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An opening in the belly to expel urine by rerouting it away from the bladder is known as a urostomy. It necessitates a patient to wear an ostomy bag the entire time to manage urine evacuations. Urostomy surgery results in an overall vulnerability of the body for a few weeks. Once the operated areas recover, the patient can live a healthy and active life.
What are the reasons for this procedure?
What are the reasons for this procedure?
You will need a urostomy if your urinary tract is unable to pass urine through its natural pathway. Common reasons for it may include the following.
Cancer in the bladder
Structural defects in the bladder
Inflammation
Nerve damage that inhibits the natural flow of urine
Complications that can arise with a urostomy
Complications that can arise with a urostomy
Problems related to urostomy occur rarely, but even this small percentage makes a significant count. These problems mainly include the following.
Fluid buildup inside the abdomen
Skin irritation
Obstruction in the urinary diversion
Bleeding
Blood clots
Infection
You will need to know about the risk factors that can increase the chances of complications. These risk factors include the following.
Alcohol consumption
Smoking
Obesity or other chronic diseases
What to expect from surgery
What to expect from surgery
You will need to start getting ready for the procedure. It begins with your doctor performing several tests and exams to make sure that you are fit enough for the surgical procedure. those tests include:
Urine test
Physical exam
Cystoscopy
Blood tests
Radiography
Urography
You will need to pay attention to the following matters.
Discuss medications that you currently take. It is because you may need to stop taking certain types of medicines before surgery.
A ride back home
Finding help for the first few days after surgery
The surgeon will give you general anesthesia to put you asleep during the procedure.
The procedure
The procedure
The surgeon will make an incision in the abdomen to access the area that needs treatment. There are multiple options regarding the creation of a urinary diversion. Your doctor will discuss these options with you to help you select the option that is right for you.
In most cases, patients end up having a stoma, which passes out urine into an ostomy bag worn over it. This urinary diversion consists of a small piece of bowel that serves as a conduit. It has ureters connected to it at its one end, and the other end appears sticking out on the abdominal skin in the form of the stoma. Many people in the field of medicine call this conduit a urinary reservoir, but it doesn’t qualify as one.
There are two basic types of urostomy: conventional and continent. Conventional urostomy is the type that we have talked about above. It uses a small piece of bowel. With this urostomy, you will need to wear an ostomy bag the entire time to manage urine evacuations. A continent urostomy, on the other hand, consists of an internal reservoir that connects to the opening in the abdomen through a valve. This urostomy eliminates the need of wearing a pouch. With an internal pouch, you get total control over when to get rid of urine, but you will have to use a catheter to draw it out.
No matter what kind of urostomy you have got, it will take several weeks for you to recover. The urostomy will bring some lifestyle changes for sure, but it doesn’t mean that you will have to lower your expectations to something less than living to the fullest.
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