What is urinary diversion surgery?

Urinary diversion is a surgical procedure that creates a new way for urine to exit your body when urine flow is blocked or when there is a need to bypass a diseased area in the urinary tract. The urinary tract is your body’s drainage system for removing urine, which is made of wastes and extra fluid.

How long does ileal conduit surgery take?

The surgery will usually take 2–6 hours. During the procedure, the surgeon will remove 6–8 inches of the intestine. Removing this section will have no effect on the person’s bowel function. The surgeon will also cut a small hole in the surface of the abdomen, which makes a stoma.

What happens after an ileal conduit surgery?

After your surgery, your urine will flow from your kidneys, through your ureters and ileal conduit, and out of your stoma. You will wear a urostomy pouching system (appliance) over your stoma to catch and hold the urine. This surgery usually takes about 3 to 6 hours.

How long does it take to recover from urostomy surgery?

You may find it helpful to meet several times with a nurse who can teach you how to care for your stoma and use a urostomy pouch or bag. Many people can return to work or their usual activities 4 to 6 weeks after surgery. But you will probably need 6 to 8 weeks to fully recover from the surgery.

What is the most common urinary diversion?

A urostomy is the most common type of urinary diversion operation. During the operation, the surgeon will make a hole in your abdominal wall. This hole is known as a stoma.

What 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.

How long can you live with an ileal conduit?

Both OS and CSS were not significantly different, with median survival of ileal conduit and uretero-cutaneostomy were 19 [16–24] months and 19 [15–26] months respectively.

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.

How long can you live after cystectomy?

The five-year survival rate after cystectomy is about 65 percent. However, a 2003 study showed that receiving chemotherapy prior to cystectomy improves survival among patients with locally advanced disease.

What are the complications of urinary diversion?

Deterioration of renal function after urinary diversion may be a consequence of complications related to the diversion including recurrent urinary tract infections (UTIs), obstructive uropathy, and factors impertinent to urinary diversion, such as age, medications, hypertension, and diabetes mellitus.

Can you control your urine with an ileal conduit?

Ileal conduit urinary diversion: A segment of the intestine directs urine through a stoma into an external collecting bag. With this procedure, the ureters (the tubes that carry urine from the kidneys to the bladder) drain freely into part of the ileum (the last segment of the small intestine).

How long can you live after radical cystectomy?

Patients in group 1 achieved a progression-free 5-year survival rate of 77% and an overall survival rate of 63% after 5 years. In group 2 patients achieved a progression-free survival rate of 51% after 5 years and an overall survival rate of 50%.