The colonic conduit: a better method of urinary diversion?

The colonic conduit urinary diversion has been assessed in a retrospective study of 47 children in order to compare the results of this operation with that of other forms of urinary diversion. The overall complication rate was 81%. The rate of stomal stenosis was 34% and that of upper tract dilatation was 36%. These results are very similar to the complication rate for the ileal conduit, which is now the most popular form of urinary diversion. It is suggested that all forms of urinary diversion have a high long-term complication rate and that other means of management should be considered more seriously.