Indiana pouch

Indiana pouch is a type of urinary diversion that is created surgically after the removal of the bladder. This procedure is often performed in patients with bladder cancer or other conditions that necessitate the removal of the bladder. The Indiana pouch is a type of continent urinary reservoir, which means that it can store urine inside the body until it is intentionally emptied.

Procedure

The Indiana pouch procedure involves the creation of a reservoir from a segment of the colon and the ileum, which are parts of the intestine. The end of the ileum is brought out through an opening (stoma) in the abdominal wall. A valve is created in the ileum to prevent urine from flowing back into the reservoir. The patient can empty the pouch by inserting a catheter into the stoma.

Advantages and Disadvantages

The main advantage of the Indiana pouch is that it allows the patient to control when and where to empty the pouch, providing a degree of continence. However, it requires regular catheterization, which can be inconvenient and may lead to complications such as urinary tract infections.

Complications

Possible complications of the Indiana pouch procedure include stomal stenosis (narrowing of the stoma), pouchitis (inflammation of the pouch), urinary tract infections, and renal stones.

See Also

• Urinary diversion
• Bladder cancer
• Urinary tract infections
• Renal stones

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