Indiana pouch

An Indiana pouch is a surgically-created urinarydiversion used to create a way for the body to store and eliminate urinefor patients who have had their urinary bladdersremoved as a result of bladder canceror pelvic exenteration.

With this type of surgery, a reservoir or pouch is made out of a portion of the ascending colonand a portium of the ileum(a part of the small intestine. The uretersare surgically removed from the bladder and repositioned to drain into the pouch. A piece of small intestine is brought out through a samll opening in the abdominal wallcalled a stoma. A one-way valve is placed in the stoma to keep the urine inside the pouch. Urine is emptied from the pouch by placing a thin catheterthrough the stoma. Usually the stoma is covered with a bandage.

In contrast to other urinary diversion techniques like the ileal conduit, the Indiana pouch has the advantage of not using an external pouch to store the urine.

This article is licensed under the GNU Free Documentation License.
It uses material from the http://en.wikipedia.org/wiki/Indiana+pouch Wikipedia article Indiana pouch.