Premium
The Stoma of the Ileal Conduit
Author(s) -
MCEWAN A. B.,
CLARK PHILIP
Publication year - 1973
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1973.tb12229.x
Subject(s) - stoma (medicine) , medicine , surgery , blood supply , electrical conduit , urinary diversion , cystectomy , bladder cancer , cancer , mechanical engineering , engineering
Summary 55 patients with ileal conduits have been studied. The stoma was carefully inspected, the interval between effluxes was timed and the volume of each recorded. The volume of residual urine and the pressure in the conduit were measured. These findings have been correlated with the incidence of stomal complications and deterioration in renal function, as judged by changes in the pyelogram and blood urea level. Because of differences between the groups with flat and everted stomas and between the groups with the mesentery to the stoma divided and preserved, we recommend that the stoma should be everted and its blood supply should be protected carefully. We suggest that the majority of stomal complications are caused by a poor blood supply to the stoma and this should be suspected if keratinisation is seen. We recommend that the stoma should be inspected at regular intervals and should be refashioned if keratinisation occurs.