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The nonrefluxing ileal conduit: a new form of urinary diversion
G D Grossfeld1, C J Bennett, J K Bennett
1Department of Urology, University of Southern California, Los Angeles, USA.
Purpose:
We describe a variation of the ileal conduit that includes a nonrefluxing nipple valve designed to protect the upper urinary tracts.
Materials And Methods:
A total of 13 patients underwent urinary diversion with the nonrefluxing ileal conduit. The nonrefluxing nipple valve is created by intussuscepting the ileum into the conduit.
Results:
Followup ranged from 3 to 35 months. No patient demonstrated radiographic deterioration of the upper tracts or a clinically significant increase in serum creatinine level during followup.
Conclusions:
The nonrefluxing ileal conduit appears to be a viable treatment option in select patients with neurogenic bladder dysfunction.