Indiana Pouch Articles

Techniques in continent cutaneous urinary diversion (CCUD) have evolved significantly over the last 30 years resulting in several well-established procedures. CCUD is well suited for patients in whom the urethra cannot be used for orthotopic diversion due to preexisting incontinence, radiation damage, or malignancy.

Radical cystectomy (RC) is currently the standard of care for non-metastatic muscle invasive bladder cancer. Few studies compare methods of cutaneous continent urinary diversion (CCUD) following RC.

Adenocarcinoma is a rare finding following urinary diversion with gastrointestinal segments. This report describes an 80-year-old woman with a history of bladder cancer who subsequently developed a pT4 adenocarcinoma 8 years following her radical cystectomy and Indiana Pouch continent urinary diversion.