ABSTRACT
Urinary diversion, although uncommon in children, is a useful tool in the armamentarium of the pediatric urologist. The primary aim of urinary diversion is to ensure adequate drainage of the urinary tract and thereby preserve renal function. The secondary aim is to achieve continence for social reasons. Urinary diversions may be incontinent or continent. Incontinent diversions entail cutaneous drainage of urine into a pad, nappy, or stoma bag. A continent diversion aims to create a low-pressure, compliant, and capacious reservoir and a catheterizable conduit for drainage of the reservoir where the urethra is found to be unsuitable.
