Methods of urinary diversion

The various forms of urinary diversion discussed here represent only the most commonly used procedures. Advanced age per se is not a contraindication to urinary diversion. Factors to be considered include the nature and location of the disease, renal functional status, the degree of ureteral dilation, and the life expectancy of the patient as well as his mental state, manual dexterity, and socioeconomic status. In the elderly, the frequent associaton of such problems as cerebrovascular disease, senility, and the need for cardiovascular medications may require adjustments in approach.