Figure 5 Types of urinary diversion

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Presentation transcript:

Figure 5 Types of urinary diversion Figure 5 | Types of urinary diversion. a | Kock pouch. This diversion was developed by Kock43 and consists of an ileal reservoir with an intussuscepted nipple valve. b | Indiana pouch45. This diversion consists of an ileocaecal reservoir with ileocaecal valve. c | Mainz pouch46. This diversion consists of an ileal reservoir with an intussuscepted ileal nipple valve. d | Hautmann neobladder52. This diversion is an orthotopic neobladder using an ileal segment that is detubularized in a 'W' or an 'M' shape and anastomosed to the urethra with the ureters tunnelled into the reservoir. e | Studer neobladder53. This diversion uses ileum that is detubularized into a 'U' shape. Permission for modification for part a obtained from Elsevier © Kock N. et al. J. Urol. 128, 469–475 (1982); permission for modification for part b obtained from Springer © Roland R. World J Urol. 14, 92–98 (1996) adapted and coloured to House Style; permission for modification for part c obtained from John Wiley and Sons© Thuroff J. et al. BJU Int. 106:, 1830–1854 (2010); permission for modification for part d obtained from John Wiley and Sons© Hautmann, R. BJU Int. 105, 1024–1035 (2010); permission for modification for part e obtained from John Wiley and Sons© Studer, U.E., Varol, C. and Danuser, H. BJU Int. 93, 183–193 (2004). Permission for modification for part a obtained from Elsevier © Kock N. et al. J. Urol. 128, 469–475 (1982); permission for modification for part b obtained from Springer © Roland R. World J Urol. 14, 92–98 (1996) adapted and coloured to House Style; permission for modification for part c obtained from John Wiley and Sons© Thuroff J. et al. BJU Int. 106:, 1830–1854 (2010); permission for modification for part d obtained from John Wiley and Sons© Hautmann, R. BJU Int. 105, 1024–1035 (2010); permission for modification for part e obtained from John Wiley and Sons© Studer, U.E., Varol, C. and Danuser, H. BJU Int. 93, 183–193 (2004). Lobo, N. et al. (2017) Landmarks in the treatment of muscle-invasive bladder cancer Nat. Rev. Urol. doi:10.1038/nrurol.2017.82