ASO Author Reflections: Temporal Trends in Urinary Diversion in Radical Cystectomies from Europe’s Largest Monocentric Cohort with 2224 Cases Over 36 Years

Radical cystectomy (RC) is one of the most complex operative procedures in urology, and choice of urinary diversion (UD) has undergone significant changes over the last decades.While several nationwide analyses revealed overall higher rates of continent UD (CUD) in Germany as compared with the United States (U.S.), 1,2 recent large U.S. high-volume centers reported higher rates of CUD in academic high-volume centers compared with smaller hospitals in the U.S. as well as in European cohorts. 3,4Over the past four decades, various CUD and incontinent UD (IUD) techniques have been applied at our department, and the 'Mainz Pouch' (MP-I and -II) was developed, resulting in one of the largest centers for RC in Germany to date. 5 Thus, we sought to evaluate trends in UD over a 36-year time period with historical and contemporary patient groups undergoing RC at our department.