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Complications
Volume 2
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10.3390/complications2040029
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Review

Complications Associated with Ileal Conduit: A Narrative Review

by
Laura Karina Fumero
1,
Luis G. Medina
2,
Federico Eskenazi
1,
Samer Jaber
3,
Alvaro Gonzalo-Balbas
4,
Camilo Andres Giedelman
5,
Roberto Soto Suarez
1 and
Rene Sotelo
1,*
1
Institute of Urology, University of Southern California, Los Angeles, CA 90033, USA
2
Department of Urology, Medical University of South Carolina, Charleston, SC 29425, USA
3
Department of Urology, Hospital Británico Montevideo, Montevideo 11600, Uruguay
4
Hospital Universitario Fundación Alcorcon, 28922 Alcorcon, Spain
5
Minimally Invasive Surgery Group, Laparoscopy and Robotics, Clínica de Marly, Hospital de San José, Bogotá 73636, Colombia
*
Author to whom correspondence should be addressed.
Complications 2025, 2(4), 29; https://doi.org/10.3390/complications2040029
Submission received: 30 June 2025 / Revised: 24 October 2025 / Accepted: 7 November 2025 / Published: 18 November 2025
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Abstract

Introduction: Rerouting urine flow is often required following radical cystectomy (RC). In this context, the ileal conduit (IC) has become the most common technique for urinary diversion, primarily due to its technical simplicity and suitability for patients with compromised renal function, elderly individuals, and those unable to perform self-catheterization. Objective: This review aims to highlight the complications of IC and categorize them into metabolic and surgical complications, further subdivided by timing (intraoperative, short-term, intermediate-term, and long-term) and anatomical location (uretero-ileal anastomosis, stoma, and ileal segment). Methods: A comprehensive narrative review was conducted to summarize the most common complications of IC, their clinical presentation, and management using Google Scholar, PubMed, and Embase databases to identify studies published from 1950 to 2024. Results: The morbidity associated with IC, especially when compared to continent diversions, remains a subject of debate. Notably, IC-related complications have been described with an incidence rate ranging from 39% to 67%. Conclusions: Providing a comprehensive overview of IC complications and management strategies can enhance clinical practice and improve patient outcomes.
Keywords: cystectomy; ileal conduit; complications cystectomy; ileal conduit; complications

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MDPI and ACS Style

Fumero, L.K.; Medina, L.G.; Eskenazi, F.; Jaber, S.; Gonzalo-Balbas, A.; Giedelman, C.A.; Soto Suarez, R.; Sotelo, R. Complications Associated with Ileal Conduit: A Narrative Review. Complications 2025, 2, 29. https://doi.org/10.3390/complications2040029

AMA Style

Fumero LK, Medina LG, Eskenazi F, Jaber S, Gonzalo-Balbas A, Giedelman CA, Soto Suarez R, Sotelo R. Complications Associated with Ileal Conduit: A Narrative Review. Complications. 2025; 2(4):29. https://doi.org/10.3390/complications2040029

Chicago/Turabian Style

Fumero, Laura Karina, Luis G. Medina, Federico Eskenazi, Samer Jaber, Alvaro Gonzalo-Balbas, Camilo Andres Giedelman, Roberto Soto Suarez, and Rene Sotelo. 2025. "Complications Associated with Ileal Conduit: A Narrative Review" Complications 2, no. 4: 29. https://doi.org/10.3390/complications2040029

APA Style

Fumero, L. K., Medina, L. G., Eskenazi, F., Jaber, S., Gonzalo-Balbas, A., Giedelman, C. A., Soto Suarez, R., & Sotelo, R. (2025). Complications Associated with Ileal Conduit: A Narrative Review. Complications, 2(4), 29. https://doi.org/10.3390/complications2040029

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