Symptomatic cholelithiasis following continent urinary diversion using ileocolonic bowel segments

Cholelithiasis is uncommon prior to adulthood. Several risk factors have been identified as causing cholelithiasis but continent urinary diversion has not been considered a factor. To our knowledge there has been no other report of cholelithiasis developing after urinary tract reconstruction. Between 1979 and 1992, 116 patients younger than 23 years underwent urinary tract reconstruction at our clinic. Symptomatic cholelithiasis developed in 4 patients (3.4%) following continent urinary diversion with an Indiana pouch.