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Review
. 2015 Nov;25(6):570-7.
doi: 10.1097/MOU.0000000000000222.

Long-term complications of urinary diversion

Erfan Amini  1 , Hooman Djaladat
Affiliations
Review

Long-term complications of urinary diversion

Erfan Amini et al. Curr Opin Urol. 2015 Nov.

Abstract

Purpose of review: Radical cystectomy and urinary diversion remains the cornerstone in surgical management of patients with muscle-invasive or high-risk nonmuscle-invasive bladder cancer. This approach has been associated with remarkable increase in patient survival and more patients are now living for years after surgery who may present with long-term complications. This review describes long-term complications associated with urinary diversion including renal function deterioration, voiding dysfunction, stoma and bowel-related complications, ureteroenteric stricture, metabolic disorders, and infectious complications.

Recent findings: The overall complication rate reported in recent large studies assessing long-term complications of urinary diversion is as high as 60%. Stoma-related complications followed by urinary tract infections are among the most common complications. Some of these complications may occur years after surgery; therefore, long-term follow-up of patients with urinary diversion is of utmost importance.

Summary: Long-term regular follow-up is imperative in patients with urinary diversion as nonfatal complications may occur years after surgery.

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