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Home » Bladder Cancer Information » Bladder Cancer Treatments » Bladder Removal Surgery » Indiana Pouch

Indiana Pouch

The surgeon will take a segment of large intestine and a small portion of the ileum to make an internal pouch into which the ureters flow. The short piece of small intestine is brought to the surface of the abdomen (the stoma). There is no external pouch and the stoma is very small, and can be covered with a bandage. A catheter inserted into the stoma is used several times per day to empty the pouch.

Advantages: No external pouch, no odours, no body image issues.

Disadvantages: Longer surgery time, the need for catheterization, possible risk of leakage from the stoma, scarring of the stoma making catherization difficult, stones in the pouch.

At Home With Your Indiana Pouch

The first week after your surgery your stoma may look dark or bruised, look swollen or blister-like or have spongy or yellow tissue around it. This tissue will peel off in a few days and start to look more normal.

A normal healthy stoma looks soft, moist, red or pink and shiny and should be flush with the skin. The skin around your stoma should look like the rest of the skin on your abdomen. It should be free of rashes, redness, scratches and bruising.

Typically, patients are sent home with a “suprapubic” catheter in the abdomen and possibly a small tube in the new stoma, both helping drain the pouch of urine and mucus for several weeks.

Your nurses in the hospital or homecare will also teach you how to take care of your stoma and catheterize your new Indiana Pouch, once the tubes are taken out. Usually, you will begin by catheterizing every two hours for the first week or so, gradually increasing the time between catheterizations as the pouch begins to stretch. Catheters are available at home healthcare or other medical supply stores.

Back to Bladder Removal

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  • Bladder Cancer
    • See Red?
    • What is Bladder Cancer?
    • Statistics and Risk Factors
    • Symptoms and Diagnosis
    • Staging and Grading
    • Types of Bladder Cancer
      • Non-Muscle Invasive Bladder Cancer
      • Muscle Invasive Bladder Cancer
      • Metastatic Bladder Cancer
      • Upper Tract Urothelial Carcinoma
    • Treatment Options
      • TURBT
      • BCG
      • Chemotherapy and Radiation
      • Bladder Removal Surgery
      • Immunotherapy
      • Bladder Preservation Options
      • Palliative Care
      • Clinical Trials
      • Advanced Bladder Cancer Treatment
    • Research and Studies
  • Patients
    • Get Support
      • Support Groups
      • One2One Peer Support
      • Online Discussion Forum
      • Contact Us by Phone or Email
    • Navigating Your Diagnosis
      • Newly Diagnosed?
      • Coping With Emotions
      • Health and Wellness Resources
      • Clinical Trials
    • Educational Resources
      • Guidebooks
      • Webinars and Videos
      • Podcast
      • Seminars
      • Newsletter
      • Glossary
    • Upcoming Events
    • News and Stories
    • Links and Other Resources
  • Get Involved
    • Donate
    • Fundraise
    • Volunteer
    • Share Your Story
    • Patient Study Recruitment
    • Patient Self-Advocacy
    • Bladder Cancer Awareness Month
    • Your Impact
  • Health Care Practitioners
    • Doctor Resources
    • BCC Research Grant Applications
    • BCC Research Grant Recipients
    • CBCIS
    • CBCRN
    • Medical Advisory Board
  • About Us
    • Who We Are
    • Board of Directors
    • Staff
    • Medical Advisory Board
    • Sponsors and Partners
    • Financial Statements and Annual Reports
    • Newsletter
    • Contact Us
  • Shop
  • Walk With Us
  • Donate
Bladder Cancer Canada