(Urinary Diversion Surgery)
A urostomy allows urine to pass through an opening made in the belly wall. The urine flows to a bag outside of the body. An internal pouch can also be created using the intestine.
Once healed, a urostomy should not limit your activities.
Copyright © 2002 Nucleus Communications, Inc. All rights reserved.http://services.epnet.com/getimage.aspx?imageiid=25802580AC00039.jpgThe Urinary SystemNULLjpgThe Urinary SystemNULL\\filer01\Intellect\images\AC00039.jpgCopyright © 2002 Nucleus Communications, Inc. All rights reserved.82NULL2002-10-013912502580_578353Copyright © Nucleus Medical Media, Inc.
Reasons for Procedure
This procedure is done if urine cannot leave the body as it normally would due to problems such as:
- Bladder cancer
- Structural defects—some may have existed since birth
- Swelling that has lasted a long time
- Nerve or muscle problems
Problems are rare, but all procedures have some risk. The doctor will go over possible problems such as:
- Irritated skin
- Excess bleeding
- Problems from anesthesia, such as wheezing or sore throat
- Fluid buildup in the belly
- Blocked urine flow
- Organ damage
- Blood clots
Things that may raise the risk of problems include:
What to Expect
Problems to Look Out For
Call your doctor if you are not getting better or you have:
- Fever or chills
- Nausea or vomiting that do not go away
- Pain that is not controlled with the medicines you were given
- Pus, cloudiness, or strong odor in your urine
- Redness, swelling, or bleeding from the stoma site
- Strange changes in stoma size or color
- Change in amount or frequency of passing urine
- Back or belly pain
- Cough, breathing problems, or chest pain
If you think you have an emergency, call for medical help right away.
- Bladder cancer. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/bladder-cancer.
- Hsu, M.Y., Lin, J.P., et al. Preoperative stoma site marking decreases stoma and peristomal complications: a meta-analysis. Journal of Wound Ostomy Continence Nursing, 2020; 47 (3): 249-256.
- New ostomy patient guide 2020. United Ostomy Associations of America website. Available at: https://www.ostomy.org/wp-content/uploads/2020/10/UOAA-New-Ostomy-Patient-Guide-2020-10.pdf.
- Post-op and recovery—Urostomy Association website. Available at: https://urostomyassociation.org.uk/literature_category/post-op-and-recovery/.
- Urostomy guide. United Ostomy Associations of America website. Available at: https://www.ostomy.org/wp-content/uploads/2018/03/UrostomyGuide.pdf.
- What is a urostomy? American Cancer Society website. Available at: https://www.cancer.org/treatment/treatments-and-side-effects/treatment-types/surgery/ostomies/urostomy/what-is-urostomy.html.
- Your urostomy. American College of Surgeons website. Available at: https://www.facs.org/-/media/files/education/patient-ed/ostomy_skills/your_urostomy.ashx.
- Nicole Meregian, PA
(C) Copyright 2023 EBSCO Information Services
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at email@example.com.