Postoperative Evaluation of Patients Undergoing Urinary Diversion
Kawamoto S, Fishman EK
AJR 2010; 194:690-698