Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

Ureterocutaneous diversion is typically indicated for which of the following situations?

1. Recurrent bladder infections

2. Bladder cancer

3. Severe urinary incontinence

4. Nonfunctioning kidney

The correct answer is: Nonfunctioning kidney

Ureterocutaneous diversion is a surgical procedure that involves creating an alternative route for urine to exit the body when the bladder is not functioning adequately or is absent. This type of diversion is particularly indicated in cases of a nonfunctioning kidney because it allows for the management of urine that would otherwise accumulate, potentially leading to complications such as hydronephrosis or infection. In scenarios where one kidney is nonfunctioning, especially due to conditions like severe injury, tumors, or congenital defects, ureterocutaneous diversion provides a means of safely disposing of urine. While recurrent bladder infections, bladder cancer, and severe urinary incontinence may necessitate other forms of surgical intervention, they do not typically require ureterocutaneous diversion specifically. For instance, bladder cancer may involve cystectomy or other cancer-specific treatments, and severe urinary incontinence may be managed through different surgical techniques aimed at restoring bladder function or increasing containment. Thus, the focus on addressing a nonfunctioning kidney makes ureterocutaneous diversion the right choice in this context.