Ureterostomy: Difference between revisions

Latest revision as of 11:33, 15 February 2025

Surgical procedure to create an opening from the ureter to the skin

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

Related pages[edit]

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-'''Ureterostomy''' is a surgical procedure that creates a stoma (a new, artificial outlet) for a ureter or kidney. It is performed when a patient's bladder is not functioning properly, or has to be removed due to disease, such as bladder cancer.
+{{Short description|Surgical procedure to create an opening from the ureter to the skin}}
+==Overview==
+[[File:N00562 H ureterostomy.jpg|thumb|right|Illustration of a ureterostomy]]
+A '''ureterostomy''' is a surgical procedure that creates an opening from one or both of the [[ureter]]s to the outside of the body. This procedure is typically performed to divert urine away from a diseased or dysfunctional [[bladder]].
+==Indications==
+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==
-The procedure involves the surgeon making an incision in the patient's abdomen and isolating the ureter, the tube that carries urine from the kidney to the bladder. The surgeon then brings one end of the ureter to the surface of the abdomen, creating a stoma. Urine then drains from the kidney through the ureter and out the stoma into a bag that the patient wears on the outside of their body. This type of ureterostomy is also known as a cutaneous ureterostomy.
+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==
+===Types of Ureterostomy===
-There are two main types of ureterostomy: cutaneous ureterostomy and [[Ileal conduit urinary diversion|ileal conduit]]. In a cutaneous ureterostomy, the ureter is connected directly to the skin surface. In an ileal conduit, a piece of the small intestine, known as the ileum, is used to create a conduit, or passageway, for urine to pass from the ureters to the outside of the body.
+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.
-==Risks and Complications==
+==Postoperative Care==
-As with any surgical procedure, there are risks associated with a ureterostomy. These can include infection, bleeding, and complications related to anesthesia. There is also the risk of stoma complications, such as stenosis (narrowing), prolapse (protrusion), and parastomal hernia. Long-term complications can include kidney infections and kidney stones.
+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
-==Aftercare==
+==Complications==
-After a ureterostomy, patients will need to learn how to care for their stoma and how to change their urine collection bag. They will also need regular follow-up care to monitor their kidney function and to check for any complications.
+Potential complications of ureterostomy include:
+* [[Infection]]
+* Stoma stenosis
+* Urinary tract infections
+* Skin irritation around the stoma
-==See Also==
+==Related pages==
 * [[Urostomy]]
 * [[Nephrostomy]]
-* [[Cystectomy]]
 * [[Urinary diversion]]
-[[Category:Surgical procedures]]
+[[Category:Urologic surgery]]
-[[Category:Urology]]
-{{Medicine-stub}}