Wound, Ostomy, and Continence Nursing (WOCN) Ostomy Certification Practice Exam 2025 - Free Ostomy Certification Practice Questions and Study Guide

The neobladder or continent urinary reservoir is a common urinary diversion option for patients, particularly those who have undergone cystectomy, which is the surgical removal of the bladder due to conditions such as bladder cancer. A neobladder is created from a segment of the intestine, allowing the patient to have a reservoir that can store urine. This option provides the possibility of continence because patients can control their urination, often allowing for a more normal way of life compared to other diversion options.

In contrast, alternative options like the suprapubic catheter are typically used for patients who cannot urinate normally but do not provide the same level of bladder function or control. A transitional renal unit is less common and not specifically a urinary diversion option. The external urostomy bag, while a valid diversion method, is considered a more definitive and less desirable option for many patients due to its reliance on an external collection device, which can affect quality of life.

Overall, the neobladder or continent urinary reservoir presents a significant advantage in terms of restoring functionality and promoting independence following bladder removal.