Why is this procedure done?
The urinary tract is made up of the kidneys, ureters, bladder, and urethra. When urine is made by the kidney, it drains down into tubes called ureters. These ureters are connected to the bladder. The bladder stores urine. When the bladder is full, it squeezes the urine out into the urethra and out of the body. ‚
There are some conditions that can block this pathway. When this happens, doctors may need to make another way for urine to come out. One procedure that makes this alternative pathway is called suprapubic cystostomy. It makes a surgical opening just below the belly button. This opening is called a stoma or ostomy. A tube or catheter can be put in the stoma. This tube drains urine directly from the bladder and out of the body. This is done: ‚
- When other kinds of catheters do not work
- If a person will have to do catheterizations for a long time
View OriginalView Original
What will the results be?
Your body will have an alternate way for urine to drain. It will be easier for you to drain your urine from your body. ‚
What happens before the procedure?
- Your doctor will take your history. Talk to your doctor about:
- All the drugs you are taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the doctor about any drug allergy. Bring a list of drugs you take with you.
- Any bleeding problems. Be sure to tell your doctor if you are taking any drugs that may cause bleeding. Some of these are Coumadin, ibuprofen, Aleve (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your doctor about them.
- When you need to stop eating or drinking before your procedure.
- Your doctor will do an exam and may order:
- Lab tests
- X-rays
- MRI or CT scan
- Ultrasound
- You will not be allowed to drive right away after the procedure. Ask a family member or a friend to drive you home.
What happens during the procedure?
- Once you are in the operating room, the staff will put an IV in your arm to give you fluids and drugs. You will be given a drug to make you sleepy. It will also help you stay pain free during the surgery. You may be asleep or awake during the procedure.
- The doctor will clean the area just below your belly button with an antiseptic. The doctor may use an ultrasound machine as a guide. The doctor will make a small cut over the bladder. The doctor will put in a rubber tube using a special tool. The tube will be secured to the bladder wall using stitches.
- The doctor will close the cut, leaving a space for the catheter. The opening is called a stoma. The doctor will cover the wound and catheter exit site with a clean dressing.
- Your doctor may collect urine from the tube to be sent out to the lab for testing.
- The procedure takes about 1 hour.
What happens after the procedure?
- You will go to the Recovery Room and the staff will watch you closely. You may have to stay in the hospital overnight.
- You may have discomfort and numbness after the procedure. Your doctor will give you drugs for this.
What care is needed at home?
- Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
- Your doctor will give you drugs for pain and to prevent infection. Take them as ordered by your doctor.
- Talk to your doctor about how to care for your cut site. Ask your doctor about:
- When you should change your bandages
- When you may take a bath or shower
- If you need to be careful with lifting things over 10 pounds
- When you may go back to your normal activities like work, driving, or sex
- Learn how to care for your ostomy and catheter. Ask about changing and emptying the bag that collects urine.
- Wash your hands before and after changing your bandage and urine pouch.
What follow-up care is needed?
- Your condition needs close monitoring. Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits.
- Your catheter needs changing every 4 to 10 weeks. Your doctor may set up a visit for this.
- If you have stitches or staples, you will need to have them taken out. Your doctor will often want to do this in 1 to 2 weeks.
What lifestyle changes are needed?
You may have to limit your activity. Talk to your doctor about the right amount of activity for you. ‚
What problems could happen?
- Infection
- Bleeding
- Catheter gets blocked or kinked
- Kidney problems
Where can I learn more?
National Kidney and Urologic Diseases Information Clearinghouse ‚
http://kidney.niddk.nih.gov/kudiseases/pubs/urostomy/ ‚
Consumer Information Use and Disclaimer
This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚
Copyright
Copyright ‚ © 2015 Clinical Drug Information, LLC and Lexi-Comp, Inc. ‚