Ileal Conduit Procedure:
An ileal conduit procedure is a surgical intervention used to treat benign urinary conditions such as neurogenic bladder dysfunction or severe interstitial cystitis. In this procedure, a small segment of the patient's small intestine (ileum) is detached and used to create a conduit or diversion between the ureters (tubes that carry urine from the kidneys) and a stoma (an opening on the abdominal wall). Urine is then directed through this conduit and exits the body through the stoma, typically covered by a special ostomy bag or appliance. Although this procedure can help manage urinary issues effectively, it does require ongoing stoma care and may result in other complications. However, it can significantly improve your quality of life by relieving symptoms and maintaining kidney function.
Continent Diversion Procedure:
A continent diversion procedure is a surgical option for benign urinary conditions like refractory bladder dysfunction or radiation-induced bladder damage. During this procedure, the surgeon uses a portion of the patient's bowel to create a new reservoir or bladder substitute within the body. Unlike the ileal conduit, this technique allows you to store urine internally. A valve or mechanism, often created from the intestinal tissue, is used to control the release of urine, providing continence. To empty this reservoir, you will need to perform intermittent catheterization through a stoma, similar to the ileal conduit, but with the advantage of avoiding the need for an external appliance. While continent diversion procedures are more complex, they offer a more natural way to manage urinary issues while preserving the appearance of the abdominal wall. However, it's crucial to discuss the potential risks and benefits with Dr. Wiegand to determine the most suitable option for your specific condition and lifestyle.
Image courtesy: By Cancer Research UK - Original email from CRUK, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=34333230