What is ileal conduit

They join the cut ends of the ileum back together. The surgeon then uses this piece of ileum to form the urostomy. They sew the tubes that carry urine from your kidneys the ureters into one end of this piece of ileum.

Next, the surgeon cuts a small hole in the surface of your tummy abdomen. They then bring the other open end of the piece of ileum out through this hole. After the operation, your urine will run down the ureters, through the piece of ileum and out through the stoma. The piece of ileum is like a channel conduit. So this operation is also called an ileal conduit.

You'll also have a waterproof bag urostomy bag over the stoma to collect the urine. The bag sticks over the stoma. People who smoke can have breathing problems when they have surgery.

Stopping even for a few days before surgery can help. If you smoke, your nurse will refer you to our Tobacco Treatment Program.

You can also reach the program at Sleep apnea is a common breathing disorder that causes a person to stop breathing for short periods of time while sleeping. The most common type is obstructive sleep apnea OSA.

With OSA, the airway becomes completely blocked during sleep. It can cause serious problems during and after surgery. Please tell us if you have sleep apnea or if you think you might have it.

If you use a breathing machine such as a CPAP for sleep apnea, bring it with you the day of your surgery. ERAS is a program to help you get better faster after your surgery. Before your surgery, you will have an appointment for presurgical testing PST. During your appointment, you will meet with a nurse practitioner NP who works closely with anesthesiology staff doctors and specialized nurses who will give you anesthesia during your surgery.

Your NP will review your medical and surgical history with you. You will have tests, including an electrocardiogram EKG to check your heart rhythm, a chest x-ray, blood tests, and any other tests needed to plan your care. Your NP may also recommend you see other healthcare providers.

The person you identify is called your health care agent. If you have completed one already, or if you have any other advance directive, bring it to your next appointment. A WOC nurse is a nurse who specializes in caring for stomas. Before your surgery, your WOC nurse will mark a site on your abdomen where your stoma may be placed.

The site will be the best possible location, away from scars, creases, folds, and if possible, in an area that will make it easy for you to care for it.

Practice taking deep breaths and coughing before your surgery. You will be given an incentive spirometer to help expand your lungs. If you have any questions, ask your nurse or respiratory therapist. Bladder surgery will affect your sexual health.

If you have any concerns about how it will affect you, think about making an appointment with one of our sexual health clinics. Bladder surgery can cause changes in erectile function your ability to get and keep an erection. Most men have erectile dysfunction ED after surgery. ED is when you have trouble getting or keeping an erection. Your doctor will talk with you about what to expect about having erections again after surgery.

There are many types of treatments for ED, including pills, injections shots , or a prosthesis implant. Your doctor can discuss these options with you. If you want to have children in the future, you may want to bank your sperm before surgery. Ask your nurse for information about sperm banking if you want to bank your sperm.

If you want to have children in the future, you may want to think about family planning options such as egg freezing before your surgery. You may also have changes in sexual function after your surgery. These may include a shorter vagina and menopause. Menopause is when you no longer have a menstrual period.

Your doctor will talk with you about what to expect. They can also discuss your treatment options with you in more detail. Try to do aerobic exercise every day. Examples of aerobic exercise include walking at least 1 mile 1. Exercising will help your body get into its best condition for your surgery and make your recovery faster and easier. For more information about exercising, read the resource General Exercise Program: Level 2. Eat a well-balanced, healthy diet before your surgery.

If you need help with your diet, talk with your doctor or nurse about meeting with a dietitian. Showering with it before your surgery will help lower your risk of infection after surgery. You will need to follow a liquid diet before your surgery. Now is a good time to buy your supplies.

If you take aspirin or a medication that contains aspirin, you may need to change your dose or stop taking it 7 days before your surgery. Aspirin can cause bleeding.

Stop taking vitamin E, multivitamins, herbal remedies, and other dietary supplements 7 days before your surgery. These things can cause bleeding.

For more information, read the resource Herbal Remedies and Cancer Treatment. These medications can cause bleeding. You will need to follow a liquid diet the day before your surgery. Your doctor or nurse will tell you if you need to start your liquid diet earlier or do any other bowel preparation. If you have any questions, talk with your healthcare provider.

A clerk from the Admitting Office will call you after pm the day before your surgery. The clerk will tell you what time to arrive at the hospital for your surgery. They will also tell you where to go. This will be the following location:. This includes hard candy and gum.

Do not drink anything starting 2 hours before your scheduled arrival time. This includes water. If your doctor or NP told you to take certain medications the morning of your surgery, take only those medications with a sip of water. Use it the same way you did the night before. If you have questions about prices, call To reach the garage, turn onto East 66 th Street from York Avenue. The garage is located about a quarter of a block in from York Avenue, on the right-hand north side of the street.

You will be asked to state and spell your name and date of birth many times. This is for your safety. People with the same or a similar name may be having surgery on the same day.

You will meet with your nurse before surgery. Tell them the dose of any medications including patches and creams you took after midnight and the time you took them. Your nurse may place an intravenous IV line into one of your veins, usually in your arm or hand.

Your doctor or another member of your surgical team will use a marker to initial the site on your body that will be operated on. We do this to make sure that all members of the surgical staff are clear about the plan for your surgery. Your doctor or anesthesiologist may also talk with you about placing an epidural catheter thin, flexible tube in your spine back. An epidural catheter is another way to give pain medication. You will either walk into the operating room or be taken in on a stretcher.

A member of the operating room team will help you onto the operating bed. Ahead of the procedure, a person should have a meeting with their surgeon to discuss the operation and any risks it may involve.

It may also be possible to meet with the anesthetist to discuss managing pain after the surgery. A specialist nurse may also examine how the person sits and ask them how they wear their clothes to determine the best place for the stoma. People should not eat or drink anything for about 6 hours before the surgery.

They may also need to wash with an antiseptic shower gel before the procedure. Some doctors recommend that people take laxatives to empty their colon before surgery. However, some research suggests that this is unnecessary. For example, a study evaluating the effects of mechanical bowel preparation — such as taking laxatives — before surgery concluded that it did not help reduce complications during surgery.

However, the authors call for further trials to confirm this finding. A surgeon will create the ileal conduit during the procedure in which they remove the bladder, so the person will be under general anesthesia. The surgery will usually take 2—6 hours.

During the procedure, the surgeon will remove 6—8 inches of the intestine. The surgeon will also cut a small hole in the surface of the abdomen, which makes a stoma. They will then attach the intestine to the ureters at one end and the stoma at the other, forming a channel through which urine can pass and exit the body.

On waking up from surgery, a person may notice lots of attached tubes. Some of these tubes help drain the body of excess fluids, whereas others pass medication into the body to help with managing postoperative pain. People should expect to stay in the hospital for at least 3 days following surgery.

Most people stay for 7—14 days after the procedure. The person may be able to drink the day after the procedure and eat small amounts of solid foods over the next few days, depending on their appetite. They might need to take medication to stop blood clots from forming or take antacids to prevent stomach ulcers. At night the bottom of the pouch can be connected to a night drainage system which carries urine away from the stoma while you sleep.

This lets you sleep undisturbed. Gravity drains the urine to a bedside container.