Which ostomy can be located at the umbilicus?

• A. Ileal conduit
• B. Ureterostomy
• C. Kock pouch
• D. Indiana pouch

Answer: (D)

The ability to place a catheterizable stoma at the umbilicus is characteristic of the Indiana pouch, a continent urinary reservoir created from an ileocecal segment. This design includes a catheterizable channel that exits through the umbilicus, allowing convenient self-drainage while maintaining continence. Other diversions typically use non-continent or continent reservoirs with stoma sites elsewhere on the abdomen—ileal conduits usually have a stoma in the right lower quadrant and drain continuously, ureterostomies divert the ureters to the skin at various abdominal sites, and while a Kock pouch is also a continent reservoir, its stoma is not specifically tied to the umbilicus.