Urinary diversions: a primer of the surgical techniques and imaging findings

Journal Article · Sun Dec 15 04:00:00 EST 2019 · Abdominal Radiology (Online)

DOI:https://doi.org/10.1007/S00261-019-02179-W· OSTI ID:22925002

Razik, Abdul; Das, Chandan J. ^[1]; Gupta, Anjali ^[2]; Wanamacher, Daniel ^[3]; Verma, Sadhna ^[4]

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1. All India Institute of Medical Sciences (AIIMS) (India)
2. Miami University (United States)
3. Christ Hospital (United States)
4. University of Cincinnati Medical Center, Cincinnati Veterans Hospital (United States)

Objective: The article attempts to describe the indications, classification, and surgical anatomy of the commonly performed urinary diversion procedures, followed by the imaging protocol and radiological appearances of the normal postoperative anatomy and complications related to these procedures. Contents: Diversion procedures are used to reroute urine after cystectomy and in patients with refractory neurogenic or outlet obstruction of the urinary bladder. Broadly, these can be classified as continent and incontinent diversions. Patients with urinary diversions frequently undergo radiological investigations for the detection of complications. Commonly, a loopogram or pouchogram is performed few weeks after the surgery to look for leak, whereas CT or MRI is used for long-term follow-up. Postoperative complications can be early (within 30 days of the surgery) or delayed and include leaks, collections, strictures, calculi, parastomal hernia, small bowel obstruction, and oncologic recurrence. Conclusion: A variety of urinary diversion procedures are commonly performed and interpretation of the postsurgical anatomy can be overwhelming for the general radiologist. This article provides a basic understanding of the normal anatomy as well as a thorough discussion on the imaging protocol and radiological appearances of the potential complications associated with these procedures.

• OSTI ID: 22925002
• Journal Information: Abdominal Radiology (Online), Journal Name: Abdominal Radiology (Online) Journal Issue: 12 Vol. 44; ISSN 2366-0058
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ANATOMY
BLADDER
COMPUTERIZED TOMOGRAPHY
NMR IMAGING
PATIENTS
SURGERY
URINE