Bladder Surgeries and Diversions

Urostomy – The bladder is removed or bypassed requiring an external pouch. Either a section at the end of the small bowel (ileum) or at the beginning of the large intestine (cecum) is surgically removed and relocated as a passageway (conduit) for urine to pass from the kidneys to the outside of the body through a stoma. It may include removal of the diseased bladder. 

Continent Urostomy (Indiana or Kock) – The bladder is removed or bypassed; an internal conduit is constructed from the small or large intestine to be evacuated through the abdominal wall.

Orthotopic Neobladder – A replacement bladder, made from a section of intestine, that substitutes for the bladder in its normal position and is connected to the urethra to allow voiding through the normal channel, technically not an ostomy. 

After 19 years, words cannot adequately address the positive influence that MMOA has had on me prior to and following my surgery.