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Undergoing surgery can be frightening regardless if the procedure is invasive or not. Although your surgeon may give you a detailed explanation of the big day, some patients find that the process is less stressful when they have a basic understanding of what to expect. If you or a loved one is planning to undergo a urostomy in the coming days, here is everything you need to know.
What is a Urostomy?
A urostomy is an invasive procedure in which a surgical opening is created to drain urine. You might hear your surgeon or other medical professionals also call this surgery a urinary diversion or an ileal conduit stoma. There are three major types of ostomies, including colostomy and ileostomy. If you have ever seen someone attach an ostomy bag to a protruding colon, you might already have an idea of what this procedure is.
After the bladder is removed, your body will require an alternative method to excrete urine because it will no longer be able to pass through the urethra. One effect of this procedure is that you will no longer be able to urinate out of your own will. This is due to the lack of a sphincter muscle near the surgical opening. After undergoing the surgery, you will rely on an ostomy bag to collect urine as it flows.
Different Surgical Methods
Different Surgical Methods
Depending on your situation, your surgeon may choose to go about a different method when performing your urostomy. The two methods that are typically used include an ileal conduit and a colon conduit. In the first, will surgically separate a portion of the small intestine (ileum) and reconnect the rest of the intestines.
The cut intestine will now act as a conduit through which the urine can pass. One end of the conduit will be closed and the ureters will be inserted. A small opening will be created on the surface of your stomach, allowing the conduit to protrude out. The end result is called a stoma.
In a colon conduit, the same procedure is done; however, the large intestine will be used instead of the ileum.
Who is a Good Candidate for a Urostomy?
Who is a Good Candidate for a Urostomy?
A urostomy is only performed if your bladder is malfunctioning or has been removed. As stated before, it is needed to divert the flow of urine and prevent a buildup of waste products in the body. Patients who require a urostomy have typically had one of the following conditions:
Bladder cancer
Spinal cord surgery
Nerve damage
Chronic bladder inflammation
Birth defects such as bladder exstrophy or spina bifida
After being told that you require a urostomy, your physician will immediately begin preparation by ordering blood tests, X-rays, and an EKG. Your surgeon or assisting nurse will also provide an explanation of the procedure and locate the area where a stoma will be placed. Prior to your surgery, you may be directed to diet and take a shower using antibacterial soap.
If you have fears concerning the surgery, do not be afraid to speak with your surgeon.
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