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Instructional Course

Instructional Course - Available with the Platinum and Silver packages or Individual Course Ticket

023IC - Urinary Diversion: Current Indications, Techniques and Management of Complications

Sunday, May 15, 2022

10:00 AM – 12:00 PM

Location: Room 210

Instructional Course Director(s)

Siamak Daneshmand, MD

Professor of Urology and Oncology, Director Urologic Oncology
University of Southern California

Instructional Course Faculty(s)

MD

Matthew David Dunn, MD (he/him/his)

Professor of Urology
UCLA
Anne Kathryn Schuckman, MD,FACS (she/her/hers)

Associate Professor of Clinical Urology
University of Southern California

Learning Objectives:

Select the best form of urinary diversion for a patient based on results of published outcomes studies
Compute current indication and contraindications for various forms of urinary diversion.
Illustrate functional anatomy when creating a continence mechanism to ensure good outcomes with minimal side effects.
Recognize short- and long-term complications of urinary diversion
Manage various complications that may arise from the different forms of urinary diversion.

This course proposes to enhance the urologist’s knowledge of reconstructive options with an emphasis on the prevention and management of complications related to both ileal conduit and continent forms of urinary diversion. It will offer a detailed description of various forms of urinary diversions, including the ileal conduit, orthotopic neobladder and a variety of continent cutaneous diversions. The discussion will address the techniques of reconstruction with video presentation of the orthotopic ileal neobladder and a right colon pouch with appendico-umbilicostomy. We will discuss appropriate patient selection with a focus on management of common complications. Patient outcomes based on published literature and collective experience will be reviewed. We will focus on management of complications encountered with various forms of diversion, with step-by-step instructions on techniques such as injection of bulking agents for stomal incontinence to management of pouch stones, pouch revision, and endoscopic and interventional management of ureteroileal strictures. This course is suited for the urologist who wishes to not only expand the repertoire of urinary diversions offered to adult and pediatric patients but also learn techniques of managing common complications. It will also be suited for nurse practitioners and physician’s assistants who care for patients undergoing urinary diversion.