Abstract
We are grateful for the helpful editorial comments agreeing on our views associated with urinary diversion surgery. Urinary reconstruction should match the needs and expectations of the individual patient, and most patients in turn adapt to whatever is expected of them. Patient participation with unbiased counseling before any treatment and the availability to choose between all available forms of treatment is the key to postoperative satisfaction. How Close Are We to Knowing Whether Orthotopic Bladder Replacement Surgery Is the New Gold Standard?—Evidence From a Systematic Review UpdateUrologyVol. 74Issue 6PreviewTo compare the clinical effectiveness and risk profile of the different types of surgeries using transposed intestinal segments in a systematic review update. Urinary diversion is designed to improve or replace the function of the diseased urinary bladder. Full-Text PDF Editorial CommentUrologyVol. 74Issue 6PreviewThe goal of any form of urinary diversion should be the control of urinary bladder disease and the preservation of a patient's quality of life (QoL). Safeguarding a patient's QoL is related both to the surgical urinary diversion form that is psychologically and socially acceptable and to the preservation of renal function.1 In fact, there are several reasons for deterioration of renal function that are generally diversion-related.2 In this sense, the incorporation of an antireflux system with urinary diversion or bladder replacement should protect the upper tract from regurgitation of the infected contents of the reservoir. Full-Text PDF
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