Urinary Diversion–Specific Pharmacotherapy

Pharmacotherapy specific to patients with urinary diversion (ileal conduit, orthotopic neobladder, continent cutaneous reservoir, augmentation cystoplasty) — acid-base management, vitamin B12 supplementation, and mucus-production control. The shared theme: bowel-in-the-urinary-tract creates predictable physiologic perturbations that require lifelong surveillance and targeted pharmacologic management.

For diversion technique itself see Urinary Diversion Principles and the named-procedure pages.

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• Mucus ManagementManaging mucus after bowel-based urinary reconstruction, mainly with irrigation.
• Vitamin B12 SupplementationWhy bowel diversion causes B12 deficiency, how to monitor for it and how to replace it.
• Urinary Acidifiers & AlkalinizersTreating metabolic acidosis after bowel diversion, and what does and does not change urine pH.