The urinary bladder, located in the extraperitoneal space of the pelvis, is designed to facilitate low-pressure filling and expelling of urine efficiently through coordinated muscular contractions. As the bladder is the most common site for malignancy within the urinary tract, its surgical removal may be necessary for the treatment of muscle-invasive cancer. When the bladder is removed through a radical cystectomy, reconstructing the urinary tract becomes necessary. Urinary diversions and neobladders are critical surgical approaches used after bladder removal, primarily due to muscle-invasive bladder cancer or other conditions such as chronic bladder pain or dysfunction. Common treatment procedures that can be performed through open surgery or minimally invasive techniques such as laparoscopy and robotic surgery include the ileal conduit, orthotopic neobladder, and continent cutaneous urinary diversions. Each method requires careful surgical planning to ensure adequate blood supply and tension-free connections, thereby significantly improving patients’ postoperative quality of life.Urinary diversions can be categorized into continent and incontinent types when reconstructing the urinary tract following bladder removal. Continent diversions involve creating a reservoir from bowel segments to store urine, which is then emptied voluntarily or via catheterization. In contrast, incontinent diversions route urine to an external ostomy bag for continuous drainage. The choice of bowel segments and diversion type involves unique risks and benefits for the patient. This activity reviews the characteristics of the bladder and different approaches to urinary diversion, highlighting the vital role of interprofessional healthcare teams in selecting and performing the appropriate urinary diversion to optimize patient outcomes.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/30849
- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
- Credit Details: AMA PRA Category 1 Credit™️: 2.5 hours
Nursing: 2.5 hours
Pharmacy: 2.5 hours - MOC Credit Details: ABS - 2.5 Point; Credit Type(s): Accredited CME (ABS)
ABPATH - 2.5 Point; Credit Type(s): Lifelong Learning (ABPATH)
ABTS - 2.5 Point; Credit Type(s): Accredited CME (ABTS)
ABIM - 2.5 Point; Credit Type(s): Medical Knowledge (ABIM)
ABS - 2.5 Point; Credit Type(s): Self-Assessment (ABS)
ABP - 2.5 Point; Credit Type(s): Lifelong Learning and Self-Assessment (ABP)
ABTS - 2.5 Point; Credit Type(s): Self-Assessment (ABTS) - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: Complex General Surgical Oncology, General Pediatrics, General Surgery, Medical Oncology, Nephrology, Non-Thoracic Surgery, Surgical Critical Care, Surgical Pathology, Urinary Tract