{"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":"2025-07-11T10:22:19","modified_gmt":"2025-07-11T14:22:19","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 um novo caminho para a urina sair do corpo quando o fluxo normal de urina \u00e9 bloqueado ou quando h\u00e1 necessidade de contornar uma \u00e1rea doente no trato urin\u00e1rio.<sup>1<\/sup> Este procedimento \u00e9 normalmente realizado ap\u00f3s a remo\u00e7\u00e3o da bexiga (cistectomia) ou quando a fun\u00e7\u00e3o da bexiga est\u00e1 comprometida devido a doen\u00e7a ou les\u00e3o.<sup>2<\/sup> As deriva\u00e7\u00f5es urin\u00e1rias podem ser categorizadas em continente e incontinente tipos, cada um servindo a dupla fun\u00e7\u00e3o de armazenamento e elimina\u00e7\u00e3o de urina atrav\u00e9s de diferentes configura\u00e7\u00f5es anat\u00f4micas.<sup>3<\/sup> O procedimento envolve o redirecionamento dos ureteres, que normalmente transportam a urina dos rins para a bexiga, para um dispositivo de coleta externo ou para um reservat\u00f3rio interno rec\u00e9m-criado constru\u00eddo a partir de segmentos do intestino.<sup>4<\/sup><\/p>\n<p>A deriva\u00e7\u00e3o urin\u00e1ria \u00e9 o redirecionamento do fluxo urin\u00e1rio ap\u00f3s remo\u00e7\u00e3o da bexiga (cistectomia) ou quando a bexiga n\u00e3o pode mais servir como reservat\u00f3rio urin\u00e1rio. As op\u00e7\u00f5es incluem conduto ileal (n\u00e3o continente), neobexiga ortot\u00f3pica (continente por via natural), bolsa continente cateteriz\u00e1vel e ureterostomia cut\u00e2nea. A escolha depende de fatores oncol\u00f3gicos, anat\u00f4micos e prefer\u00eancia do paciente.<\/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 \u00e0 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 neurog\u00eanica da bexiga resultante de les\u00f5es na medula espinhal ou anomalias cong\u00eanitas, como espinha b\u00edfida, inflama\u00e7\u00e3o ou infec\u00e7\u00e3o cr\u00f4nica da bexiga, incontin\u00eancia urin\u00e1ria grave que n\u00e3o responde aos tratamentos padr\u00e3o e danos \u00e0 bexiga induzidos por radia\u00e7\u00e3o.<sup>2<\/sup><\/p>\n\n<p>A sele\u00e7\u00e3o do paciente para tipos espec\u00edficos de deriva\u00e7\u00e3o urin\u00e1ria depende de v\u00e1rios fatores, incluindo idade, h\u00e1bito 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 avalia\u00e7\u00e3o da fun\u00e7\u00e3o renal, imagens do trato urin\u00e1rio superior e avalia\u00e7\u00e3o dos segmentos intestinais a serem usados para 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. Desvios para incontinentes:<\/h4>\n<ul>\n <li><strong>Conduto Ileal<\/strong>: A forma mais comum, onde um segmento do \u00edleo \u00e9 usado 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><\/ul>\n\n<h4>2. Desvios do Continente:<\/h4>\n<ul>\n <li><strong>Reservat\u00f3rio Cut\u00e2neo Continente (Bolsa Indiana)<\/strong>: Cria\u00e7\u00e3o de uma bolsa interna a partir de segmentos intestinais com mecanismo de v\u00e1lvula, permitindo a cateteriza\u00e7\u00e3o 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 atrav\u00e9s da uretra.<sup>4<\/sup><\/li><\/ul>\n\n<p>Os cuidados p\u00f3s-operat\u00f3rios incluem manejo do estoma para pacientes com desvios externos, treinamento em cateterismo para aqueles com desvios continentais, monitoramento de anormalidades metab\u00f3licas e 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 de acordo com o tipo de desvio, sendo as taxas de satisfa\u00e7\u00e3o semelhantes nas diferentes op\u00e7\u00f5es quando os pacientes s\u00e3o adequadamente selecionados e instru\u00eddos. A recupera\u00e7\u00e3o normalmente leva de 6 a 8 semanas, com a adapta\u00e7\u00e3o a novos padr\u00f5es de mic\u00e7\u00e3o continuando por v\u00e1rios meses.<sup>3<\/sup><\/p>\n<p>A EAU 2023 recomenda a neobexiga ortot\u00f3pica como op\u00e7\u00e3o preferencial em pacientes eleg\u00edveis, por preservar a imagem corporal e permitir mic\u00e7\u00e3o por via natural. O conduto ileal permanece a op\u00e7\u00e3o mais utilizada mundialmente pela simplicidade t\u00e9cnica. A sele\u00e7\u00e3o deve considerar a fun\u00e7\u00e3o renal, comprometimento uretral, fun\u00e7\u00e3o cognitiva e destreza manual do paciente. A reabilita\u00e7\u00e3o funcional \u00e9 essencial para otimizar os resultados.<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":90},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - 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. 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