What is Indiana Pouch?
Indiana Case is a type of surgically created as a system of urine diversion for people whose bladder is removed due to cancer or other diseases. Surgery uses large and small intestine segments to create a container for holding the urine and drainage tube to empty the vesicle. The Indiana case serves as a spare bladder inside the body and collects urine with filtered kidneys.
During the Indiana case, the doctor changes the position of the urethra, heading downwards to the new urine tank. This prevents urine backup to the kidneys and causing infection. The pouch is made of part of the large intestine and attached to a piece of small intestine, which protrudes from the stomach side. This outer piece is called a stoma.
The catheter can be inserted into the stoma so that the Indiana pouch can be released, which is necessary every four to six hours. The stoma contains a one -way valve that prevents urine leakage and opera when the catheter is inserted. When the pouch does not empty, the stoma can be covered with a small piecesterile bandages.
One of the advantages of Indiana's case surgery over other types of continental urine diversion is the absence of an outer bag to maintain urine. The patient does not have to worry about odor or leak if the bag is emptied according to the regular plan. There is no need for any special clothes to hide the stoma because it is small and is not visible mostly clothes. The risk of infection is also low if the catheter is maintained clean and used correctly.
The disadvantages of surgery in Indiana include its complex nature. The amount of time required to create a housing is greater than in some other types of surgery of the bladder. Mucus can attach a stoma because the intestinal segments are used to create a tank and catheters need to be replaced every four to six weeks. If the patient wants to swim with the Indiana case, the stoma must be sealed to prevent water contact with drainage tubeswhose.
Complications of Indiana Council procedures include potential for urinary tract infections. Urethra can also be blocked if infection occurs, requires that another operation cleans them up. Some patients report the escape from the stoma, but it usually disappears when the capacity of the case expands over time.