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Urology (Expert Forum)
Urostomy ileal conduit
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Doctor's Answer
by Kevin Pho, MD, Jul 24, 2003 12:00AM
, Jul 24, 2003 12:00AM
Hello - thanks for asking your question.
The complication rates for ileal conduits are 50-80% over the life of the conduit. The more common complications include the following: deterioration, metabolic abnormalities, hydronephrosis, loop stenosis, ureteral strictures, stomal problems, calculi, and malignancy.
Flank pain, flank fullness, or abdominal fullness can be presentaions of ureteral strictures. Persistent urinary tract infection or pyelonephritis may indicate unilateral ureteral obstruction. Patients with preexisting renal insufficiency or an abnormal contralateral kidney may present with an abnormal serum creatinine level. Also, patients with strictures in solitary or functionally solitary kidneys (eg, renal transplant patients) may present with renal failure.
Treatment can include balloon dilatation, endoureterotomy, or open surgical correction. These options can be discussed with your urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
The complication rates for ileal conduits are 50-80% over the life of the conduit. The more common complications include the following: deterioration, metabolic abnormalities, hydronephrosis, loop stenosis, ureteral strictures, stomal problems, calculi, and malignancy.
Flank pain, flank fullness, or abdominal fullness can be presentaions of ureteral strictures. Persistent urinary tract infection or pyelonephritis may indicate unilateral ureteral obstruction. Patients with preexisting renal insufficiency or an abnormal contralateral kidney may present with an abnormal serum creatinine level. Also, patients with strictures in solitary or functionally solitary kidneys (eg, renal transplant patients) may present with renal failure.
Treatment can include balloon dilatation, endoureterotomy, or open surgical correction. These options can be discussed with your urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Member Comments
by tpressley, Apr 19, 2008 11:00PM
A related discussion, procedure that surgically removes the bladder was started.
