Table 3

Summary of the main diversion techniques with principal advantages and disadvantages

TechniqueFirst descriptionSurgical
approach
Segments employedAdvantagesDisadvantagesCommon complicationsEducational
video articles
UreterosigmoidostomyCoffey, 1931
  • Open surgery

  • Laparoscopic

  • Robotic

Colon
(rectum or sigmoid)
  • No urostomy bag required

  • Low cost

  • No urostomy care learning required

  • Ureteral reflux

  • Colorectal cancer

  • Overflow incontinence

  • Colorectal cancer

  • Infection

  • Pyelonephritis

  • Stone formation

  • Ureteral stricture

  • Fistula

  • Vitamin B12 deficiency

  • Bile salt malabsorption

  • Renal function impairment

  • Metabolic acidosis

Jamkar, 201578
Double-barreled wet colostomyCarter, 1989Colon
(sigmoid)
  • Low cost

  • Single stoma

  • Shorter operative time

  • Easy urostomy care learning

  • Ureteral reflux

  • Peristomal skin complications

  • Parastomal hernia

Lago, 202079
Ileal conduitBricker, 1950Ileum
(20 cm)
  • Low cost

  • Urostomy bag

  • Easy urostomy care learning

  • Few contraindications

  • Peristomal skin complications

  • Parastomal hernia

Martínez-Gómez, 202080
Continent self-catheterizable pouchMiami pouch (Bejany 1988)
Indiana pouch
(Rowland 1985)
Mainz pouch
(Turoff 1986)
Roma pouch
Kock pouch
(Kock 1978)
Roma pouch
(Panicci 2007)
Right colon and distal ileum (15 cm)
  • No urostomy bag required

  • Few contraindications

  • High rates of continence

  • Pouchitis

  • Pouch torsion

  • Long urostomy care learning

  • Intermittent self-catheterization (4–5 times/day)

  • Difficulty for self-catheterization

  • Patient engagement

Martínez-Gómez, 201836
Angeles, 201881
Ileal orthotopic neobladderY-shape
(Fontana 2004)
W-shape
(Hautmann 1988)
J-shape
(Studer 1986)
Z-shape
(Botto 1994))
C-shape
(Camey 1988)
Ileum
(50 cm)
  • No urostomy bag required

  • Low cost

  • Native organ replacement

  • Incomplete neobladder voiding (ineffective abdominal push)

  • Eventual self-catherization

  • Incontinence

  • Limited indications

  • Strong patient engagement

Martínez-Gómez, 202082
Ileocecal orthotopic neobladderBudapest Pouch (Ungar 1998)
  • Open

Right colon and distal ileum (15 cm)Căpîlna M, 202044