Urostomy

Description urostomy

Urostomy performed to drain urine through the small hole in the abdominal cavity. The tube connects the urinary system to the stoma in the skin. The urine passes through the tube into the bag outside body. Sometimes it can be created an inner pocket or a new bladder to collect urine.

Reasons for urostomy

Urostomy may be required, if the urine can not get from the kidneys to the bladder and urethra. This may lead to accumulation of urine and kidney damage. The reasons for this are:

• Bladder Cancer;
• Birth defect;
• Chronic inflammation;
• Neuromuscular problems.

Possible complications urostomy

Complications are rare, but the procedure does not guarantee the absence of risk. If you plan to urostomy, you need to know about possible complications, which may include:

• Skin irritation;
• Accumulation of fluid in the abdomen;
• Blocking the flow of urine;
• Damage to other organs;
• Bleeding;
• Infection;
• Blood clots;
• Adverse reaction to anesthesia (eg, dizziness, lowering blood pressure, breathlessness).

Factors, that may increase the risk of complications:

• Smoking;
• Obesity;
• Previous surgery or radiation in the urostomy.

How is urostomy?

Preparation for the procedure

Before urostomy physician may be assigned or held as follows:

• Medical examination, including a history;
• Talk to your doctor about allergy and taking medications;
• Talk with your doctor about the location of pipes and containers for collecting urine, to determine the best location for the stoma.

Before surgery:

• Tell your doctor about taking any medications. A week before surgery, perhaps, you need to stop taking certain drugs:
  • Anti-inflammatory drugs (eg, aspirin);
  • Blood thinners, such as clopidogrel (Plaviks) or warfarin;
• If prescribed by a doctor, Take laxatives and antibiotics before the procedure;
• We need to organize a trip home and home assistance during recovery;
• Do not eat or drink the night before surgery.

Anesthesia

When applied urostomy general anesthesia, which supports a patient in the sleep state during operation.

Procedure urostomy

The abdomen in the bladder will make the cut. The doctor sews up the phone to a part of the urinary tract. The other end of the tube will be attached to an external bag or pouch in the abdominal cavity. The doctor closes the incision operating. Depending on the disease of the bladder may be needed other procedures.

Immediately after urostomy

The breathing tube will be removed. You will be directed to the recovery room for observation.

How long will urostomy?

About 2-5 hours (depending on the disease).

Urostomy – Will it hurt?

Anesthesia will prevent pain during surgery. During recovery, the doctor will give pain medicine.

The average time of stay in the hospital after urostomy

You will be in the hospital for about 5-12 days. The time will depend upon the health and causes the operation. Your doctor may prolong hospitalization, if there were complications.

Care after a urostomy

Care in a hospital

• Prohulyvaytes, to prevent blood clots;
• You will receive intravenous fluids (through a vein in your arm), until you are able to eat and drink;
• Find Out, how to change a bag to collect urine.

Home Care

After returning home, follow these steps:, to ensure the normal recovery:

• To avoid infection, Maintain a stoma, as indicated by a physician;
• Change your bag to collect urine;
• Avoid strenuous exercise for 4-6 weeks;
• Avoid lifting heavy weights, hard work and having sex, until you have fully recovered;
• Do not drive, until the doctor says, it's safe;
• Ask the doctor, when it is safe to shower, bathe or expose the surgical site to water;
• Be sure to follow your doctor's instructions.

Contact your doctor after urostomy

After returning home, you need to see a doctor, If the following symptoms:

• Signs of infection, including fever and chills;
• Backache;
• Poor appetite;
• Redness, edema, strong pain, bleeding or discharge from the incision and / or stoma about;
• Resizing fatigue;
• Nausea and / or vomiting;
• Pain, which does not pass after taking pain medication appointed;
• The urine does not come out of the urostomy, strong cloudiness or pus in the urine, bad smell of urine;
• Cough, shortness of breath or chest pain.