What is the purpose of a urostomy with an ileal conduit?

• A. To divert urine to an abdominal stoma using a segment of ileum
• B. To remove colon and rectum
• C. To create ileostomy
• D. To drain urine directly into the bladder through normal route

Answer: (A)

Diverting urine to an abdominal stoma using a segment of ileum is what a urostomy with an ileal conduit does. In this urinary diversion, a portion of the ileum is isolated and prepared to act as a conduit. The ureters are connected to this ileal segment, which is then brought out through the abdominal wall to form a stoma. The bladder is bypassed or removed, so urine drains continuously through the stoma into an external ostomy pouch. This provides a reliable urinary drainage route when the bladder cannot function or has been removed. It differs from an ileostomy, which diverts feces, and from methods that attempt to drain urine back into the bladder or through the normal urinary pathway.