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Orthotopic Urinary Diversion
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=== Early post-operative complications === * '''<span style="color:#ff0000">Occur at similar rate in all types of urinary diversions:</span>''' ** '''<span style="color:#ff0000">Bleeding, infection, thrombotic events, cardiovascular, pulmonary, and GI complications</span>''' * '''<span style="color:#ff0000">Ureteral complications are possible with any type of diversion</span>''' * '''<span style="color:#ff0000">Urine leaks can occur with any type of diversion but are more common in continent diversion</span> than in conduits because of the long suture lines''' **'''<span style="color:#ff0000">These urine leaks usually resolve with With good catheter drainage and properly managed stents alone</span>, as long as a urinoma does not form''' *** '''<span style="color:#ff0000">If a patient has an undrained leak, an attempt at percutaneous drainage and/or bilateral nephrostomy tube placement is preferable to open surgical repair.</span>''' ****β5% of patients require some sort of percutaneous drain or nephrostomy tube placement during the early postoperative period to manage these problems. ****Open surgical repair is extremely difficult during the first few weeks after the initial surgery and is likely to be complicated by enterotomies and a risk of fistula formation.
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