Do you need an external bag with an Indiana pouch?

• A. Yes, a bag is always required
• B. Sometimes needed at night
• C. Only if leaks occur
• D. No bag is necessary; the patient catheterizes

Answer: (D)

An Indiana pouch is a continent urinary reservoir created from bowel tissue with a catheterizable stoma. Because it’s continent, urine is stored in the pouch and emptied on a schedule by intermittent catheterization through the stoma. No external bag is attached, since drainage happens directly into the toilet when you catheterize. Only if catheterization isn’t possible or there’s a complication would a different drainage method be considered.