Urostomy

A surgical procedure that allows bowel content to exit the body through a hole in the abdomen is known as Ostomy. And the type of Ostomy that allows only urine to leave the body is called a urostomy. After urostomy urine will leave your body via the stoma.

A stoma is made from a portion of the small or large intestine, it can be observed as it is protruding above the skin. It is an alternate pathway for urine to leave the body and to be stored in a pouch worn outside. The site and the size of the stoma are dependent on the figure of your abdomen.

Most of the stomas look similar. They have the following characteristics:

  • Different size
  • Elongates almost an inch above the skin
  • There are no nerves in the stoma
  • Red and wet

Why an Ostomy is needed?

The main reasons for the urostomy are:

  • Birth defect
  • Injury
  • Rebuke
  • Blockage of urine
  • Cancer
  • Diseased

There are two main types of a urostomy:

  • Non-continent urostomy
  • Continent-urostomy

Non-continent urinary diversion is termed urostomy. In this procedure, urine changes its path to exit the body. Ureters are removed from the bladder and attached with the stoma. You can’t control your urination, that’s why it is called a non- continent. Urine continues to drain outside in the pouch.

Continent urinary diversion is a surgery in which your intestines are used for creating the pouch that remains inside your body. In this type of surgery, you can hold urine for some time in the body. Continent urostomy has two types:

Neobladder: You urinate as before. The urine passes from the internal pouch to the urethra and then leaves the body through the stoma.

Catheterizing: You need to insert a catheter to drain your pouch four to six times a day.

Urostomy is the most common type of urinary diversion.

Urinary system

A human urinary system involves two kidneys, two ureters, one bladder, and a urethra. The water reaches the kidneys where it is filtered and then it moves into the bladder through the ureters. The urine remains in the bladder until it is forced out of the body. It leaves the body through the urethra.

The surgery

A urostomy is performed to redirect the urine from the kidneys to the stoma on the abdominal surface. In the case of a conventional urostomy, a piece of ileum is used for making a pouch called an ileal conduit. One terminal is stitched closed to it and the other is attached to the surface of the abdomen to crease stoma. The ureters are removed from the bladder and attached to the stoma. The urine leaves the body through the stoma and is collected outside in the pouch. If your surgeon uses a portion of the colon then the conduit is called colon conduit.

The output of the urostomy

You will observe that urine starts flowing from the stoma directly into the pouch just after the surgery. It might give a red and damp appearance until it becomes normal. You may observe a small amount of mucus along with the urine in the pouch. This is because the urine passes through a portion of the intestine.

Stents

Your surgeon will place some tubes referred to as stents to extend your stoma. These are used for the sake of swelling after the surgery. These are removed after some days. You will feel no pain while removing these stents. They can be removed once the surgeon observes that there is a decrease in swelling.

Pouching system:

The pouching system is helpful because:

  • It helps in controlling the odor
  • Collection of urine
  • Protection of skin nearby the stoma

If urine comes in contact with the skin around the stoma it can cause discomfort and rashes.

Ostomy bags are very easy to carry anywhere. They are very light in weight. Your Ostomy nurse or doctor can guide you about the best Ostomy pouching system for you.

Pouching system and its types:

  • After the surgery, a pouching system is needed for the protection of stoma and collection of urine. You can access one-piece and two-piece pouching systems.
  • The one-piece pouching system has no separation between the barrier and the pouch
  • The two-piece pouching system has a separate pouch and a skin barrier.

Urostomy pouch

All types of urostomy pouch have some special features that prevent the backflow of the urine in the stoma. The urine leaves through the stoma and is stored in the drain. There can be a tap or a nozzle at the end of a drainage pouch.

Some pouches have a mark to show the capacity of the pouch, it can be seen only when the pouch is off.

Color of the pouch

Pouches can be transparent or opaque.

Pouches come in different sizes according to your urine volume

An ostomy pouch belt can be used around the pouching system to protect it from slipping while doing any physical activity such as swimming.

Pouch covers are really helpful in concealing the Ostomy bag

Daily care tips:

You should drain your pouch after every two to four hours.

You must drink eight to ten glasses of plain water every day, except if your doctor asks you not to do so.