Metabolic consequences of continent urinary diversion

PURPOSE: Continent diversion, in particular orthotopic bladder substitution, is a well accepted form of urinary diversion. However, potential metabolic consequences in the early postoperative period as well as long term remain a serious problem. MATERIALS AND METHODS: We review the possible complications associated with removing bowel and incorporating it in the urinary tract. RESULTS: Metabolic complications following continent urinary diversion are common. In the majority of cases, and with correct patient selection and education, problems may be minimized with use of an appropriate bowel segment and early intervention. CONCLUSIONS: Careful patient selection and vigilant followup are essential for good long-term results in patients undergoing continent urinary diversion.