[Diversion reversal, colocystoplasty and kidney transplantation]

A patient with severe nephropathy from reflux within the context of a non-neurogenic neurogenic bladder underwent diversion in an attempt to preserve her severely deteriorated renal function. Eight years following the procedure the patient had progressed to end-stage renal failure. As a previous step to renal transplantation, the patient was submitted to undiversion and bladder augmentation. Six months thereafter, she received a cadaver kidney graft. Twenty-four months after the transplant procedure, the patient maintains a normal renal function, is continent day and night and is on intermittent catheterization.