Contemporary Use of Titanium Staples for Orthotopic Urinary Diversion

Orthotopic reconstruction is often the preferred form of urinary diversion after radical cystectomy. Traditionally, a reservoir is created by hand sewing a detubularized segment of bowel, most commonly the ileum, into a pouch. However, with the advent of minimally invasive surgery, some investigators have reintroduced the idea of using titanium staples to create an orthotopic urinary diversion. This could potentially make the reconstruction technically easier and less time consuming, especially during laparoscopic and robotic-assisted surgery. We have reviewed the recent data on the use of titanium staples for the construction of an orthotopic urinary diversion.