Diagnosis and Treatment of a Urinary Leak After Ureteroileal Conduit for Diversion

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Abstract
Of 1120 cases of ileal loop urinary diversion reviewed, 21 postoperative loop leaks were noted (1.87%). Definite indications for diagnostic studies of urinary extravasation include persistent postoperative azotemia, sepsis and/or urinary leakage via the drains. In this series 2 types of loop leaks were noted, an early postoperative leak within the first 24 h and a leakage 6-12 days postoperatively. More aggressive management of postoperative urinary extravasation is urged, especially in patients who were irradiated and suffered leakage later on in the postoperative course.