The nonrefluxing ileal conduit: a new form of urinary diversion.

Grossfeld, G D; Bennett, C J; Bennett, J K; Martins, F; Apaydin, A; Green, B G · J Urol · 1995

case_series · Level IV

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Abstract

We describe a variation of the ileal conduit that includes a nonrefluxing nipple valve designed to protect the upper urinary tracts. 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. 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. The nonrefluxing ileal conduit appears to be a viable treatment option in select patients with neurogenic bladder dysfunction.

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