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Ileal Conduit

 

The goal of the Ileal Conduit is to divert urin outside of the body when the bladder is removed. An ileal conduit is a surgical procedure, where a small urine reservoir is created from a segment of a bowel and is placed just under the abdominal wall. The end of the ileum is brought out through an opening in the abdominal wall to drain the urine gathered in the reservoir. This opening is called a stoma. The patient wears a bag over the stoma to collect the urine. The bag adheres to the body (over the soma) using an adhesive disk (wafer or flange).

 

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For advice and support on Ileal Conduit visit the Ostomy Forum.


 

Most common reasons for Ileal Conduit:

  • Cancer of bladder
  • Neurogenic sources of bladder dysfunction
  • Bladder sphincter detrusor overactivity, causing continual urge to urinate
  • Chronic inflammatory disease of the bladder
  • Tuberculosis complications
  • Infestation of the bladder by parasites

Stoma

The ostomy surgery leads to a creation of an opening in your abdominal area called a Stoma. Your stoma will be a bit swollen after the surgery but will get smaller within 3 to 6 months. The stoma is not sensitive or painful to touch. Water or soap will not hurt your stoma, so you can gently wash it while taking a shower. Every once in a while your stoma might bleed a little while washing, which is normal. If the bleeding is excessive or does not stop, call your doctor.

 

Skin Care

Since you will be wearing a bag attached to your abdomen all the time, your skin will be in contact with adhesive almost all the time. The adhesive might irritate your skin, so you need to take proper care at all times. When removing your appliance, do it gently so that you do not injure your skin. Wash your skin gently with warm water and mild soap. Before you put your new appliance on, dry your skin thoroughly, otherwise it might fall off.

 

Appliances

Right after the surgery you will be fitted with an appliance to collect your urine and keep you dry. For the first few days you will have a temporary appliance which will be connected to a continuous drainage bag that will be emptied periodically by the nurse at the hospital.

Before you go home, your enterostomal therapist (or ET nurse) will advise you on the appliances you will wear when you go home. These appliances can be worn for up to seven days (every case is different). Some appliances can be washed and reused, other are discarded after use. There are one-piece and two-piece appliances depending on if the bag is permanently attached to the flange (wafer) or if it can be detached. There are also very many brands like Hollister, ConvaTec, Coloplast, Nu-Hope, Cymed, Welland and others. Please spend some time calling all manufacturers and ask them for samples of their products. This way you will find the best one for you. You can also ask your ET nurse for advise.

Odor

Keep your appliance clean and drink adequate amounts of fluids and there will be little or no odor. Some foods and drugs may give an odor to your urine, the same way as before your surgery. If you feel that the odor coming from your urine is more than usual, you should let your physician know, especially if you have a fever and do not feel well. Empty your appliance frequently as the weight of the urine in the bag will pull on the flange and might break from your skin.

Night time you might need to connect your appliance to an overnight drainage bag (larger) to keep from having to get up during the night to empty the bag. You can place the overnight bag beside your bed and run the drainage tubing from your appliance to the bag.

You can clean the tubing and the overnight bag with a mix of water and vinegar.

Clothes

Your clothing shouldn’t change much (if at all) after the surgery. A belt lying over the appliance should be checked to see if it is rubbing the stoma or putting too much pressure on the appliance.

Foods

Your eating habits should remain pretty much the same as before the operation.

Baths

You can bathe or shower with your appliance on or off depending on if you plan to change your appliance after the shower.

Work

Your ileal conduit should not affect your job, but check with your physician first.

 

For advice and support on Ileal Conduit visit the Ostomy Forum.

 

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