Urinary diversion

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Dr. Shivaji Basu

  • MS, FRCS(Edinburg London)
  • 36 years experience

Dr. (Col.) Rajeev sood

  • MS., DNB (gen surg), MCh., DNB (Urology).
  • 35 years experience

Dr. M M Bansal

  • MS, M.Ch (Urology)
  • 35 years experience

Dr. Prof. P.B. Sivaraman

  • FRCS, MCh., MS
  • 30 years experience

Dr. Anjan Das

  • MCh(Urology)
  • 23 years experience

Dr. Raj Kalyan Gopala Krishna

  • DNB(Urology)
  • 23 years experience

Dr. A.S Bawa

  • MS and MCh from PGIMER, Chandigarh
  • 22 years experience

Dr. Ramesh Mahajan

  • MS, Mch(Urology)
  • 20 years experience

Dr. Pankaj N Maheshwari

  • MS, Mch(Urology)
  • 18 years experience

Dr. Prithwiraj Ghoshal

  • M.Ch (Urology)-2004-2007. (PGIMER), MRCS (EDIN) Part II-Royal College of Surgeons of Edinburgh-2003., MRCS (EDIN) Part I-Royal College of Surgeons of Edinburgh-2002., 4. MS (General Surgery) CNMCH 2000-2003, House Surgeon (Department of Surgery) (NRSMCH) Apr 1999 to Aug 1999., Rotating Internship (NRSMCH) Oct 1997-Sep 1998., M.B.B.S (NRSMCH) 1992-1997.
  • 18 years experience

Dr. K. M. Nanjappa

  • M. S - LTMCMNAMS (Genito- Urinary surgery)
  • 17 years experience

Dr. Vikram Aurora

  • MBBS
  • 16 years experience

Dr. Dushyant Nadar

  • M.S General Surgery from M.L.B Medical College Jhansi, National boards in Urology
  • 14 years experience

Dr. Prem Kumar K

  • DNB
  • 14 years experience

Dr. Ayush Choudhary

  • MCh(Urology)
  • 14 years experience

Dr. M G Shekar

  • MS, MRCS, MCh (Uro), FMAS
  • 13 years experience

Dr. Shrinivas Narayan

  • MCh(Urology)
  • 13 years experience

Dr. Manish Ahuja

  • M.Ch. (Urology) from King George Medical university, Lucknow, M.S. ( Surgery) from Christian Medical College, MBBS from Govt. Medical College, Patiala
  • 10 years experience

Dr. Sandeep Gupta

  • DNB (Urology)
  • 10 years experience

Dr. Ashish Jindal

  • M.B.B.S FROM Govt Medical College, M.S (General Surgery) and DNB (Urology)
  • 8 years experience

Dr. M. R. Pari

  • MCh (Urology), MS
  • 8 years experience

Dr. Feroz Amir Zafar

  • Robotic Surgery Training and Certification, Intuitive Surgical, Atlanta, USA, Observership Training in Men’s Health, Cleveland Clinic, Florida, USA, Fellowship in Kidney Transplant, Medanta – The Medicity, Gurgaon, India, MRCS, Royal College of Surgeons, England, DNB Urology, Apollo Hospitals, Hyderabad, India, FMAS(Fellowship in Minimal Access Surgery), AMASI, India, M.S.(Gen. Surgery), RIMS, Ranchi, India, MBBS (Hons.), MGMMC, Jamshedpur, India
  • 7 years experience

Dr. Piyush Varshney

  • M.Ch. (UROLOGY), M.S. (GENERAL SURGERY), M.B.B.S.
  • 6 years experience

Dr. Aman Gupta

  • M.Ch (Urology) (2009), M.S. (Gen. Surgery) (2003), M.B.B.S. (2000)
  • 6 years experience

Dr. Pushkar Shyam Chowdhury

  • MCh. (Urology)- Bombay Hospital Institute of medical Sciences (MUMBAI) , MS- General Surgery – Ramakrishna Mission Seva Pratishthan , M.B.B.S.- Calcutta Medical College
  • 6 years experience

Dr. Sudarshan kanti Baishya

  • DNB UROLOGY superspeciality. , M.S. (Safdarjung hospital, new delhi) , M.B.B.S.( JIPMER)
  • 4 years experience

Dr. Rahul Gupta

  • M.B.B.S., M.S. General Surgery , M.Ch. Neurosurgery
  • 0 years experience

Dr. Priyadarshi Ranjan

  • M.Ch Urology-2008
  • 0 years experience

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About Urinary diversion

Urinary diversion is designated in the case when the bladder can no longer effectivelyact as a reservoir for urine storage. The urinary tract in our body is more like a plumbing setup, with specific ‘pipes' that enable water and salts to flow through them. The urinary tract is comprised of 2 kidneys, 2 ureters, the bladder, and the urethra.

Our kidneys work like a filter for the blood. They eliminate toxins and maintain the levels of useful sugar, salts, and minerals adequate. Urine, the waste product, is generated in the kidneys and passes down 2, 10 to 12-inch-long tubes known as ureters into the bladder. The ureters are about a quarter inch wide and contain muscled walls that are pushed to pass the urine into the bladder. The bladder can inflate to store the urine until the person gets ready to discharge it by peeing. It also blocks the pathways into the ureters so that urine can't flow back into the kidneys. The tube that carries the urine from the bladder out of the body is known as the urethra.

Urinary diversion refers to a condition when the normal urinary systems are bypassed and an opening is created in the urinary system to make the urine pass in another way. This might be needed if the bladder stops working the ideal way or needs to be eliminateddue to cancer or any injury. The flow of urine is diverted to a replacement bladder ("neobladder") or through an opening in the abdominal wall (called a "stoma").

There are basically 2 types of urinary diversions: continent and non-continent.

Non-continent Urinary Diversion

Non-continent urinary diversion typically encompassesattaching the ureters to a part of intestine that is brought out of the belly. The urine then drains unceasingly into an ostomy bag the patient carries under his clothes. He would still be able to take part in strenuous physical activity, along with daily activities.

Continent Urinary Diversion

In case of continent urinary diversion, a surgeon will create a pouch inside the body from part of your intestines to store urine. There are 2 basic types: those that have a stoma brought out of the belly and those in which a neobladder is made. With a neobladder, he would be able to urinate in a normal way.

Using a surgical stoma, the patient will need to insert a tube into the stoma to drain the urine 4 or 5 times a day.The benefit of both types of continent urinary diversion is that the patient doesn’t need to carry an ostomy bag.

Most of the people are found satisfied with the urinary diversion procedure and are able to get back to a normal routine.

Problems with urinary diversions may occur, though, such as:

  • alterations in fluid and/or salt levels
  • problems inserting the tube into the stoma
  • problems with the growth of skin over the stoma
  • general problems that might lead to abdominal operation (such as a clogged bowel, or urine or bowel leakage)

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