What is meant by Urostomy Creation?
A urostomy creation is a procedure that allows urine to pass out of the body through a new passage. You need a urostomy if your bladder does not work properly or it has been deceased or removed, such as in care treatment. A small portion from the small intestine is brought to your abdomen to create an orifice or opening called a stoma. This portion of the small intestine is called the ileum. Urine exit your body through the stoma. The urine either remains stores in the ileum or drains into the pouch depending upon the type of surgery you had.
How Can I prepare for the Surgery?
Your doctor will help you in preparation for surgery. You may be told not to eat or drink one night before your surgery. You must have someone who can drive you home once you get free from the hospital. And you also need one person who stays with you all the time.
Always tell your surgeon about your current medication. He can tell you accordingly if you need to stop them or not.
Also, discuss with your surgeon about your allergies to specific antibiotics and medicines. You might be asked to take some antibiotics some days before your surgery to avoid any kind of infection.
Your surgeon will decide the best possible location for the stoma creation. You may be asked to wear a pouch. Then you will be asked to sit stand and lie in different postures to ensure that the stoma will work properly.
What happens during the surgery?
At the start, you will be given anesthesia, and you will sleep. The surgeon will cut a small portion of the ileum. Then he will reconnect the intestine and make sure they will work properly. One terminal of the ileum will be brought to the abdomen to create a stoma. Depending on the type of Ostomy, the surgeon might do the following things:
In the case of a standard urostomy, the surgeon removes the ureters from the bladder. And those detached ureters are attached with the ileum. This will allow the urine to directly flow to the ileum, you will be asked to wear a pouch at the stoma. And the urine will move through the ileum into the stoma and then it will drain into the pouch worn outside, you need to wear the pouch throughout the day, and night and you must drain it regularly.
In the case of a continent, a urinary reservoir surgeon will involve the ileum to make a pouch inside the body. Urine will be stored in this pouch until it leaves the body through the stoma. In this regard, you need to put a catheter into the stoma to drain urine 4 to 5 times a day.
The surgeon will ensure that there is no leakage and intestines are working properly.
What happens following the surgery?
You may remain to admit to the hospital for three to five days following the surgery.
You will be given a painkiller for a few days following your surgery. Also, antibiotics are given to avoid any infection.
The nurse or any healthcare person will help you in walking around. This prevents blood clots.
Urine may look pink or red for a few days but there is nothing to worry about it. It will be normal soon.
You will be introduced to a Stoma expert or nurse. He or she will teach you about the basics such as how to take care of your stoma, how to change the bag during the day and at night when you are asleep. You will be asked to measure the urine each time you empty your bag.
You may observe a little mucus in your bag as well, this is normal if you had a standard urostomy.
The Risks
There might be the death of tissues in the abdomen it can lead to bowel blockage or obstruction. You might feel the urge to urinate and find it hard to control the urine. Bowel movements might become more frequent; diarrhea can also attack. If any bacteria get into the urostomy it can cause infection in the urinary tract.
The Bottom Line
It is your entitlement to have appropriate treatment and care. You should realize your condition and how to treat it. You can talk with your PCP and specialist. The data gave above is just to data. Try not to apply I in your life. You should counsel your primary care physician, medical attendant, or drug specialist for the best exhortation.
