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]

@@ Line 1: / Line 1: @@
-== Ureterostomy ==
+{{Short description|Surgical procedure to create an opening from the ureter to the skin}}
-[[File:N00562_H_ureterostomy.jpg|thumb|right|A diagram illustrating a ureterostomy.]]
+==Overview==
-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.
+[[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 ==
+==Indications==
+Ureterostomy is indicated in several medical conditions, including:
-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.
+* [[Bladder cancer]]
+* Severe [[urinary incontinence]]
-== Procedure ==
+* Congenital abnormalities of the urinary tract
+* [[Neurogenic bladder]]
-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]].
+* Trauma to the bladder or urethra
-== 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]].
+==Procedure==
+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.
-== Related Procedures ==
+===Types of Ureterostomy===
+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.
-Other urinary diversion procedures include [[ileal conduit]], [[neobladder reconstruction]], and [[continent urinary reservoir]]. Each of these procedures has its own indications, benefits, and risks.
+==Postoperative Care==
+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
-== Related Pages ==
+==Complications==
+Potential complications of ureterostomy include:
+* [[Infection]]
+* Stoma stenosis
+* Urinary tract infections
+* Skin irritation around the stoma
+==Related pages==
 * [[Urostomy]]
+* [[Nephrostomy]]
 * [[Urinary diversion]]
-* [[Bladder cancer]]
-[[Category:Surgical procedures]]
+[[Category:Urologic surgery]]
-[[Category:Urology]]