Urostomy: Difference between revisions
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{{Short description|Surgical procedure that creates an opening in the urinary system}} |
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| ⚫ | A '''urostomy''' is a stoma (artificial opening) for the urinary system. A urostomy is made to avail for [[urinary diversion]] in cases where drainage of urine through the bladder and urethra is not possible, e.g. after extensive surgery or in case of obstruction.<ref>[http://www.cancer.org/Treatment/TreatmentsandSideEffects/PhysicalSideEffects/Ostomies/UrostomyGuide/urostomy-what-is-urostomy Urostomy] from [http://www.cancer.org Cancer.org] (American Cancer Society).Last Medical Review: 03/17/2011. Last Revised: 03/17/2011</ref> |
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{{Infobox medical intervention |
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| name = Urostomy |
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| image = Diagram showing how a urostomy is made (ileal conduit) CRUK 124.svg |
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| caption =Diagram showing how a urostomy is made using an ileal conduit technique |
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| pronounce = |
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| specialty = urology |
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| synonyms = |
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| ICD9unlinked = |
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| CPT = |
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| MeshID = D014547 |
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| other_codes = |
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| MedlinePlus = |
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}} |
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| ⚫ | A '''urostomy''' is a [[surgical procedure]] that creates a stoma (artificial opening) for the urinary system. A urostomy is made to avail for [[urinary diversion]] in cases where drainage of urine through the bladder and urethra is not possible, e.g. after extensive surgery or in case of obstruction.<ref>[http://www.cancer.org/Treatment/TreatmentsandSideEffects/PhysicalSideEffects/Ostomies/UrostomyGuide/urostomy-what-is-urostomy Urostomy] from [http://www.cancer.org Cancer.org] (American Cancer Society).Last Medical Review: 03/17/2011. Last Revised: 03/17/2011</ref> |
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Techniques include: |
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| ⚫ | *[[Ileal conduit urinary diversion]], in which the [[ureter]]s are surgically resected from the bladder and a [[ureteroenteric anastomosis]] is made in order to drain the urine into a detached section of [[ileum]] (a part of the [[small intestine]]). The end of the ileum is then brought out through an opening (a [[stoma (medicine)|stoma]]) in the [[abdominal wall]]. The urine is collected through a bag that attaches on the outside of the body over the stoma. |
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[[File:Standard incontinent urostomy.jpg|thumb|left|150px|Standard incontinent stoma]]Techniques include: |
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| ⚫ | :::::::*[[Ileal conduit urinary diversion]], in which the [[ureter]]s are surgically resected from the bladder and a [[ureteroenteric anastomosis]] is made in order to drain the urine into a detached section of [[ileum]] (a part of the [[small intestine]]). The end of the ileum is then brought out through an opening (a [[stoma (medicine)|stoma]]) in the [[abdominal wall]]. The urine is collected through a bag that attaches on the outside of the body over the stoma. |
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A "continent urostomy" is an artificial bladder formed out of a segment of small bowel. This is fashioned into a pouch, which can be emptied intermittently with a catheter. It avoids the need for a stoma bag on the urostomy. |
A "continent urostomy" is an artificial bladder formed out of a segment of small bowel. This is fashioned into a pouch, which can be emptied intermittently with a catheter. It avoids the need for a stoma bag on the urostomy. |
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==Routine care== |
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The appliances are usually changed at a time of low fluid intake, such as early in the morning, where less urine production makes changing easier.<ref name=Taylor>Taylor, C. R., Lillis, C., LeMone, P., Lynn, P. (2011) Fundamentals of nursing: The art and science of nursing care. Philadelphia: Lippincott Williams & Wilkins, page 1254-1255.</ref> |
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==Indications== |
==Indications== |
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Urostomy is most commonly performed after [[cystectomy]], such as may be necessary in, for example, [[bladder cancer]]. Other indications include |
Urostomy is most commonly performed after [[cystectomy]], such as may be necessary in, for example, [[bladder cancer]]. Other indications include severe kidney disease, accidental damage or injury to the urinary tract, surgical complications because of non-related pelvic or abdominal surgery, congenital defects that cause urine to back up into the kidneys, or [[urinary incontinence]].{{citation needed|date=June 2020}} |
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== See also == |
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* [[Ureterostomy]] |
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* [[Ureteroureterostomy]] |
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* [[List of surgeries by type]] |
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==References== |
==References== |
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{{reflist}} |
{{reflist}} |
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{{Authority control}} |
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==External links== |
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*[https://www.urostomyassociation.org.uk/home.php UA is the UK's Premier Urostomy Association] |
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*[http://www.thebowelmovement.info/ A non-commerical, non-profit informational portal for all ostomates. No payment is received for any website content] |
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[[Category:Pediatric surgical procedures]] |
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{{Ectomy, stomy, and otomy}} |
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[[Category:Urologic surgery]] |
[[Category:Urologic surgery]] |
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[[de:Urostoma]] |
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[[ja:人工膀胱]] |
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[[pl:Urostomia]] |
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[[sv:Urostomi]] |
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Latest revision as of 09:14, 28 November 2024
| Urostomy | |
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_CRUK_124.svg) Diagram showing how a urostomy is made using an ileal conduit technique | |
| Specialty | Urology |
| MeSH | D014547 |
A urostomy is a surgical procedure that creates a stoma (artificial opening) for the urinary system. A urostomy is made to avail for urinary diversion in cases where drainage of urine through the bladder and urethra is not possible, e.g. after extensive surgery or in case of obstruction.[1]
Techniques
[edit]
Techniques include:
- Ileal conduit urinary diversion, in which the ureters are surgically resected from the bladder and a ureteroenteric anastomosis is made in order to drain the urine into a detached section of ileum (a part of the small intestine). The end of the ileum is then brought out through an opening (a stoma) in the abdominal wall. The urine is collected through a bag that attaches on the outside of the body over the stoma.
- Indiana pouch
A "continent urostomy" is an artificial bladder formed out of a segment of small bowel. This is fashioned into a pouch, which can be emptied intermittently with a catheter. It avoids the need for a stoma bag on the urostomy.
Routine care
[edit]The appliances are usually changed at a time of low fluid intake, such as early in the morning, where less urine production makes changing easier.[2]
Indications
[edit]Urostomy is most commonly performed after cystectomy, such as may be necessary in, for example, bladder cancer. Other indications include severe kidney disease, accidental damage or injury to the urinary tract, surgical complications because of non-related pelvic or abdominal surgery, congenital defects that cause urine to back up into the kidneys, or urinary incontinence.[citation needed]
See also
[edit]References
[edit]- ^ Urostomy from Cancer.org (American Cancer Society).Last Medical Review: 03/17/2011. Last Revised: 03/17/2011
- ^ Taylor, C. R., Lillis, C., LeMone, P., Lynn, P. (2011) Fundamentals of nursing: The art and science of nursing care. Philadelphia: Lippincott Williams & Wilkins, page 1254-1255.
| Authority control databases: National |
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