Ileal Conduit

General

An ileal conduit or urostomy is created by bringing a section of the lowest part of the small intestine through the abdominal wall. It is usually on the lower right side of the abdomen. A small piece of the small intestine is removed and the remaining parts are reconnected so that your digestive system continues to function normally. The ureters are sewn into one end of the piece of ileum so that urine will flow from the kidneys, through the ureters, and out the ileal conduit. Your bladder may be removed or left in place, depending on the reason the surgery was needed.

Recovery

The stoma will begin to function immediately, but the urine may be blood tinged for a few days. It is normal for shreds of mucus to be visible in the urine because it is flowing through a segment of intestine. You will have stents in your ureters to keep them open because of post-operative swelling. Your stoma will also be swollen at first and will eventually shrink to its final size in 6 to 8 weeks. Avoid lifting until your doctor approves it because it could cause a hernia.

Dietary Modifications

Cranberries

There aren’t any restrictions on your diet, but if odor is a concern, be aware that common culprits are asparagus, fish, garlic and onions. To control odor, keep your urine dilute by drinking 8 to 10 glasses of fluid each day. Cranberry juice can also help with odor. There are benefits to eating a diet that keeps your urine slightly acidic: decreased rate of infection, less chance of stone formation, and less damaging to your peristomal skin. Foods to acidify your urine include: meat, fish poultry, eggs, cheese, bread, crackers, cereal, macaroni, pasta, rice, nuts, corn, prunes, plums, and cranberries. If you have a history of gout or uric acid stones, you should not acidify your urine. If you are taking sulfa antibiotics or some chemotherapy agents, you also should not acidify your urine. Talk to your doctor about what is best for you.

Pouching

Durable wafer, drainable urostomy pouch, night-time drainage.