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Ileal trigonal conduits: 10-year followup.
The Journal of Urology
|November 1, 1983
Summary
Nonrefluxing ileal trigonal conduits showed initial promise for neurogenic bladder but long-term results were disappointing. Many patients experienced pyelographic deterioration and reflux, questioning the procedure
Area of Science:
- Urology
- Nephrology
- Surgical Innovation
Background:
- Standard ileal conduit urinary diversion can lead to long-term complications.
- Neurogenic bladder necessitates urinary diversion to prevent sequelae.
Purpose of the Study:
- To evaluate the long-term efficacy of nonrefluxing ileal trigonal conduits.
- To assess the prevention of sequelae associated with standard ileal conduit urinary diversion.
Main Methods:
- Construction of nonrefluxing ileal trigonal conduits in 21 patients with neurogenic bladder.
- Long-term follow-up assessment including pyelographic studies and reflux evaluation.
Main Results:
- Initial encouraging results at 5 years deteriorated by 10 years.
- 50% of patients showed pyelographic deterioration.
- 41% of renal units experienced reflux.
- 8 patients (45%) had favorable outcomes.
Conclusions:
- Nonrefluxing ileal trigonal conduits demonstrated suboptimal long-term efficacy.
- The procedure did not consistently prevent long-term sequelae.
- Current surgical standards may preclude the use of this technique today.