Parastomal Hernia Repair Following Ileal Conduit Urinary Diversion Using the Sugarbaker Technique With Biological...

Parastomal hernia is a rare but significant complication following ileal conduit urinary diversion, often leading to impaired stoma function and patient discomfort. Surgical repair remains challenging due to anatomical constraints, particularly the posterior fixation of the conduit via the ureters, which can limit mobilization. Although traditionally deemed unsuitable for ileal conduit-related parastomal hernia, the Sugarbaker technique has demonstrated favorable outcomes in carefully selected cases. We present a case of a 66-year-old female who underwent successful parastomal hernia repair using the Sugarbaker technique with biological mesh, achieving an uneventful recovery and no recurrence at three months postoperatively. This case highlights the feasibility of this approach, contributing to the growing body of evidence supporting mesh-based techniques in complex parastomal hernia repairs.