Which is the most common urostomy procedure?

• A. Non-continent urostomy
• B. Ileal conduit
• C. Kock pouch
• D. Nephrostomy

Answer: (B)

In urinary diversions after bladder removal, the ileal conduit is the go-to option because it’s simple, reliable, and quick to perform. It uses a short piece of ileum to create a conduit that connects both ureters to a stoma on the abdominal wall, with urine draining passively into an external bag. Since it doesn’t involve a storage reservoir, there’s no need for continuous self-catheterization or managing a internal pouch, which makes it the most common choice for many patients.

The other options tend to be less common for routine use. A continent reservoir, like a Kock pouch, stores urine internally and requires regular catheterization to empty; it offers continence but involves more complex surgery and ongoing management. A nephrostomy provides drainage directly from the kidney through the skin and is typically temporary or for specific clinical situations rather than the standard long-term solution. The term non-continent urostomy describes the same conduit approach as an ileal conduit, without a reservoir.