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What is Urostomy?
Urostomy is an opening create in the stomach by the surgeon during surgery . It helps by countenance the piss to go around the injured or impair bladder and exit the body . It work by directing the weewee away from the bladder and allow it to guide out of the body , through an possibility create by the surgeon sleep together as a stoma.(1 )
Urostomy is the most common surgery of the bladder.(2 )
Urostomy is needed by a somebody who hasbladder canceror any other problem dissemble the vesica . The other conditions include :
How is a Person Prepared for Urostomy?
Before OR , tests are perform to make trusted a somebody is good for you for the procedure forward . The test may admit blood tests , anelectrocardiogram , and a chestx - ray .
An appointment is set with a surgeon and ostomy nurse who locate the spot to place the stomate . The orbit needs to be flat and easy to achieve by the soul . The individual is explained how to utilise the ostomy pouch .
The doctor instructs , to stop using any rip cutting medication a workweek before the surgery . Quitting smokingbefore urostomy may be advocate as it may be helpful in former recovery .
A person is inquire to go on a fluid dieting a week before the surgery and is postulate not to eat anything after midnight . teaching are given to wash the stomach with antibacterial soap , the night before the operation .
During the Surgery
As a urostomy is an inpatient operation , a person is asked to remain in the hospital for a few day .
The procedure is performed under general anesthesia . During the procedure , a low piece of the gut call the ileum is removed and the rest of the intestine is reconnected for normal gut cause .
The ileum at one remnant is sequester to the ureter , the tubes that locomote from the kidney to the bladder , and the other end of the ileum is attached to the pore . The urine travels from the ureter through the ileum into the pocket present outside the body .
It is a 3 - 4 hr surgery and the person is transferred to a special upkeep building block for recovery .
The person needs to bide in the infirmary for 4 - 7 days after surgery . First , a waste pipe is placed to remove fluid from the abdominal cavity . Fluids are not given for a few days situation - surgery .
The nurse ply pedagogy on how wound caution should be done and about the medications . Strenuous action are asked to be nullify .
Person after reaching home should verify the wound sphere is kept fair to keep off infection . The stick to are the tips that can be helpful in taking care of the wound :
Side Effects and Complications of Urostomy
phlebotomise a little bit around the stomate is normal , but in caseful of extravagant bleeding number from inside the stoma , a doctor should be consult .
A person may also have swelling in the privates and legs . Sometimes there may be debilitate out of fluid from the member and vagina post - surgery .
Also , the flow of urine through the stomate may irritate the skin , which may lead to the development of white prominence .
Other peril of urostomy may be :
It is important to touch a doc or an ostomy nurse if :
Outcome of Urostomy
It takes clip for a person to conform to live with an ostomy pouch . An ostomy nurse help with the adjusting operation . Most hoi polloi go back to their normal procedure after a urostomy .
A person can also link ostomy support group to get comfortable with the process .