Alternatives to Urinary Diversion with a Bag: Results in 100 Patients

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Abstract
One hundred patients underwent surgery to free them from a cutaneous urinary diversion (n = 59) or to avoid having one (n = 41). The reconstruction was tailored to the needs of the patient: 7 had a simple undiversion, 35 a complex undiversion and 58 a continent suprapubic diversion. The outcome was satisfactory in 97%. Two patients were rediverted to an ileal conduit. The simpler the reconstruction the lower the re-operation rate: simple undiversion 0%, complex undiversion 20%, Mitrofanoff 42%, Kock pouch 69%. In spite of the high complication rate, there is a strong demand for such reconstructions and a high satisfaction rate amongst patients.