Urostomy

Urostomy
Diagram showing how a urostomy is made using an ileal conduit technique
Specialtyurology
MeSHD014547

A urostomy is a surgical procedure that creates a stoma (artificial opening) for the urinary system. A urostomy is made to avail for urinary diversion in cases where drainage of urine through the bladder and urethra is not possible, e.g. after extensive surgery or in case of obstruction.[1]

Techniques

Standard incontinent stoma

Techniques include:

A "continent urostomy" is an artificial bladder formed out of a segment of small bowel. This is fashioned into a pouch, which can be emptied intermittently with a catheter. It avoids the need for a stoma bag on the urostomy.

Routine care

The appliances are usually changed at a time of low fluid intake, such as early in the morning, where less urine production makes changing easier.[2]

Indications

Urostomy is most commonly performed after cystectomy, such as may be necessary in, for example, bladder cancer. Other indications include severe kidney disease, accidental damage or injury to the urinary tract, surgical complications because of non-related pelvic or abdominal surgery, congenital defects that cause urine to back up into the kidneys, or urinary incontinence.

See also

  • List of surgeries by type

References

  1. Urostomy from Cancer.org (American Cancer Society).Last Medical Review: 03/17/2011. Last Revised: 03/17/2011
  2. Taylor, C. R., Lillis, C., LeMone, P., Lynn, P. (2011) Fundamentals of nursing: The art and science of nursing care. Philadelphia: Lippincott Williams & Wilkins, page 1254-1255.


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