The functioning and the complication rate of extreme long existing urinary diversions

C.J. Van Ginkel*, H. Cobussen-Boekhorst, F. Martens, W.F.J. Feitz, J.P.F.A. Heesakkers

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review


Purpose of reviewThis review is timely and relevant because many patients live many years with urinary diversions. Knowledge about the long term outcome with respect to function and complications are important for patient counseling and for the manner to follow-up patients. This study was performed to investigate the functioning of urinary diversions constructed > 25 years earlier.Recent findingsMost studies have a relatively shorter follow-up, mainly focussing on short term postoperative complications. Focussing on the long term, urinary tract infections (UTI) including pyelonephritis are common. Mild kidney function deterioration is described.SummaryRetrospective study (2018-2019); 43 patients with regular follow-up at the Radboud University Medical Centre Nijmegen the Netherlands. Ileal conduit (n = 19) and ureterosigmoidostomy (n = 11) are the most common diversion types for reasons such as: bladder exstrophy (n = 15), urinary incontinence (n = 9) and malignancy (n = 8). This series with a median follow-up of 40 years, shows it is possible to live and cope with a urinary diversion for a very long time. Ureterosigmoidostomies give relatively good results. Ileal conduits are functioning properly with acceptable complication rates. 95% suffers from chronic UTI's. Kidney function deterioration was mild. Diversions for benign reasons have more complex complications compared to diversion constructed for malignant reasons.
Original languageEnglish
Pages (from-to)562-569
Number of pages8
JournalCurrent Opinion in Urology
Issue number6
Publication statusPublished - 1 Nov 2021


  • retrospective
  • studies
  • urinary bladder diseases
  • urinary diversion
  • urologic neoplasm
  • urologic surgical procedures


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