An incision is made in the belly to access the area. There are several ways to create a new path for the urine to flow. Your doctor will discuss the options with you.
Most methods require a stoma. A stoma is an opening made through the belly wall. A small section of small or large intestine will be removed. It will be used to make a path between the ureters and the stoma. Ureters are tubes that carry urine from the kidneys to the bladder. There are 2 main types:
Conventional—The intestine is shaped like a tube. It allows urine to flow freely from the stoma into an external bag.
Continent—The intestine is shaped like a pouch. This will let you store the urine in your body until you drain it with a special tube called a catheter.
A third type, called a neobladder, doesn’t need a stoma. A pouch is made from the small intestine. The ureters and urethra (the tube that carries urine out of the body) are connected to it much like the original bladder. Urine can then pass from the body like it did with the bladder.
The incisions are closed with stitches and bandaged.
Immediately After Procedure
The healthcare staff will watch vital signs while you wake up.
How Long Will It Take?
About 2-5 hours.
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. Medicines will help ease pain after.
Average Hospital Stay
You will be in the hospital for a few days. You may need to stay longer if you have problems.
At the Hospital
The healthcare staff will help you:
Lower the risk of blood clots by having you walk around
Get IV nutrition while your intestines heal
Learn how to change the ostomy bag—conventional
Learn how to use a catheter to empty the internal pouch—continent
Learn how to take care of the stoma
During your stay, the healthcare staff will take steps to lower your chance of infection such as:
Washing their hands
Wearing gloves or masks
Keeping your incisions covered
There are also steps you can take to lower your chance of infection such as:
Washing your hands often and reminding your healthcare staff to do the same
Reminding your healthcare staff to wear gloves or masks
Not allowing others to touch your incision
When you return home:
Care for your stoma as advised.
Change the bag at regular times.
When it is okay to get the stoma wet, do not use bath oils or salts in the water.
Take care of the wound.
Watch for signs of infection.
Call Your Doctor
Call your doctor if any of these occur:
Fever or chills
Persistent nausea or vomiting
Pain that you cannot control with the medicines you were given
Pus, cloudiness, or strong odor in your urine
Redness, swelling, or bleeding from the stoma site
Unusual changes in stoma size or color
Change in amount or frequency of passing urine
Back or belly pain
Cough, breathing problems, or chest pain
If you think you have an emergency, call for emergency medical services right away.
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