Indiana pouch is defined as:

Indiana pouch is defined as:

• A. A continent urinary diversion that is drained with a catheter
• B. Not continent
• C. A urethral urinary diversion
• D. An incontinent bladder reservoir

Answer: (A)

Indiana pouch is a continent urinary reservoir created from intestinal tissue that stores urine and is emptied by catheterizing a stoma on the abdominal wall. The detubularized bowel segment forms a compliant, continent reservoir, so urine is held between catheterizations rather than leaking through the urethra. The patient drains it by inserting a catheter through the abdominal stoma at intervals. This is why the choice describing it as a continent urinary diversion drained with a catheter is the best fit. It’s not a noncontinent diversion, not drained through the urethra, and not an incontinent bladder reservoir.

Indiana pouch is a continent urinary reservoir created from intestinal tissue that stores urine and is emptied by catheterizing a stoma on the abdominal wall. The detubularized bowel segment forms a compliant, continent reservoir, so urine is held between catheterizations rather than leaking through the urethra. The patient drains it by inserting a catheter through the abdominal stoma at intervals.

This is why the choice describing it as a continent urinary diversion drained with a catheter is the best fit. It’s not a noncontinent diversion, not drained through the urethra, and not an incontinent bladder reservoir.