|Category||Reconstructive Surgery: LUT|
|Keywords||urinary incontinence intestinal urinary diversion complicated urinary incontinence|
|Target Audience||Urologists or urogynecologists who manage urinary incontinence|
|Aims and Objectives|
Management of complicated and recurrent cases of urinary incontinence is a surgical challenge that frustrates patients and their caregivers. This is particularly true when urinary incotinence is associated with extensive lower tract damage, irreversible pathology of the lower urinary tract and/or failed multiple previous procedures. The use of bowel for urinary diversion might be the last resort in those cases. Our objective is to address the indications of intestinal urinary diversion in cases with complicated/recurrent urinary incontinence. We suggest it is of similar importance knowing the pertinent GI anatomy and physiology, the most commonly applied techniques and their complications and surgical tips from our own practical experience.