Complications of Ureteroileal Conduit with Radical Cystectomy: Review of 336 Cases

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Abstract
Review of complications of the ileal conduit in patients undergoing radical cystectomy for bladder cancer showed a statistically significant increase in renal calculi, ureteral obstruction, acute and chronic pyelonephritis and deterioration of renal function by 60 mo. postoperatively. Ureteroileal fistulas occurred in 3.3%, stomal stenosis in 5.1%, intestinal fistulas in 5.4%, severe intestinal obstruction in 6% and abdominal wound infection or dehiscence in 20.2% of the cases. The overall operative mortality was 13.7% with 8% of the deaths attributed to complications from the ileal conduit. Comparison of colonic conduits to ileal conduits as a means of urinary diversion with radical cystectomy for bladder cancer demonstrated no convincing evidence of its superiority.