Ileal conduit undiversion: experience with tunneled vesical implantation of tapered conduit.
Reconstruction of the urinary tract after ileal conduit diversion was done in 9 patients by antirefluxing vesical implantation of the tapered conduit. Of the patients 5 required prior operative rehabilitation of the lower tracts, while 4 had urodynamically normal lower tracts. Reoperation for post-undiversion reflux was necessary in 2 patients; reimplantation was satisfactory in 1 but ileocecocystoplasty was required in the other. Followup showed a stable or improved upper tracts and renal function in the remaining patients.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012092:Replantation; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery; D014547:Urinary Diversion / Q000295:instrumentation / Q000379:methods; D014570:Urologic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000601:surgery