الفهرس 
Strategy and selection criteriaOnly 14 pages are availabe for public view
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Abstract
Continent cutoneous reservoir is currently the only viable option of continent diversion techniques when orthotopic bladder substitution is not feasible. Any patient who requires bladder replacement is a potential candidate for continent cutaneous diversion. Permanent urinary diversion is indicated when the native bladder is life endangering (malignant), useless or maldeveloped. The principle of construction of continent cutaneous reservoir entails fashioning of a compliant reservoir, non refluxing ureteral reimplantation system and reliable continent outlet. Many procedures had been reported and advocated, few of them could withstand the test of time. Flap valve principle seems to be the most physiological mechanism that provides continence. The outcome of the procedure is reported in different puplished series including continence during day and night time ranging from (80%-100%), upper tract function maintained in (90%) of cases and (25%) complication rate. The late complications include stomal related complications as stomal stenosis (2-25%) and parastomal hernia (0-5%) also pouch related complications as perforation (1.5%), stones (12-25%), excessive mucous production and urinary tract infection (35-75%). Late metabolic sequelae are related to exclusuion of part of the intestine and urine storage in intestinal reservoir. The quality of life is maintained following such techniques with small percentage reporting some practical and emotional distress. In conclusion; Continent cutaneous urinary diversion is a viable option whenever orthotopic neobladder is not feasible. Patient could achieve a reliable continence and satisfactory lifestyle with acceptable rate of complications. Most of these complications are amenable for treatment. However, it should be done by a certain caliber of surgeons who are able to manage its possible complications and in well equipped centers.