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An Indiana pouch is a surgically-created urinary diversion used to create a way for the body to store and eliminate urine for patients who have had their urinary bladders removed as a result of bladder cancer, pelvic exenteration, bladder exstrophy or who are not continent due to a congenital, neurogenic bladder.
The urine is collected through a bag that attaches on the outside of the body over the stoma. Indiana pouch; A "continent urostomy" is an artificial bladder formed out of a segment of small bowel. This is fashioned into a pouch, which can be emptied intermittently with a catheter. It avoids the need for a stoma bag on the urostomy.
A ureterostomy is the creation of a stoma (a new, artificial outlet) for a ureter or kidney. [1] The procedure is performed to divert the flow of urine away from the bladder when the bladder is not functioning or has been removed. Indications include bladder cancer, spinal cord injury, malfunction of the bladder, and birth defects such as spina ...
The procedure can be either temporary or permanent, depending on the patient’s condition and treatment plan. There are several types of urinary diversions, each tailored to the patient’s needs. [2] Incontinent diversions involve creating a stoma, an opening on the abdominal wall, where urine is redirected into an external collection bag.
Pouching systems usually consist of a collection pouch, a barrier on the skin, and connect with the stoma itself, which is the part of the body that has been diverted to the skin. The system may be a one-piece system consisting only of a bag or, in some instances involve a device placed on the skin with a collection pouch that is attached ...
When bowel is used instead of appendix, it is called a Monti procedure. [7] One end of the channel is sewn to the skin, creating an opening on the surface called a stoma. [3] The other end of the channel is sewn to the bladder and a flap valve of tissue is created to prevent leakage from the stoma between catheterizations. [3]
Several techniques may be used. One technique is the Mitrofanoff stoma, where the appendix or a portion of the ileum ('Yang-Monti' conduit) are used to create the diversion. [9] The ileum and ascending colon can also be used to create a pouch accessible for catheterization (Indiana pouch).
In anatomy, a stoma (pl.: stomata / ˈ s t oʊ m ə t ə / or stomas) is any opening in the body. For example, a mouth , a nose , and an anus are natural stomata. Any hollow organ can be manipulated into an artificial stoma as necessary.
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