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Incontinent stoma as part of a Bricker ileal conduit. To create an ileal conduit, the ureters are surgically resected from the bladder and a ureteroenteric anastomosis is made in order to drain the urine into a detached section of ileum at the distal small intestine, though the distal most 25 cm of terminal ileum are avoided as this is where ...
Ileal conduit urinary diversion, in which the ureters are surgically resected from the bladder and a ureteroenteric anastomosis is made in order to drain the urine into a detached section of ileum (a part of the small intestine). The end of the ileum is then brought out through an opening (a stoma) in the abdominal wall. The urine is collected ...
Common techniques for this include the use of an ileal or colonic conduit, which repurposes a segment of the intestine to transport urine from the kidneys to the stoma. In contrast, continent urinary diversions are designed to allow the patient greater control over urine storage and release.
The ileal conduit is not painful; it has no sensation. The ureterostomy stoma retains sensation. Since it has no muscles to regulate urination, urine collects in a bag. [citation needed] There are four common types of ureterostomies: [citation needed] Single ureterostomy: This procedure brings only one ureter to the surface of the abdomen.
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Some patients, after having had an ileal conduit, requiring an external appliance, have opted to have the Indiana pouch, as elective surgery. Such a surgery is usually recommended, if possible, since it has been documented that the Indiana pouch may reduce the possibility of kidney damage because the ureters are repositioned lower in the abdomen.
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