(Urinary Diversion Surgery)
A ostomy creates an opening in the abdominal wall. A urostomy reroutes urine so that urine can pass through this new opening to a bag outside the body. Sometimes an internal pouch is created using the intestine.
You should be able to return to normal activities after your urostomy.
Reasons for Procedure
A urostomy may be needed if urine is not able to pass through the urinary system. Most of the time, a urostomy is needed because of problems with the bladder such as:.
Complications are rare, but no procedure is completely free of risk. If you are planning to have a urostomy, your doctor will review a list of possible complications, which may include:
Factors that may increase the risk of complications include:
What to Expect
Prior to Procedure
Your doctor will go over your family and medical history. A physical exam will be done. Part of the exam may include tests, like:
You may also need to:
You may be asked to stop taking some medications up to one week before the procedure, like:
You will have general anesthesia. It will block pain and keep you asleep.
Description of the Procedure
An incision is made in the abdomen. A piece of intestine will be removed. The tubes that pass urine to the bladder will be detached from the bladder. The tubes are then reattached to the intestine that was removed. The other end of the intestine is then brought through the abdominal wall to form a stoma. One end is closed together to make a pouch that holds urine inside the body. The bladder may or may not be removed.
The abdomen will be closed. Stitches or staples will be used to close the skin.
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.
How Much Will It Hurt?
Anesthesia will prevent pain during the surgery. As you recover, you will have some pain. Your doctor will give you pain medication to help you manage the discomfort.
Average Hospital Stay
You will be in the hospital for for a few weeks. Your doctor may keep you in the hospital longer if you have any complications.
At the Hospital
At the hospital, you will:
When you return home, take these steps:
Call Your Doctor
Call your doctor if any of these occur:
If you have an emergency, call for medical help right away.
American Cancer Society
United Ostomy Associations of America
Canadian Cancer Society
Canadian Urological Association
Bladder cancer. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what . Updated May 14, 2013. Accessed July 29, 2013.
Urostomy a guide. American Cancer Society website. Available at: http://www.cancer.... . Updated March 17, 2011. Accessed July 29, 2013.
Urostomy guide. United Ostomy Associations of America website. Available at: http://www.ostomy.org/ostomy_info/pubs/UrostomyGuide.pdf . Updated 2011. Accessed July 29, 2013.
Last reviewed June 2013 by Adrienne Carmack, MD