The Application of Ileal Conduits in Pediatric Renal Transplantation

Abstract

The use of ileal conduits as receptors of renal homografts in 5 of 41 transplant recipients was reported. These 5 chronic renal failure patients were 6 mo. to 17 yr old and had unsalvageable bladders that required an ileal conduit at an elective time before transplantation. The causes of renal failure in these children included dysplasia and chronic urinary tract infection. In an attempt to retard the rate of renal insufficiency all patients underwent multiple operative procedures on the lower urinary tract. Two cadaveric and 3 kidneys from living relatives were transplanted. One infant (6 mo. old) died of severe fluid and electrolyte imbalance 5 days post-transplantation. Of the remaining patients, 3 are now 2-3.5 yr post-transplantation and exhibit normal homograft function and 1 died recently of chronic rejection. All conduits functioned well without evidence of ureteroileal obstruction, significant infection or stomal stenosis.