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Another and very effective use of an ileal conduit is for systemic isolation of a kidney transplant, often due to bladder neuropathy that may pose an unacceptable risk of reflux and thus infection or obstruction, into the transplanted organ. The urostomy is fashioned as previously described and
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The urine is collected through a bag that attaches on the outside of the body over the stoma. The bag is changed every 3 to 5 days, or as directed by a stomal therapist. The risk of infection is actually quite small, but there is a high risk of stomal breakdown if not cared for correctly.
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to the transplant ureter. Urinary tract infections are unfortunately very common because stomas are natural colonisers of bacteria; in transplant patients, antibiotic treatment, often over a long term and more frequent appliance changes are effective but not curative countermeasures.
239:), and heavy physical exertion will exacerbate deterioration of the appliance. Sometimes the leakage occurs unexpectedly, and "ostomates" (as they are known) usually carry a spare appliance to deal with unexpected emergencies.
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The bag adheres to the skin using a disk made of flexible, adherent materials. Unfortunately, there can be problems with leaking and rashes (
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168:, and 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
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164:. It has sometimes been referred to as the Bricker ileal conduit after its inventor, Eugene M. Bricker. It is a form of incontinent
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removed, due to its low complication rate and high patient satisfaction level. It is usually used in conjunction with radical
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Kawamoto, S.; Fishman, E. K. (2010). "Role of CT in
Postoperative Evaluation of Patients Undergoing Urinary Diversion".
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Sorcini, A; Tuerk, I (2004). "Laparoscopic radical cystectomy with ileal conduit urinary diversion".
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are reabsorbed. The end of the ileum is then brought out through an opening (a
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Hautmann, R. E. (2003). "Urinary diversion: Ileal conduit to neobladder".
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if you can. Unsourced or poorly sourced material may be challenged and
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is made in order to drain the urine into a detached section of
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Urologic
Oncology: Seminars and Original Investigations
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Incontinent stoma as part of a
Bricker ileal conduit.
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