الفهرس 
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Abstract
Purpose: in this study we retrospectively evaluated the complications following Bricker’s conduit urinary diversion from 1983 till February 2017 Patients and methods: during this period patients were followed routinely every 3 months by clinical examination, laboratory investigations and radiological imaging. Complications were classified as early (within 90 days postoperative) classified according to modified Clavien grading system and long-term complications Results: the mean age for the patients was 59.9 years (SD ± 9). The majority of patients were males (80.6%), mean BMI 27.5 (SD ± 5) and 291 patients (19.8%) had ASA score equals (II-III).510 patients (34.7%) suffered early post-operative complications (within 90 days postoperative), the most common early post-operative complications were wound related and post-operative fever and by multivariate analysis the risk factors for early complications were higher BMI and female gender. During follow up for the patients 522 patients (37.3%) developed long-term complications and they were classified as uretero-ileal anastomotic stricture (11.2%) and by multivariate analysis the risk factors for stricture were hypertension, preoperative hydronephrosis and pre-operative serum creatinine higher than 1.2 mg/dl, parastomal hernia (10.5%) and risk factors identified for hernia were albumin less than 3.5 gm/dl and surgeon experience less than 5 years, deterioration of renal function occurred in 26.6% and the risk factors for deterioration were renal insufficiency, patients with solitary kidney, patients younger than 59 years old and who developed uretero-ileal anastomotic stricture, pyelonephritis (13.4%), metabolic complications (4.2%), intestinal obstruction (6.3%), lymphocele (2.2%), urolithiasis (2.4%), stoma prolapse (3.4%), stoma stenosis (0.1%) and peristomal skin complications (2.1%) Conclusion: Bricker’s conduit urinary diversion is associated with a relatively high overall complication rate but a low reoperation rate. Bricker’s conduit can still be considered an appropriate surgical solution after RC in most patients because of the relative simplicity of the surgical technique, the acceptable complication rate, however Long-term follow-up of these patients is necessary to closely monitor for potential complications from the urinary diversion that can occur decades late