When is an ileal conduit indicated in the spinal cord injured patient?

Ileal loop diversion is only considered for persistent or progressive hydronephrosis (failed conservative treatment directed at the bladder). This conservative approach is based on a comparison of our ongoing prospective mortality study on 470 paraplegics plus 175 spinal cord patients that have survived at least 30 years v. an updated literature review of ileal conduits performed for benign disease.