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There are multiple causes of end-stage renal disease (ESRD). One of the most uncommoncause is the obstruction of the lower urinary tract due to the development of new endourological proceduresand the improvement in clean intermittent catheterization. However, urodynamic problems that requiresolutions to bladder problems continue to appear that will directly affect the function of the kidney graft.Objective: Clearly state the possibility of performing a bladder conduit technique at the same time as akidney transplant as an option for patients who undergo kidney transplantation with incompetent bladders.A clinical case is described as an example.Material and Methods: The clinical case of a patient with left cutaneous ureterostomy due to neurogenicbladder who is a candidate for renal transplant is presented. An ileal conduit type urinary diversion isperformed in the same surgical act as the renal transplant. The existing literature is analyzed in relation tothe different types of urinary diversion and how they affect renal function.Clinical Case and Results: Here we present a 50-year-old male with hypotonic bladder since 19th years oldsecondary to sacral lipectomy. He developed a progressive deterioration of renal function until he startedhemodialysis program in 2018. Ileal conduit and renal transplant are performed through right pararectalincision, reimplantation of the ureter in the antimesenteric side of the intestinal loop. No increase ofcomplications was observed in the post-transplant. The patient was discharged the 7th day after surgery.Serum creatinine at 6 months after renal transplantation 1.2mg/dl.Conclusion: Ileal conduit is a valid resource in patients with neurogenic bladders or with emptyingproblems whose solution puts at risk the functionality of the graft. Similar recovery is observed in timecompared to a kidney transplant without ileal shunt. Post-transplant graft function was good without anincrease in complications.

Kidney Transplant and Ileal Conduit Diversion on the Same Surgical Procedure: Clinical Case and Review of the Literature