Ureterostomy

Ureterostomy

A diagram illustrating a 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

• Urostomy
• Urinary diversion
• Bladder cancer