UNDIVERTING THE ILEAL CONDUIT

From 1975-1981, 46 patients were evaluated for urinary undiversion; 27 completed urinary reconstruction. The patients were followed for 6-80 mo., with a mean follow-up of 32 mo. and a median follow-up of 23 mo. There was no death and no rediversion was necessary, although in 1 patient renal function has deteriorated significantly following urinary reconstruction. Postoperative bladder function was normal in patients diverted for dysfunctional voiding or bladder outlet obstruction, but children with meningomyelocele required intermittent catheterization postoperatively. With careful patient selection, meticulous surgical technique and compulsive follow-up urinary undiversion is a safe procedure.