{"id":12696,"date":"2025-07-11T10:22:19","date_gmt":"2025-07-11T14:22:19","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/urinary-diversion\/"},"modified":"2026-10-06T12:50:55","modified_gmt":"2026-10-06T16:50:55","slug":"derivacao-urinaria","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/derivacao-urinaria\/","title":{"rendered":"Deriva\u00e7\u00e3o Urin\u00e1ria"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[108,107],"class_list":["post-12696","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>A deriva\u00e7\u00e3o urin\u00e1ria \u00e9 um procedimento cir\u00fargico que cria uma nova via para a sa\u00edda da urina do corpo quando o fluxo normal de urina est\u00e1 bloqueado ou quando \u00e9 necess\u00e1rio desviar de uma \u00e1rea doente do trato urin\u00e1rio.<sup>1<\/sup> Esse procedimento \u00e9 normalmente realizado ap\u00f3s a remo\u00e7\u00e3o da bexiga (cistectomia) ou quando a fun\u00e7\u00e3o vesical est\u00e1 comprometida devido a doen\u00e7a ou les\u00e3o.<sup>2<\/sup> As deriva\u00e7\u00f5es urin\u00e1rias podem ser classificadas em tipos continentes e incontinentes, cada um cumprindo as fun\u00e7\u00f5es duplas de armazenamento e elimina\u00e7\u00e3o da urina por meio de diferentes configura\u00e7\u00f5es anat\u00f4micas.<sup>3<\/sup> O procedimento envolve o redirecionamento dos ureteres, que normalmente conduzem a urina dos rins at\u00e9 a bexiga, para um dispositivo coletor externo ou para um novo reservat\u00f3rio interno constru\u00eddo a partir de segmentos do intestino.<sup>4<\/sup><\/p>","gt-synonyms":"Reconstru\u00e7\u00e3o urin\u00e1ria, deriva\u00e7\u00e3o de urina, deriva\u00e7\u00e3o do trato urin\u00e1rio, deriva\u00e7\u00e3o de bexiga, urostomia, conduto ileal, ureterostomia cut\u00e2nea, reservat\u00f3rio urin\u00e1rio continente, neobexiga, neobexiga ortot\u00f3pica, bolsa Indiana","gt-citation":"[1] National Institute of Diabetes and Digestive and Kidney Diseases. (2023). Urinary Diversion. https:\/\/www.niddk.nih.gov\/health-information\/urologic-diseases\/urinary-diversion\n\n[2] Chesnut GT, Rentea RM, Leslie SW. (2024). Urinary Diversions and Neobladders. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK560483\/\n\n[3] Bladder Cancer Advocacy Network. (2023). Urinary Diversion: What Is It? What Are My Options? https:\/\/bcan.org\/urinary-diversion-what-is-it-what-are-my-options\/\n\n[4] Chang SS, Bochner BH, Chou R, et al. (2017). Treatment of Non-Metastatic Muscle-Invasive Bladder Cancer: AUA\/ASCO\/ASTRO\/SUO Guideline. J Urol. 198(3):552-559. DOI: 10.1016\/j.juro.2017.04.086\n\n[5] Hautmann RE, Abol-Enein H, Hafez K, et al. (2007). Urinary diversion. Urology. 69(1 Suppl):17-49. DOI: 10.1016\/j.urology.2006.05.058","gt-clinical-context":"<p>A deriva\u00e7\u00e3o urin\u00e1ria \u00e9 indicada principalmente para pacientes submetidos a cistectomia radical devido a c\u00e2ncer de bexiga m\u00fasculo-invasivo, que \u00e9 o motivo mais comum para esse procedimento.<sup>1<\/sup> Outras indica\u00e7\u00f5es cl\u00ednicas incluem disfun\u00e7\u00e3o vesical neurog\u00eanica decorrente de les\u00f5es medulares ou de anomalias cong\u00eanitas, como a espinha b\u00edfida, inflama\u00e7\u00e3o ou infec\u00e7\u00e3o vesical cr\u00f4nica, incontin\u00eancia urin\u00e1ria grave refrat\u00e1ria aos tratamentos padr\u00e3o e les\u00e3o vesical induzida por radia\u00e7\u00e3o.<sup>2<\/sup><\/p>\n\n<p>A sele\u00e7\u00e3o de pacientes para tipos espec\u00edficos de deriva\u00e7\u00e3o urin\u00e1ria depende de m\u00faltiplos fatores, incluindo idade, biotipo corporal, destreza manual, fun\u00e7\u00e3o cognitiva, fun\u00e7\u00e3o renal e prefer\u00eancia do paciente.<sup>3<\/sup> A avalia\u00e7\u00e3o pr\u00e9-operat\u00f3ria inclui a avalia\u00e7\u00e3o da fun\u00e7\u00e3o renal, exames de imagem do trato urin\u00e1rio superior e a avalia\u00e7\u00e3o dos segmentos intestinais a serem utilizados na reconstru\u00e7\u00e3o.<sup>4<\/sup><\/p>\n\n<p>Os principais tipos de deriva\u00e7\u00e3o urin\u00e1ria incluem:<\/p>\n\n<h4>1. Deriva\u00e7\u00f5es incontinentes:<\/h4>\n<ul>\n    <li><strong>Conduto ileal<\/strong>: A forma mais comum, na qual um segmento do \u00edleo \u00e9 utilizado para criar um conduto dos ureteres at\u00e9 um estoma na parede abdominal, exigindo uma bolsa coletora externa.<sup>5<\/sup><\/li>\n    <li><strong>Ureterostomia cut\u00e2nea<\/strong>: Fixa\u00e7\u00e3o direta de um ou ambos os ureteres a um estoma na parede abdominal.<sup>1<\/sup><\/li>\n<\/ul>\n\n<h4>2. Deriva\u00e7\u00f5es continentes:<\/h4>\n<ul>\n    <li><strong>Reservat\u00f3rio cut\u00e2neo continente (Bolsa de Indiana)<\/strong>: Cria\u00e7\u00e3o de uma bolsa interna a partir de segmentos intestinais com um mecanismo valvular, permitindo o cateterismo atrav\u00e9s de um estoma para esvaziar a urina.<sup>3<\/sup><\/li>\n    <li><strong>Neobexiga ortot\u00f3pica<\/strong>: Constru\u00e7\u00e3o de uma nova bexiga a partir de segmentos intestinais conectados \u00e0 uretra, permitindo uma mic\u00e7\u00e3o quase normal pela uretra.<sup>4<\/sup><\/li>\n<\/ul>\n\n<p>Os cuidados p\u00f3s-operat\u00f3rios incluem o manejo do estoma para pacientes com deriva\u00e7\u00f5es externas, o treinamento em cateterismo para aqueles com deriva\u00e7\u00f5es continentes, o monitoramento de altera\u00e7\u00f5es metab\u00f3licas e o acompanhamento regular para avaliar a fun\u00e7\u00e3o renal e detectar poss\u00edveis complica\u00e7\u00f5es.<sup>5<\/sup><\/p>\n\n<p>Os resultados esperados variam conforme o tipo de deriva\u00e7\u00e3o, com taxas de satisfa\u00e7\u00e3o semelhantes entre as diferentes op\u00e7\u00f5es quando os pacientes s\u00e3o adequadamente selecionados e orientados. A recupera\u00e7\u00e3o normalmente leva 6-8 semanas, e a adapta\u00e7\u00e3o aos novos padr\u00f5es de mic\u00e7\u00e3o continua por v\u00e1rios meses.<sup>3<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":138},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Deriva\u00e7\u00e3o Urin\u00e1ria: Op\u00e7\u00f5es Ap\u00f3s Cistectomia | Rigicon<\/title>\n<meta name=\"description\" content=\"Guia sobre deriva\u00e7\u00e3o urin\u00e1ria: conduto ileal, neobexiga ortot\u00f3pica e deriva\u00e7\u00e3o continente. Indica\u00e7\u00f5es e escolha do m\u00e9todo. Diretrizes EAU 2025.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/derivacao-urinaria\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Deriva\u00e7\u00e3o Urin\u00e1ria - Prosthetic Urology Glossary\" \/>\n<meta property=\"og:description\" content=\"Explore Rigicon\u2019s evidence-based glossary covering penile implants, AUS, ED treatments, and surgical terms in prosthetic urology.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/derivacao-urinaria\/\" \/>\n<meta property=\"og:site_name\" content=\"Rigicon\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/rigiconurology\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-10-06T16:50:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.rigicon.com\/wp-content\/uploads\/2025\/05\/header-d.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1440\" \/>\n\t<meta property=\"og:image:height\" content=\"718\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@rigiconurology\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/derivacao-urinaria\\\/\",\"url\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/derivacao-urinaria\\\/\",\"name\":\"Deriva\u00e7\u00e3o Urin\u00e1ria: Op\u00e7\u00f5es Ap\u00f3s Cistectomia | Rigicon\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/#website\"},\"datePublished\":\"2025-07-11T14:22:19+00:00\",\"dateModified\":\"2026-10-06T16:50:55+00:00\",\"description\":\"Guia sobre deriva\u00e7\u00e3o urin\u00e1ria: conduto ileal, neobexiga ortot\u00f3pica e deriva\u00e7\u00e3o continente. Indica\u00e7\u00f5es e escolha do m\u00e9todo. Diretrizes EAU 2025.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/derivacao-urinaria\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/derivacao-urinaria\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/derivacao-urinaria\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Glossary Terms\",\"item\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/urology-glossary\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Deriva\u00e7\u00e3o Urin\u00e1ria\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/#website\",\"url\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/\",\"name\":\"Rigicon\",\"description\":\"Innovative Urological Solutions\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/#organization\"},\"alternateName\":\"Innovative Urological Solutions\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/#organization\",\"name\":\"Rigicon, Inc.\",\"alternateName\":\"Innovative Urological Solutions\",\"url\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.rigicon.com\\\/wp-content\\\/uploads\\\/2024\\\/07\\\/cropped-Logo-Square-Kopya.jpg\",\"contentUrl\":\"https:\\\/\\\/www.rigicon.com\\\/wp-content\\\/uploads\\\/2024\\\/07\\\/cropped-Logo-Square-Kopya.jpg\",\"width\":512,\"height\":512,\"caption\":\"Rigicon, Inc.\"},\"image\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/rigiconurology\\\/\",\"https:\\\/\\\/x.com\\\/rigiconurology\",\"https:\\\/\\\/www.instagram.com\\\/rigiconurology\\\/\",\"https:\\\/\\\/www.youtube.com\\\/@Rigicon\\\/podcasts\",\"https:\\\/\\\/www.youtube.com\\\/Rigicon\",\"https:\\\/\\\/www.threads.com\\\/@rigiconurology\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/rigicon\\\/\",\"https:\\\/\\\/www.wikidata.org\\\/wiki\\\/Q141595822\"],\"description\":\"A Rigicon \u00e9 uma fabricante especializada, sediada nos EUA, de dispositivos de urologia prot\u00e9tica: pr\u00f3teses penianas, esf\u00edncteres urin\u00e1rios artificiais e pr\u00f3teses testiculares, comercializados em mais de 75 pa\u00edses.\",\"email\":\"operations@rigicon.com\",\"telephone\":\"+1 (888) 202-9790\",\"legalName\":\"Rigicon, Inc.\",\"vatID\":\"81-3545645\",\"taxID\":\"81-3545645\",\"duns\":\"045247683\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Deriva\u00e7\u00e3o Urin\u00e1ria: Op\u00e7\u00f5es Ap\u00f3s Cistectomia | Rigicon","description":"Guia sobre deriva\u00e7\u00e3o urin\u00e1ria: conduto ileal, neobexiga ortot\u00f3pica e deriva\u00e7\u00e3o continente. Indica\u00e7\u00f5es e escolha do m\u00e9todo. Diretrizes EAU 2025.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/derivacao-urinaria\/","og_locale":"pt_BR","og_type":"article","og_title":"Deriva\u00e7\u00e3o Urin\u00e1ria - Prosthetic Urology Glossary","og_description":"Explore Rigicon\u2019s evidence-based glossary covering penile implants, AUS, ED treatments, and surgical terms in prosthetic urology.","og_url":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/derivacao-urinaria\/","og_site_name":"Rigicon","article_publisher":"https:\/\/www.facebook.com\/rigiconurology\/","article_modified_time":"2026-10-06T16:50:55+00:00","og_image":[{"width":1440,"height":718,"url":"https:\/\/www.rigicon.com\/wp-content\/uploads\/2025\/05\/header-d.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_site":"@rigiconurology","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/derivacao-urinaria\/","url":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/derivacao-urinaria\/","name":"Deriva\u00e7\u00e3o Urin\u00e1ria: Op\u00e7\u00f5es Ap\u00f3s Cistectomia | Rigicon","isPartOf":{"@id":"https:\/\/www.rigicon.com\/pt-br\/#website"},"datePublished":"2025-07-11T14:22:19+00:00","dateModified":"2026-10-06T16:50:55+00:00","description":"Guia sobre deriva\u00e7\u00e3o urin\u00e1ria: conduto ileal, neobexiga ortot\u00f3pica e deriva\u00e7\u00e3o continente. Indica\u00e7\u00f5es e escolha do m\u00e9todo. Diretrizes EAU 2025.","breadcrumb":{"@id":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/derivacao-urinaria\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.rigicon.com\/pt-br\/glossary-term\/derivacao-urinaria\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/derivacao-urinaria\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.rigicon.com\/pt-br\/"},{"@type":"ListItem","position":2,"name":"Glossary Terms","item":"https:\/\/www.rigicon.com\/pt-br\/urology-glossary\/"},{"@type":"ListItem","position":3,"name":"Deriva\u00e7\u00e3o Urin\u00e1ria"}]},{"@type":"WebSite","@id":"https:\/\/www.rigicon.com\/pt-br\/#website","url":"https:\/\/www.rigicon.com\/pt-br\/","name":"Rigicon","description":"Innovative Urological Solutions","publisher":{"@id":"https:\/\/www.rigicon.com\/pt-br\/#organization"},"alternateName":"Innovative Urological Solutions","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.rigicon.com\/pt-br\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/www.rigicon.com\/pt-br\/#organization","name":"Rigicon, Inc.","alternateName":"Innovative Urological Solutions","url":"https:\/\/www.rigicon.com\/pt-br\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.rigicon.com\/pt-br\/#\/schema\/logo\/image\/","url":"https:\/\/www.rigicon.com\/wp-content\/uploads\/2024\/07\/cropped-Logo-Square-Kopya.jpg","contentUrl":"https:\/\/www.rigicon.com\/wp-content\/uploads\/2024\/07\/cropped-Logo-Square-Kopya.jpg","width":512,"height":512,"caption":"Rigicon, Inc."},"image":{"@id":"https:\/\/www.rigicon.com\/pt-br\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/rigiconurology\/","https:\/\/x.com\/rigiconurology","https:\/\/www.instagram.com\/rigiconurology\/","https:\/\/www.youtube.com\/@Rigicon\/podcasts","https:\/\/www.youtube.com\/Rigicon","https:\/\/www.threads.com\/@rigiconurology","https:\/\/www.linkedin.com\/company\/rigicon\/","https:\/\/www.wikidata.org\/wiki\/Q141595822"],"description":"A Rigicon \u00e9 uma fabricante especializada, sediada nos EUA, de dispositivos de urologia prot\u00e9tica: pr\u00f3teses penianas, esf\u00edncteres urin\u00e1rios artificiais e pr\u00f3teses testiculares, comercializados em mais de 75 pa\u00edses.","email":"operations@rigicon.com","telephone":"+1 (888) 202-9790","legalName":"Rigicon, Inc.","vatID":"81-3545645","taxID":"81-3545645","duns":"045247683"}]}},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/glossary-term\/12696","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/glossary-term"}],"about":[{"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/types\/glossary-term"}],"wp:attachment":[{"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/media?parent=12696"}],"wp:term":[{"taxonomy":"glossary-category","embeddable":true,"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/glossary-category?post=12696"},{"taxonomy":"glossary-product","embeddable":true,"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/glossary-product?post=12696"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}