Ureterostomy
From WikiMD's WELLNESSPEDIA
Overview[edit]
A ureterostomy is a surgical procedure that creates an opening from one or both of the ureters to the outside of the body. This procedure is typically performed to divert urine away from a diseased or dysfunctional bladder.
Indications[edit]
Ureterostomy is indicated in several medical conditions, including:
- Bladder cancer
- Severe urinary incontinence
- Congenital abnormalities of the urinary tract
- Neurogenic bladder
- Trauma to the bladder or urethra
Procedure[edit]
The procedure involves the surgical creation of a stoma, which is an artificial opening on the body's surface. The ureter is detached from the bladder and brought to the skin surface, where it is sutured in place. A stoma appliance is then fitted to collect urine.
Types of Ureterostomy[edit]
There are several types of ureterostomy, including:
- Cutaneous ureterostomy: The ureter is brought directly to the skin surface.
- Transureteroureterostomy: One ureter is connected to the other, and a single stoma is created.
Postoperative Care[edit]
Postoperative care for a patient with a ureterostomy includes:
- Monitoring for signs of infection
- Ensuring proper stoma care and appliance fitting
- Educating the patient on stoma management
- Regular follow-up with a healthcare provider
Complications[edit]
Potential complications of ureterostomy include:
- Infection
- Stoma stenosis
- Urinary tract infections
- Skin irritation around the stoma
