(Urinary Diversion Surgery)
|The Female Urinary System|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Bladder cancer
- Birth defects
- Chronic inflammation
- Nerve-muscle control problems
- Skin irritations
- Fluid build-up in the abdomen
- Urine flow blockage
- Damage to other organs
- Blood clots
- Adverse reaction to the anesthesia such as light-headedness, low blood pressure, wheezing
What to Expect
Prior to Procedure
- Urine tests
- Blood tests
- MRI or CT scan
- Discuss any allergies or allergies to medications that you have.
- Disclose what medicines, herbs, or supplements you take.
- Know what paperwork you will need to bring with you.
- Arrange for a ride from the hospital and help at home.
- Do not eat or drink the night before your surgery.
- Aspirin and other anti-inflammatory drugs (such as ibuprofen and acetaminophen)
- Blood-thinning drugs such as warfarin (Coumadin)
- Anti-platelet drugs such as clopidogrel (Plavix)
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Walk as soon as you are able to help prevent blood clots.
- You will receive nutrition through an IV until your gastrointestinal tract is functioning again
- Learn how to change the urine pouch and dispose of urine.
- Care for your stoma as directed.
- Change your pouch on a regular schedule.
- Avoid strenuous activity.
- Avoid heavy lifting, straining, and sexual activity until you have fully recovered.
- Do not drive until your doctor says that it is safe to do so.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- When it is okay to get the stoma wet, do not use bath oils or salts in the water.
- Be sure to follow your doctor's instructions.
Call Your Doctor
- Fever or chills
- Nausea or vomiting
- Pain that you cannot control with the medicines you have been given
- Unusual discharge such as pus, extreme cloudiness, or strong odor
- Redness, swelling, or excessive bleeding from the stoma site
- Unusual changes in stoma size or color
- Change in or no urine output
- Back or abdominal pain
- Cough, shortness of breath, or chest pain
American Cancer Society http://www.cancer.org
United Ostomy Association of America http://www.uoaa.org
Canadian Cancer Society http://www.cancer.ca
Canadian Urological Association http://www.cua.org
Bladder cancer. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what. Updated January 22, 2013. Accessed February 12, 2013.
Urostomy a guide. American Cancer Society website. Available at: http://www.cancer.org/acs/groups/cid/documents/webcontent/002931-pdf.pdf. Updated March 17, 2011. Accessed February 12, 2013.
Urostomy guide. United Ostomy Associations of America website. Available at: http://www.ostomy.org/ostomy%5Finfo/pubs/UrostomyGuide.pdf. Updated 2011. Accessed February 12, 2013.
- Reviewer: Adrienne Carmack, MD
- Review Date: 02/2013 -
- Update Date: 02/13/2013 -