ABSTRACT

For decades it has been known that urinary diversion is associated with impairment of kidney function which may be related to prediversion pathology, urine transport problems, infection and stone formation. Initially, with the introduction of bladder augmentation or bladder replacement, the risk of changes in kidney function was further increased due to bladder or reservoir activity, compliance and reabsorption from the larger surface incorporated into the conducting system. In recent years, however, neobladders have been optimized with significant improvement of reservoir function.