For patients undergoing robotic cystectomy for bladder cancer, the urinary diversion most commonly utilised is the ileal conduit.
This involves isolating a short segment of small bowel, with one end fashioned as a stoma on the skin, and the other end inside the abdomen where the ureter tubes are joined (Figure 1). With this configuration, the urine flows continuously from the kidneys, down the ureters, through the conduit and out the stoma into a bag which is emptied intermittently as it fills.
At Sydney Urology Group, our surgeons can perform the ileal conduit utilising the robot, known as intracorporeal. Traditionally an open approach has been used to create this urinary diversion, known as extracorporeal, and there remains controversy as to whether one method is superior to the other in terms of post-operative recovery and complications.
At Royal Prince Alfred Hospital and Chris O’Brien Lifehouse a randomised control trial is currently underway comparing these two techniques, Urinary Diversion Intracorporeal Versus Extracorporeal Randomised Trial (UDIVERT).
Figure 1. Ileal Conduit.
At Sydney Urology Group we provide a multidisciplinary, patient-centred model of care with our purpose to improve the quality of life for our patients and for the friends and families who are supporting them.
At Sydney Urology Group we provide a multidisciplinary, patient-centred model of care with our purpose to improve the quality of life for our patients and for the friends and families who are supporting them.
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