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Parastomal Hernia as a Risk Factor for Ileal Conduit Fistulae

Author(s): Thomas A. A Skinner | Richard W Norman

Journal: International Journal of Clinical Medicine
ISSN 2158-284X

Volume: 02;
Issue: 03;
Start page: 289;
Date: 2011;
Original page

Keywords: Fistula | Ileal Conduit | Parastomal Hernia | Urinary Diversion

Purpose: To review potential risk factors for the development of ileal conduit fistulae. Methods: Two patients were identified who had a remote history of an ileal conduit and who formed a fistula from the conduit—one to the small bowel and one to the skin. Their presentation, management and outcomes are described. Results: Both patients had parastomal hernias as the likely cause of their fistula formation. Discussion: Parastomal herniation may contribute to fistula formation due to a strangulated ischemic pressure necrosis of the adjacent ileal conduit and/or bowel.
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