Ureterostomy: Difference between revisions

Revision as of 15:46, 9 February 2025

Ureterostomy

A ureterostomy is a surgical procedure that creates an opening from the ureter to the outside of the body. This procedure is typically performed to divert urine away from a diseased or defective bladder.

Indications

Ureterostomy is indicated in cases where the bladder is unable to function properly due to conditions such as bladder cancer, severe urinary incontinence, or congenital abnormalities. It may also be performed when the bladder has been removed (cystectomy) or when there is a need to bypass a blockage in the urinary tract.

Procedure

During a ureterostomy, the surgeon detaches one or both ureters from the bladder and brings them through the abdominal wall to create a stoma. The stoma is an artificial opening on the skin surface through which urine can exit the body. The procedure can be performed as an open surgery or using minimally invasive techniques such as laparoscopy.

Postoperative Care

After a ureterostomy, patients require careful management to ensure proper stoma care and to prevent complications such as infection or skin irritation. Patients may need to use a urostomy bag to collect urine. Regular follow-up with healthcare providers is essential to monitor kidney function and stoma health.

Complications

Potential complications of ureterostomy include urinary tract infection, stoma stenosis, and kidney damage due to backflow of urine. Long-term complications may also include electrolyte imbalance and hydronephrosis.

Related Procedures

Other urinary diversion procedures include ileal conduit, neobladder reconstruction, and continent urinary reservoir. Each of these procedures has its own indications, benefits, and risks.

Related Pages

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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.
+== Ureterostomy ==
-==Procedure==
+[[File:N00562_H_ureterostomy.jpg|thumb|right|A diagram illustrating a ureterostomy.]]
-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.
+A '''ureterostomy''' is a surgical procedure that creates an opening from the ureter to the outside of the body. This procedure is typically performed to divert urine away from a diseased or defective bladder.
-==Types of Ureterostomy==
+== Indications ==
-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.
-==Risks and Complications==
+Ureterostomy is indicated in cases where the bladder is unable to function properly due to conditions such as [[bladder cancer]], severe [[urinary incontinence]], or congenital abnormalities. It may also be performed when the bladder has been removed (cystectomy) or when there is a need to bypass a blockage in the urinary tract.
-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.
-==Aftercare==
+== Procedure ==
-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.
+During a ureterostomy, the surgeon detaches one or both ureters from the bladder and brings them through the abdominal wall to create a stoma. The stoma is an artificial opening on the skin surface through which urine can exit the body. The procedure can be performed as an open surgery or using minimally invasive techniques such as [[laparoscopy]].
+== Postoperative Care ==
+After a ureterostomy, patients require careful management to ensure proper stoma care and to prevent complications such as [[infection]] or [[skin irritation]]. Patients may need to use a urostomy bag to collect urine. Regular follow-up with healthcare providers is essential to monitor kidney function and stoma health.
+== Complications ==
+Potential complications of ureterostomy include [[urinary tract infection]], stoma stenosis, and [[kidney damage]] due to backflow of urine. Long-term complications may also include [[electrolyte imbalance]] and [[hydronephrosis]].
+== Related Procedures ==
+Other urinary diversion procedures include [[ileal conduit]], [[neobladder reconstruction]], and [[continent urinary reservoir]]. Each of these procedures has its own indications, benefits, and risks.
+== Related Pages ==
-==See Also==
 * [[Urostomy]]
-* [[Nephrostomy]]
-* [[Cystectomy]]
 * [[Urinary diversion]]
+* [[Bladder cancer]]
 [[Category:Surgical procedures]]
 [[Category:Urology]]
-{{Medicine-stub}}