Continent diversion is defined as what?

Continent diversion is defined as what?

• A. Creation of external pouch or reservoir
• B. Removal of a portion of intestine
• C. External bag connected to abdomen
• D. Creation of internal pouch or internal bladder using a part of the digestive tract

Answer: (D)

Continent diversion means constructing an internal storage pouch from a segment of the digestive tract to hold urine (or stool) and a mechanism to empty it on demand. In urinary continent diversions, a piece of ileum or colon is shaped into a reservoir or neobladder and is equipped with a continence mechanism and a catheterizable channel to the abdominal surface. The drainage is done by catheterization rather than using an external bag, so the patient remains continent between drainages. This matches the idea of creating an internal pouch or internal bladder from digestive tract tissue, rather than forming an external pouch, removing a portion of intestine, or using an external bag.

Continent diversion means constructing an internal storage pouch from a segment of the digestive tract to hold urine (or stool) and a mechanism to empty it on demand. In urinary continent diversions, a piece of ileum or colon is shaped into a reservoir or neobladder and is equipped with a continence mechanism and a catheterizable channel to the abdominal surface. The drainage is done by catheterization rather than using an external bag, so the patient remains continent between drainages. This matches the idea of creating an internal pouch or internal bladder from digestive tract tissue, rather than forming an external pouch, removing a portion of intestine, or using an external bag.