Ileal Conduit Cost in Malaysia

An ileal conduit is performed to divert urine from the kidneys to the exterior when the bladder can no longer safely store or pass urine. It is most commonly done after removal of the bladder (radical cystectomy), usually due to bladder cancer.

If you have severe bladder dysfunction, repeated UTIs, persistent urine issues, or have been diagnosed with a condition like bladder cancer that may necessitate urinary diversion, consult a physician. If you experience fever, pain, decreased urine output, stoma changes, leakage, or signs of infection after surgery, seek medical attention.

A review of current medications, blood and urine tests, imaging tests, and medical examinations is all part of the preparation process for an ileal conduit. Before surgery, your physician may recommend bowel preparation, fasting, and discontinuing certain medications, such as blood thinners. Additionally, you will learn basic stoma care, receive stoma education and marking, and discuss lifestyle modifications and post-surgical recovery with the medical staff.

Under general anaesthesia, ileal conduit surgery is performed. To maintain proper digestion, the surgeon removes a small segment of the small intestine (the ileum) and reconnects the remaining intestine. This intestinal segment is connected to the ureters, which transport urine from the kidneys. Urine can then be continuously drained into an external collecting bag by passing one end of the ileal segment through a hole in the abdominal wall to form a stoma. The surgical site is closed, and the patient is observed while healing, with attention to proper urinary flow and secure connections.

Ileal conduit surgery is typically performed together with bladder removal (cystectomy) and usually takes four to six hours to complete. Most patients remain in the hospital for 10 to 14 days following surgery, although depending on their recovery and general health, some may be discharged earlier, sometimes as soon as 5 days.

• Urinary Tract Infections (UTIs)
• Symptoms of Infection
• Bleeding from the Stoma
• Sore or Irritated Skin Around the Stoma
• Stoma-Related Problems (Hernia)

• Surgery is quicker and easier than alternative methods for urine diversion.
• Reduced operating time and speedier post-operative recovery
• Compared with more complex bladder reconstruction surgeries, there is a lower risk of urinary retention and certain urinary infections.
• Ideal for elderly individuals or people with severe medical issues who might not be able to handle complicated or protracted surgery
• Urinary diversion that is dependable and efficient following bladder removal (cystectomy)
• Creates a permanent stoma for urine drainage using a brief section of the intestine.
• It is appropriate when reconstruction is not feasible, as it does not require bladder replacement (neobladder).

Patients typically remain in the hospital for a few days to two weeks following ileal conduit surgery in order to monitor and recover. Medication is used to treat pain, and nutrition and hydration are progressively restored. Training in stoma care, including handling the urostomy bag and protecting the surrounding skin, is provided by the medical staff. With frequent follow-up appointments to monitor healing, renal function, and overall recovery, most patients can return to light activities within a few weeks.

For basic urine diversion and function, an ileal conduit has a good success rate. Long-term results are usually favourable, although success depends on controlling possible complications such as infections, urinary stones, stoma-related problems, and strictures at the ureter-ileum junction. While less invasive treatments may have lower success rates, surgical correction of strictures has a high success rate of about 80-90%.