ABSTRACT
Urinary diversion surgery is conducted with the primary goal of renal functional preservation. Many young and highly functional patients wish to avoid an incontinent stoma due to its negative impact on cosmesis and quality of life. Orthotopic neobladder procedures such as the Studer pouch utilize ileal bowel for their construction, and are the preferred operation for patients who wish to avoid an ileal conduit. However, orthotopic neobladder procedures require preservation of the proximal urethra and urinary sphincter, and as such are contraindicated in patients with malignant involvement of the prostatic or proximal urethra. Also, patients with pre-existing incontinence or intrinsic sphincter dysfunction would not benefit from orthotopic neobladder surgery. Continent cutaneous diversion (CCD) surgery can provide this subset of patients with a spacious and compliant reservoir that can be accessed via a continent catheterizable stoma.
