Ileal trigonal conduits: 10-year followup

Nonrefluxing ileal trigonal conduits were constructed in 21 patients with neurogenic bladder to prevent the long-term sequelae of standard ileal conduit urinary diversion. Although the initial results at 5 years were encouraging the findings at 10 years were not as promising. Of the patients 50 per cent had evidence of pyelographic deterioration. Reflux occurred in 41 per cent of the renal units. Over-all, 8 patients (45 per cent) have done well. Today, these patients probably would not have undergone diversion.