Life with an ileal conduit: a long-term follow-up
Nissenkorn, I.; Sluzker, D.; Jaffee, A.; Servadio, C.
Harefuah 111(1-2): 6-8
1986
ISSN/ISBN: 0017-7768 PMID: 3781382 Document Number: 269385
A series of 79 adults who had ileal conduit urinary deviation were followed between 1977-1984. 21.5% were over 70 years of age, 69 of the 79 felt that the quality of their lives had been good after surgery. Stomal complications developed in 13% and included parastomal hernia (5 patients), recessed or stenotic stoma (4) and prolapse of the stoma (1). The most important problem that concerned patients and staff was urinary leakage and the consequent skin irritation. Severe skin problems were found in those with a recessed stoma. Patients who had stomal problems experienced profound psychological changes and had great fears of leakage and odor, the main reasons inhibiting their social life and their return to work. We conclude that many of the stomal complications can be eliminated by careful surgical technique. Adequate explanation before surgery and careful surgical technique and follow-up by a skilled medical staff can ensure good quality of life and early rehabilitation after ileal conduit urinary deviation.