Urinary Undiversion in Myelomeningocele Patients with an Ileal Conduit Diversion

Abstract

Neurogenic bladder in myelomeningocele has been managed until recently by routine ileal conduit urinary diversion; long-term complications are not uncommon after an ileal conduit and 23 patients required major surgical revision during the last 2 yr. In 5 patients with an ileal conduit urinary undiversion was performed after excision of the conduit and direct ureteral anastomoses. Over-all progress of these patients was satisfactory. Apparently when major surgery is required to correct ileal conduit complications in myelomeningocele, urinary undiversion should be considered in selected cases.