For the majority of patients with muscle invasive bladder cancer, treatment involves a radical cystectomy — a major surgery to remove the bladder and create a new way for urine to exit the body. This alternative method is known as a “urinary diversion.” In Canada, the three most common types of urinary diversions are the ileal conduit, neobladder, and Indiana pouch.
Understanding Urinary Diversions
The three most common urinary diversions — the ileal conduit, neobladder, and Indiana pouch — each come with distinct characteristics. The most suitable option depends on factors such as a patient’s overall health, lifestyle, and risk tolerance. Deciding on the right diversion is a highly personalized choice, often made in consultation with a healthcare provider who will help weigh the pros and cons of each method.
We provide a detailed explanation of these three diversions, including their advantages and disadvantages, here.
Bladder Cancer Canada has also developed a Radical Cystectomy Guidebook, written by patients, for patients, which offers clear and accessible information about this procedure.
Additionally, we hosted an informative webinar that explores the different urinary diversions, featuring insights from individuals who live with each option. You can watch the full webinar here.
Canadian Urinary Diversions Position Statement
This position statement outlines best clinical practices for the pre- and postoperative care of patients undergoing a urinary diversion. Developed in collaboration with the Canadian Urological Association, Nurses Specialized in Wound, Ostomy and Continence Canada, and the Urology Nurses of Canada, it provides comprehensive guidance on managing patients through this process.
Pages 7-8 include a useful chart that compares the different diversions, outlining key considerations for selection and common complications.
Copyright Canadian Urological Association. Image sourced from: https://www.cua.org/program/13306
Support Before and After Surgery
No matter which urinary diversion method you choose, adjusting to life after a radical cystectomy can be a significant transition. Patients may face both physical and emotional challenges, but there are many resources to help you along the way:
- Radical Cystectomy Guidebook: This guidebook covers everything you need to know before, during, and after surgery, including detailed explanations of the urinary diversion options.
- One2One Peer Support Program: Connect with trained volunteers who have firsthand experience with different diversions. They can provide guidance and answer any questions you may have.
- Support Groups: Join our support groups—whether in-
- Online Discussion Forum: Our secure, confidential forum allows you to engage with the bladder cancer community at any time. Whether you prefer to browse existing posts or actively participate, the option to remain anonymous is available.
- Disability Tax Credit: The Disability Tax Credit (DTC) is a non-refundable tax credit that helps people with disabilities, or their supporting family member, reduce the amount of income tax they may have to pay to offset some of the costs related to their condition. We created a helpful guide, the Disability Tax Credit (DTC) for Medical Professionals, which provides guidance on how to complete “Part B: Medical Practitioner’s Section” of the DTC Certificate.
Facing a radical cystectomy can feel overwhelming, but understanding your options and accessing the right resources can make the transition smoother. From choosing a urinary diversion to adjusting to life after surgery, each patient’s journey is unique.
Bladder Cancer Canada is here to support you every step of the way. If you have questions or need further assistance, do not hesitate to contact us at info@bladdercancercanada.org or 1-866-674-8889. We’re here to help!
