Diversion surgery can be continent or incontinent. Which description matches this?

• A. It is a procedure to reverse an ostomy.
• B. It is non-surgical.
• C. It is the surgical creation of an alternative route for effluent of GI or urinary tracts; may be continent or incontinent.
• D. It is only for urinary diversion.

Answer: (C)

Diversion surgery involves surgically creating a new route for waste from the GI tract or urinary tract to exit the body. This can be designed as continent, where a reservoir is created and drainage is emptied by catheterization, or incontinent, where waste continuously drains into an external bag through a stoma. It is a surgical procedure aimed at rerouting effluent to bypass diseased or damaged segments and is not the same as reversing an ostomy, nor is it limited to urinary diversion only. GI diversions (like colostomies or ileostomies) and urinary diversions (like an ileal conduit) illustrate the range of this approach, with continent forms providing a controllable drainage option and incontinent forms providing ongoing drainage.