Previously had prostate cancer treated with radiation. Unfortunately due to side effects including the development of bladder cancer he had to have his bladder and prostate removed.
A neobladder was not possible due to radiation damage to his urinary sphincter.
The patient chose a pouch. He is very happy apart from the odd urinary infection.
He lives on a farm and felt he wanted the freedom of a pouch even though it was more labor intensive than an ileal conduit.