Ileal Conduit Creation (Bricker procedure).—
In this commonly performed procedure, a 15- to 20-cm-long ileal segment is isolated, and the ureters are implanted at its proximal end. A 10- to 15-cm-long ileal segment proximal to the ileocecal junction is preserved to maintain adequate absorption of bile salts, vitamin B12, and fat-soluble vitamins. The ileal stoma is usually located in the right flank (Fig 1). This procedure is technically easier to perform than continent reconstruction (Figs 2, 3). However, continence and voluntary voiding are not possible afterward, and the body image is not preserved (7,8).
Ileal Conduit Creation (Bricker procedure).—In this commonly performed procedure, a 15- to 20-cm-long ileal segment is isolated, and the ureters are implanted at its proximal end. A 10- to 15-cm-long ileal segment proximal to the ileocecal junction is preserved to maintain adequate absorption of bile salts, vitamin B12, and fat-soluble vitamins. The ileal stoma is usually located in the right flank (Fig 1). This procedure is technically easier to perform than continent reconstruction (Figs 2, 3). However, continence and voluntary voiding are not possible afterward, and the body image is not preserved (7,8).
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