Ileal conduit urinary diversion: a review of 148 patients.
A series of 148 ileal conduit urinary diversions is described. In 127 patients (86%) the operation was done because of malignant neoplastic disease, whereas in 21 patients the underlying disease was benign. 77% of the patients had bladder carcinoma. Simultaneous cystectomy was performed in half of the cases. The mortality of the procedure was 9.5%. Postoperative complications occurred early in 36% and late in 49% of patients. Most of the complications could be treated conservatively but 25 patients required re-operation(s) for early and 35 for late complications. The treatment of patients with urinary leakage and the reason for the high incidence of upper urinary tract deterioration (50%) is discussed in detail.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D014513:Ureter / Q000601:surgery; D014551:Urinary Tract / Q000601:surgery*