Understanding Bladderless Systems for Urinary Diversion

Bladderless refers to a type of urinary diversion or bladder substitute that does not use a traditional bladder. Instead, it uses a pouch or bag to collect urine, which is then emptied through a stoma (an opening in the abdomen) or a catheter.

There are several types of bladderless systems, including:

1. Continent reservoir: This type of system uses a pouch or bag to collect urine, but does not require a stoma. Instead, the urine is collected through a small opening in the urethra, and the pouch is emptied through this opening.
2. Ileal conduit: This type of system uses a piece of the ileum (a part of the small intestine) to create a conduit for urine to flow from the kidneys to the outside of the body. The urine is collected in a pouch or bag that is attached to the abdomen.
3. Colostomy: This type of system uses a stoma in the colon to collect urine, rather than the bladder. The urine is collected in a pouch or bag that is attached to the abdomen.

Bladderless systems are often used as a treatment for bladder cancer, neurological conditions such as spinal cord injuries, or other conditions that affect the bladder. They can also be used as a preventative measure for people who are at risk of developing bladder cancer or other bladder problems.

It's important to note that bladderless systems require regular maintenance and care to ensure proper function and hygiene. This may include cleaning and emptying the pouch or bag, and managing any potential complications such as infection or blockage.