A urostomy allows urine to pass out of the body through a stoma (small hole) in the abdomen. A tube is connected from the urinary system to the stoma. Urine passes through the tube into an external pouch. Sometimes, an internal pouch, or neobladder, can be created.
A urostomy tube may be needed if urine can no longer pass from the kidneys through the bladder and out the urethra. If this occurs, urine can back up. This can cause damage to the kidneys. Causes for this include:
Take laxatives and antibiotics before the procedure.
Arrange for a ride home and for help at home.
The night before, do not eat anything after midnight.
General anesthesia will be used. It will block any pain. It will keep you asleep through the surgery.
Description of the Procedure
An incision will be made in the abdomen. This will expose the bladder area. The doctor will attach a tube to part of the urinary tract. The other end of the tube will be attached to an external pouch or a pouch in the abdomen. The doctor will close the incisions. Depending on the cause of the urinary system problem, other procedures may need to be done.
Immediately After Procedure
Your breathing tube will be removed. You will be taken to the recovery room.
How Long Will It Take?
About 2-5 hours (depending on your condition)
How Much Will It Hurt?
Anesthesia will prevent pain during the surgery. During recovery, your doctor will give you pain medicine.
Average Hospital Stay
You will be in the hospital for about 5-12 days. This will depend on your condition and the reason for surgery. Your doctor may keep you in the hospital longer if you have any complications.
At the Hospital
At the hospital, you will:
Walk as soon as you are able to help prevent blood clots.
Receive fluids intravenously (through a vein in your arm) until you are able to eat and drink.
Learn how to change the urine pouch and dispose of urine.
When you return home, do the following to help ensure a smooth recovery:
To avoid infection, care for your stoma as directed.
Change your pouch on a regular schedule.
Avoid strenuous activity for 4-6 weeks.
Avoid heavy lifting, straining, and sexual activity until you have fully recovered.
Do not drive until your doctor says that it is safe to do so.
Shower and bathe as instructed by your doctor.
Be sure to follow your doctor's instructions.
Call Your Doctor
After you leave the hospital, call your doctor if any of the following occurs:
Signs of infection, including fever and chills
Pain in the back
Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision and/or stoma site
Change in stoma size
Nausea and/or vomiting
Pain that you cannot control with the medicines you have been given
No urine coming out of the urostomy, extreme cloudiness or pus in the urine, a bad odor to the urine
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a