Search results
Results from the WOW.Com Content Network
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 ...
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.
Urostomy is most commonly performed after cystectomy, such as may be necessary in, for example, bladder cancer.Other indications include severe kidney disease, accidental damage or injury to the urinary tract, surgical complications because of non-related pelvic or abdominal surgery, congenital defects that cause urine to back up into the kidneys, or urinary incontinence.
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.
This operation is no longer popular in many countries, with an ileal conduit (where the ureters lead into a loop of small intestine) being preferred. However, ureterosigmoidostomy is still popular in developing countries, as the maintenance of an ileal conduit or catheter is seen to be more difficult. [citation needed]
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.
Ostomy barriers sit on the skin and separate the ostomy pouch from the internal conduit. They are not always present. These barriers, also called flanges, wafers, or baseplates are manufactured using pectin or similar organic material and are available in a wide variety of sizes to accommodate a person's particular anatomy.
Diagram showing how a urostomy is made (ileal conduit). Date: 30 July 2014 (released by CRUK) Source: Original email from CRUK: Author: Cancer Research UK: Permission (Reusing this file) This image has been released as part of an open knowledge project by Cancer Research UK. If re-used, attribute to Cancer Research UK / Wikimedia Commons