Ileal conduit urinary diversion: a review of 148 patients

A series of 148 ileal conduit urinary diversions is described. In 127 patients (86%) the operation was done because of malignant neoplastic disease, whereas in 21 patients the underlying disease was benign. 77% of the patients had bladder carcinoma. Simultaneous cystectomy was performed in half of the cases. The mortality of the procedure was 9.5%. Postoperative complications occurred early in 36% and late in 49% of patients. Most of the complications could be treated conservatively but 25 patients required re-operation(s) for early and 35 for late complications. The treatment of patients with urinary leakage and the reason for the high incidence of upper urinary tract deterioration (50%) is discussed in detail.