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Urostomy or Ileal Conduit Surgery
This is a permanent stoma formed if the bladder has to be removed or is not able to be used. Reasons include:
· Cancer of the bladder. · Trauma. · Neurological disorders. · Interstitial cystitis. · Severe urinary incontinence.
The two ureters or tubes from the kidneys are plumbed into a small isolated segment of small bowel, which protrudes out from the abdominal wall (see diagram).
Urine will drain from the stoma and collect into a pouch (with a drainage tap), which is worn on the abdomen.
Your bowel habit should not be affected by this operation: you will still pass faeces in the normal way.
As small bowel is used, mucus may still be produced and will be drained into the pouch with your urine. This can be confused with a urinary tract infection. The specialist nurse will be able to advise you on the management of the stoma.
Ileal Conduit/Urostomy

Most brands of urostomy pouches are very similar with one or two different features. The urostomy pouch has a tap at the bottom, this allows urine to be drained out at regular intervals during the day and through a connection to a night drainage bag throughout the night.
| Urostomy pouches are available in either opaque/beige or white/clear as demonstrated here.
Click here to find out more about urostomy pouches and how to change your pouch. |
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