Pyelonephritis is an Underrecognized Cause of CKD in Patients With Orthotopic Ileal Neobladder Substitution

Radical cystectomy with urinary diversion, with or without cisplatin-based neoadjuvant chemotherapy, is the current standard of care for nonmetastatic muscle invasive bladder cancer 1. Orthotopic ileal neobladder is a type of continent urinary diversion that utilizes an intestinal segment as the anatomical and functional substitution of the urinary bladder (Supplemental Figure 1). Compared to ileal conduit, ileal neobladder has the advantage of achieving spontaneous voiding and urinary continence.