In a cystectomy with ileal conduit, an incision is made in the patient's lower abdomen (A). The ureters are disconnected from the bladder, which is then removed (B). They are then attached to a section of ileum (small intestine) that has been removed and refashioned for that purpose (C). A stoma, or hole in the abdominal wall, is created at the site to allow drainage of the urine (D). (Illustration by GGS Inc.)