The nonrefluxing ileal conduit: a new form of urinary diversion.
OBJECTIVE
We describe a variation of the ileal conduit that includes a nonrefluxing nipple valve designed to protect the upper urinary tracts.


METHODS
A total of 13 patients underwent urinary diversion with the nonrefluxing ileal conduit. The nonrefluxing nipple valve is created by intussuscepting the ileum into the conduit.


RESULTS
Followup ranged from 3 to 35 months. No patient demonstrated radiographic deterioration of the upper tracts or a clinically significant increase in serum creatinine level during followup.


CONCLUSIONS
The nonrefluxing ileal conduit appears to be a viable treatment option in select patients with neurogenic bladder dysfunction.
Grossfeld
G D
GD
Department of Urology, University of Southern California, Los Angeles, USA.
Bennett
C J
CJ
Bennett
J K
JK
Martins
F
F
Apaydin
A
A
Green
B G
BG
D000328:Adult; D003404:Creatinine / Q000097:blood; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D001750:Urinary Bladder, Neurogenic / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*
D003404:Creatinine