Table of Contents
What is a Kock pouch urinary diversion?
The Kock pouch, initially devised for continent ileostomy, was popularized in the early 1980s as a urinary reservoir by Skinner, who added several revisions to minimize complications associated with the antirefluxing, continent intussuscepted nipples.
What is the difference between a urostomy and an ileal conduit?
After your bladder is removed, your doctor will create a new passage where urine will leave your body. This is called a urostomy. The type of urostomy you will have is called an ileal conduit. Your doctor will use a small piece of your intestine called the ileum to create the ileal conduit.
What is another name for ileal conduit?
Called also urinary ileostomy, ileal loop, and Bricker procedure. Indications for an ileal conduit include surgical removal of the bladder for severe trauma or malignancy, congenital defect of the urinary tract, and neurogenic nonfunctioning bladder in which other devices to maintain urinary flow are unsatisfactory.
Is an Indiana pouch and ileal conduit?
Unlike the Indiana pouch, the ileal conduit is not continent because of its small size. Urine is not collected and held in the pouch but continuously flow out of the stoma. An ileal conduit requires you to wear an external urostomy bag that adheres to the skin around the stoma and collects urine.
Which is the best urinary diversion?
The ileal conduit is the simplest, most time-tested urinary diversion that requires the least operative time and arguably is associated with the fewest complications. A short piece of ileum is anastamosed (i.e. connected) to the ureters and brought onto the skin.
Is an ileal conduit an ostomy?
The most common is to have a urostomy. This means having a bag outside your body to collect your urine. The surgeon creates a new opening (stoma) for your urine to pass through. This can also be called an ileal conduit.
Which is better ileal conduit or neobladder?
Urinary function is worse in neobladder patients compared to ileal conduit patients. Sexual function is better in neobladder patients but causes much more bother. In retrospect, none of the patients regret their choice of urinary diversion.
How long does an ileal conduit last?
Results: Median followup was 98 months (range 60 to 354). Overall 192 conduit related complications developed in 87 of 131 (66%) patients.
Why is an ileostomy better?
1) it is easier to perform by trainees and junior surgeons. 2) it is not associated with fluid and electrolytes disturbances that occurs in the early days or weeks. 3) It is easier to care for by nurses and patients. 4) No associated skin excoriation (if ileostomy is fashioned badly).