The genitourinary (GU) tract is made up of the kidneys, ureters, bladder, and urethra. Clinicians often divide the urinary tract into the upper and lower tracts. The upper urinary tract comprises the kidneys and ureters, which are primarily responsible for the removal of waste substances from the blood and fluid and electrolyte regulation. The lower urinary tract, bladder, and urethra are responsible for urine evacuation from the body. | |
In children there are a variety of anatomic anomalies, pathologic processes, or traumatic injuries that may necessitate the creation of a diversion at any level
of the urinary tract, either temporarily or permanently.
Urinary diversions have been associated with complications such as urinary
tract infections, stone formation, obstructions, renal deterioration, and
electrolyte disturbances. For this reason, when it is anticipated that a
permanent urinary diversion is indicated, the trend is to create a continent urinary diversion such as a catherizable reservoir.