Re: re: risk factors and natural history of parastomal hernia following radical cystectomy and ileal conduit

Ileal conduit obstruction secondary to tethering of the small bowel anastomosis to the pubic bone

“…Ileal conduit obstruction has a range of aetiologies. Stomal complications remain the most common cause, with an incidence of up to 60% 9. Stenosis of the stoma at the level of the skin occurs in up to 8.5% of ileal conduits resulting in urinary outflow obstruction and requiring revision of the stoma 6 10.…”

“…Parastomal hernias are another common cause of ileal conduit obstruction, with nearly one-third developing this complication postcystectomy 11. Increased BMI and diabetes mellitus have been highlighted in the literature as risk factors for the development of a parastomal hernia following ileal conduit formation 9. Conduit stenosis is rare but can affect varying lengths of the ileal conduit, leading to upper tract obstruction 6.…”