Alternatives to urinary diversion with a bag: results in 100 patients

One hundred patients underwent surgery to free them from a cutaneous urinary diversion (n = 59) or to avoid having one (n = 41). The reconstruction was tailored to the needs of the patient: 7 had a simple undiversion, 35 a complex undiversion and 58 a continent suprapubic diversion. The outcome was satisfactory in 97%. Two patients were rediverted to an ileal conduit. The simpler the reconstruction the lower the re-operation rate: simple undiversion 0%, complex undiversion 20%, Mitrofanoff 42%, Kock pouch 69%. In spite of the high complication rate, there is a strong demand for such reconstructions and a high satisfaction rate amongst patients.