MP56-05 COMPARATIVE ANALYSIS OF HOSPITAL-BASED OUTCOMES IN PATIENTS UNDERGOING URINARY DIVERSION FOR BENIGN DISEASE

RESULTS: The main indications for an ileal conduit were neurogenic bladder in 37 patients (49%), bladder pain syndrome in 16 (21%), stress and mixed urinary incontinence in 7 (9%), overactive bladder and cystoplasty in 8 (11%), vesicovaginal fistula in 5 (7%) and Fowler’s syndrome in 2 (3%). Patients had average 4.3 (range 1 to 8) procedures prior to diversion. Outcomes are summarized on Table 1. 45 patients (59%) have not required further intervention for their conduit. 17 (57%) of 30 patients who required re-operation had neurogenic bladder. 7 patients (9%) required more than 1 reoperation for conduit problems. 22 patients had conduit formation with concomitant cystectomy. 9 of 53 patients (17%) who had a diversion alone ultimately required a cystectomy for pyocystis. CONCLUSIONS: Contrary to the perception that ileal conduit is a simple and permanent solution to functional disorder, re-intervention rates are high and patients must be carefully counseled of risks and alternatives prior to this intervention.