A vesicostomy is a temporary opening in the bladder to the outside of the body that allows urine to drain.
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The opening is created when a problem prevents urine from draining out of the bladder.
Problems are rare, but all procedures have some risk. Your doctor will review potential problems, such as:
Your child’s doctor will do blood and urine tests. In addition:
Talk to your child’s doctor before the procedure about all medications your child is taking, including over-the-counter medications and supplements.
General anesthesia will be used. It will block pain and keep your child asleep through the procedure. It is given through an IV.
A small incision will be made through the skin below the bellybutton. A second incision will be made in the wall of the bladder. A small part of the bladder wall will be turned inside out and sewn to the abdomen.
A catheter may be placed in the opening to help urine drain or it may be left open.
Anesthesia will prevent pain during surgery. Pain after the procedure can be managed with medications.
After the procedure, your child will be observed in a recovery room. Care for the rest of your child’s hospital stay may include:
During your stay, the hospital staff will take steps to reduce your child’s chance of infection such as:
There are also steps you and your child can take to reduce your child’s chances of infection such as:
The urine will be able to drain directly into a diaper. Most can return to activity within a week of surgery.
Call your child’s doctor if any of these occur:
If you think your child has an emergency, call for emergency medical services right away.
Healthy Children—American Academy of Pediatrics
Kids Health—Nemours Foundation
About Kids Health—The Hospital for Sick Children
Vesicostomy. About Kids Health—The Hospital for Sick Children website. Available at: http://www.aboutkidshealth.ca/En/HealthAZ/TestsAndTreatments/Procedures/Pages/Vesicostomy.aspx. Updated November 10, 2009. Accessed June 19, 2017.
Vesicostomy. Cleveland Clinic website. Available at: https://my.clevelandclinic.org/health/articles/vesicostomy. Updated January 9, 2017. Accessed June 19, 2017.
Vesicostomy. St. Louis Children’s Hospital website. Available at: http://www.stlouischildrens.org/our-services/spina-bifida-clinic/vesicostomy. Accessed June 19, 2017.
Vesicostomy care. Cincinnati Children’s Hospital website. Available at: https://www.cincinnatichildrens.org/health/v/vesicostomy. Updated April 2015. Accessed June 19, 2017.
What is a vesicostomy? Children’s & Women’s Health Centre of British Columbia website. Available at: http://www.cw.bc.ca/library/pdf/pamphlets/vesicostomy_384_dec04.pdf. Published December 2004. Accessed June 19, 2017.
Last reviewed August 2017 by EBSCO Medical Review Board Michael Woods, MD, FAAP