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12.1. The construction of an ileal conduit urinary diversion involves a major intra-abdominal surgical procedure. A segment of ileum is isolated, along with its blood supply, and intestinal continuity is restored by means of an ileo-ileal anastomosis.he proximal ends, carrying urine from the kidneys, are anastomosed to the proximal end of the ileal segment (which forms the ileal conduit) and the distal end of the conduit is brought through the abdominal wall, creating a stoma (urostomy). An ileal conduit leaves the bladder defunctioned.
Ureterovesical junction (UVJ) obstruction refers to a blockage to this area. The obstruction impedes the flow of urine down to the bladder, causing the urine to back up into and dilate the ureters and kidney (megaureter and hydronephrosis).Unilateral UVJ obstruction is the second most common prenatally detected obstructive disease, often picked up on maternal ultrasounds during pregnancy.reterovesical junction (UVJ) obstruction refers to a blockage to this area. The obstruction impedes the flow of urine down to the bladder, causing the urine to back up into and dilate the ureters and kidney (megaureter and hydronephrosis).