Ileal conduit diversion from a bivalved kidney.
We report 2 successful cases of ileal conduit diversion from a bivalved kidney. Both patients had a single kidney and were in chronic renal failure. Cutaneous diversion had malfunctioned because of intrarenal obstruction of tuberculous origin. The kidney was bivalved and anastomosed to an isolated ileal segment. The lower end of the ileal segment was brought to the abdominal skin as a stoma. Postoperatively, renal function was aggravated temporarily. During the followup periods of 2 years and 1 year 6 months neither patient had evidence of renal deterioration. This type of urinary diversion seems acceptable for relieving infundibular stricture with chronic renal failure.
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014398:Tuberculosis, Renal / Q000150:complications*; D014547:Urinary Diversion / Q000379:methods*