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Bladder stoma surgery with catheter insertion, also known as urostomy or cystostomy, is a specialised procedure that creates an opening in the abdomen, called a stoma, to allow urine to drain directly from the bladder into a catheter or drainage bag. This surgery is often recommended for patients who have difficulty urinating naturally due to medical conditions such as bladder cancer, spinal cord injuries, or chronic urinary retention. By creating a new pathway for urine to exit the body, the procedure can significantly improve comfort, prevent urinary complications, and enhance quality of life.

Bladder surgery, including bladder stoma surgery, can affect various aspects of a patient’s life, particularly focusing on sexual health and recovery. Understanding the physical changes post-surgery, such as impacts on erectile function, and consulting healthcare providers for support and information about managing these changes is crucial.

Bladder stoma surgery is usually performed when other treatments or interventions have been unsuccessful, and it provides a reliable long-term solution for urinary drainage.

Also known as: Urostomy, Cystostomy

Everything You Need to Know

Bladder stoma surgery with catheter insertion is a life-changing procedure that offers a solution for individuals who struggle with urinary function due to disease or injury. The surgery creates a new way for urine to leave the body when the normal urinary system is compromised, often through a process known as urinary diversion.

Key benefits include:

  • Restored Urinary Function: The procedure enables effective drainage of urine when natural urination is no longer possible.
  • Improved Comfort and Health: It helps prevent infections, bladder damage, and kidney issues that may arise from untreated urinary retention.
  • Long-Term Management: A stoma provides a long-term solution, offering patients independence and a better quality of life.

This procedure is commonly recommended for individuals with bladder dysfunction due to cancer, neurological conditions, or other chronic issues that affect bladder control.

Before the Urostomy Surgery

Consultation

Before undergoing bladder stoma surgery, you will meet with a urology specialist who will assess your condition and determine if this is the right option for you. During the consultation, your medical history, symptoms, and any previous treatments will be reviewed. The surgeon will explain the procedure in detail, including the expected outcomes and the care required post-surgery. A stoma nurse will also assist with the consultation and preparation process, helping you select the appropriate pouch and providing guidance on lifestyle adjustments post-surgery.

Health Assessment

A comprehensive health assessment will be conducted to ensure you are fit for surgery. This includes blood tests, imaging studies such as ultrasound or CT scans, and an evaluation of any medications you are taking. The goal is to ensure that your body can safely undergo surgery and that any underlying health issues are managed. Additionally, assessing the risk of blood clots before surgery is crucial to prevent complications and promote a smooth recovery.

Pre-Procedure Instructions

To prepare for bladder stoma surgery, you will be given detailed pre-operative instructions, which may include:

  • Medication Adjustments: You may be asked to stop certain medications, especially blood thinners, in the days leading up to surgery.
  • Fasting Instructions: You will need to fast from midnight on the day of surgery to ensure your stomach is empty during the procedure.
  • Lifestyle Adjustments: It’s important to stop smoking and maintain a healthy diet to improve your recovery after the surgery.

Patients should also be aware that an ileal conduit is a common type of urinary diversion that may be performed during urostomy surgeries.

During the Surgery

Our surgical team ensures that the procedure is performed with precision and care, using state-of-the-art techniques to ensure the best possible outcome. Urostomy surgery involves creating a stoma in the abdomen to facilitate the passage of urine from the kidneys to the outside of the body, particularly after a cystectomy.

Anaesthesia

Bladder stoma surgery is typically performed under general anaesthesia, meaning you will be asleep throughout the procedure. In some cases, regional anaesthesia may be used, which numbs the lower half of your body while allowing you to stay awake but comfortable.

Surgical Process

The surgeon will make a small incision in your lower abdomen to access the bladder. A stoma is created by bringing part of the bladder or ureter to the surface of the skin. A catheter is then inserted through the stoma to allow urine to drain into a collection bag. The procedure usually takes 1 to 2 hours, depending on the complexity of the case. Continent urinary diversion is another surgical procedure that creates a new bladder or reservoir using intestinal tissue.

Monitoring and Recovery

the surgery, you will be monitored in a recovery room to ensure there are no immediate complications. Pain relief will be provided, and you will be closely observed to ensure your body responds well to the surgery. Once stable, you will be transferred to your room to begin the initial recovery process. A night drainage bag can be used to manage urine output during the night, allowing you to get a good night’s sleep by accommodating additional urine and reducing the need for frequent nighttime trips to the restroom.

After Surgery

Post-operative care is essential for the success of the surgery, and our team will guide you through every step of your recovery. An ostomy bag is used to collect urine after surgery, helping you manage your stoma effectively.

Immediate Post-Op Care with Urostomy Bag

You may experience some discomfort and swelling around the stoma site, but this is normal and will be managed with medication. You will be shown how to care for your stoma, clean the area, and manage the catheter and drainage bag. Proper care is vital to prevent infection and ensure the site heals properly. Additionally, managing the urostomy stoma and associated appliances is crucial, and consulting with a stoma nurse can provide personalised solutions if any issues arise.

Follow-Up Care and Recovery with Stoma Nurse

Follow-up appointments are necessary to monitor the healing process and ensure there are no complications. You will be regularly assessed to ensure the stoma is functioning correctly and that the catheter is working properly.

Most patients can return to light activities within a few weeks, though strenuous activities should be avoided for at least 6 weeks. Devices specifically designed to collect urine after bladder removal, such as tubes or bags, play a crucial role in managing urine storage and output, ensuring patient comfort and quality of life post-surgery.ughout the recovery process.

Appointment and Treatment Plan

01

Initial Consultation

Your journey starts with a consultation with one of our urology specialists, where your symptoms and medical history will be thoroughly reviewed, and the benefits of bladder stoma surgery will be discussed.

02

Personalised Treatment Plan

Based on your individual needs, a tailored treatment plan will be created, outlining the surgery and the steps you need to take before and after the procedure.

03

Pre-Procedure Assessment

A pre-assessment ensures you are in the best possible condition for surgery. This will involve any necessary blood tests and imaging studies to assess your bladder and overall health.

04

The Procedure

Our experienced surgical team will perform the bladder stoma surgery using advanced techniques to ensure a smooth and successful outcome. The catheter will be securely placed to allow for efficient urinary drainage.

05

Aftercare and Recovery

After your surgery, you will receive comprehensive aftercare instructions and attend follow-up appointments to ensure your stoma and catheter are functioning properly, and your body is healing well.

Top Tips for after bladder surgery

  • Follow All Instructions: Carefully follow the aftercare guidelines provided by your surgeon, especially concerning stoma and catheter care.
  • Stay Hygienic: Keep the stoma area clean and dry to reduce the risk of infection.
  • Rest and Recuperate: Give your body time to heal by avoiding strenuous activities during the recovery period.
  • Stay Hydrated: Drinking plenty of fluids will help ensure proper urinary function and prevent complications.