Ileal conduit urinary diversion
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An ileal conduit urinary diversion is a surgical technique usually referred to as the Bricker ileal conduit after its inventor, Eugene M. Bricker. It was developed during the 1940s and is still one of the most used techniques for the diversion of urine after a patient has had their bladder removed, due to its low complication rate and high patient satisfaction level. It is usually used in conjunction with radical cystectomy in order to control invasive bladder cancer.
To create an ileal conduit, the ureters are surgically unattached from the bladder and an ureteroenteric anastomosis is made in order to drain the urine into a detached section of ileum (a part of the small intestine). The end of the ileum is then brought out through an opening (a stoma) in the abdominal wall. The urine is collected through a bag that attaches on the outside of the body over the stoma. The bag must be periodically emptied of urine.