An Ileal Conduit Urostomy Surgery

Many people when diagnosed with a bladder disease or infection, they need to go through urostomy surgery, an ileal conduit. Obviously, the word surgical incision is scary for all of us; however, you need it to improve life and to get rid of the disease. So, a lot of you do not know about bladder removal and urostomy operation; moreover, you must possess complete knowledge of recovery and care. Here, we shall discuss all the key points and necessary information regarding bladder surgery with an ileal conduit or urostomy.



Function of Kidneys

A human body needs to release the waste out of the body, either solid or liquid. Well, the urinary system discharges urine or liquid waste with the help of a few organs. It includes kidneys, bladder, ureter tubes, and urethra. The kidney is responsible for the cleaning of toxins out of the human body. It makes liquid waste urine and releases it. The ureter tubes carry the pee from the kidneys and pass it to the bladder. This organ stores the liquid waste (urine), and the urethra release it when you feel there is a need to urinate.

However, in women, the urethra is short and sited just above the vagina, while in men the urethra is long and it passes through the prostate gland and penis.



Bladder Surgery

When your bladder is infectious, you need the entire bladder removal surgery, called a radical cystectomy. In this surgical intervention, the surgeon takes out the bladder and some of the lymph nodes near the gal-bladder.Therefore, they need to re-construct the urinary system in the human body.

The lymph nodes are present in the entire human body. They are small bean-shaped glands located in all the organs. They consist of an entire system, called the lymphatic system. They are responsible for the body’s immune system. Sometimes, due to severe disease, they contain some of the cancer cells near the bladder; therefore, they need removal during bladder surgery. Doctors remove the lymph node cells because they can cause problems after the bladder removal operation. Therefore, surgeons perform lymph cells deletion process, especially when a person has had radiation therapy to the pelvis in the past.


To eradicate cancer, surgeons remove the bladder, lymph nodes, and a few nearby organs. However, in men doctors need to remove the following organs:

  •  Prostate
  • Seminal vesicles
  • Part of the vasa deferentia
  • Urethra

Whereas, in women surgeons remove the following organs:

  • Uterus
  •  Fallopian tubes
  • Ovaries
  • Part of the vagina

Ileal Conduit or Urostomy Surgery

When surgeons remove the bladder from your body, they need to create a new path to pass the urine. As no bladder means a human body cannot store the urine and release through the urethra. Thus, they fabricate a new small organ in the abdomen of the patient for the discharge of liquid waste. The entire procedure starts with the removal of the bladder and construction of the new part, called a urostomy. The opening they create in the belly wall, called stoma releases the urine out of the body. Well, the whole procedure is called an ileal conduit.



The surgeon will take the help of the small intestine for the surgery. They bring a chunk of the ileum to create the stoma, called an ileal conduit. This will only pass and discharge the urine. During the surgical process, one end of the small intestine is attached to the urethra and one to the stoma. Thus, when a person needs to pee, the kidneys pass the urine directly from the ureter tubes to the opening in the abdomen. The stoma has a few appliances to cover it and collect the waste of the body. The primary tool is the ostomy pouch. It collects the urine and the ostomate will have to empty it when it gets half full.

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