Urostomy

What is a Urostomy?

A urostomy is a surgical procedure that creates an opening (stoma) in the abdominal wall to allow urine to bypass the bladder and exit the body. This is necessary when the bladder is not functioning properly or has been removed. The urine is collected in an external pouch or urostomy bag attached to the skin.

Reasons for a Urostomy

Urostomies are often performed due to:

Bladder Cancer: When the bladder is removed to treat cancer.
Neurogenic Bladder: Conditions affecting nerve control of the bladder, such as spinal cord injuries or multiple sclerosis.
Chronic Urinary Tract Infections (UTIs): Severe, recurrent infections that damage the bladder.
Congenital Conditions: Birth defects affecting the urinary system.
Trauma: Injuries to the bladder or urinary system

Types of Urostomies

Ileal Conduit: The most common type, where a small piece of the ileum (part of the small intestine) is used to create a conduit for urine to exit the body through the stoma.
Ureterostomy: Directly connects the ureters (tubes from the kidneys) to the stoma.
Continent Urostomy: Uses a portion of the intestine to create a reservoir inside the body, with a valve that can be catheterized to empty urine.

Living with a Urostomy

Urostomy Care

Stoma Care: The stoma should be pink and moist. Keep the skin around it clean and dry to prevent irritation and infection.
Changing the Urostomy Bag: Typically done every 3-5 days, or as needed. Proper hygiene and careful handling are crucial to avoid leaks and skin problems.
Hydration: Drinking plenty of fluids is important to keep urine diluted and reduce the risk of infections and blockages.

Lifestyle Adjustments

Clothing: Choose comfortable, loose-fitting clothes. Specialized urostomy-friendly clothing is available.
Physical Activity: Most activities are safe. Consult your doctor before starting new or strenuous activities.
Traveling: Plan ahead with extra supplies. Be aware of restroom facilities and carry a medical alert card.

Emotional and Psychological Support

Living with a urostomy can be emotionally challenging. It’s normal to feel anxious or depressed. Support groups, counseling, and talking to others with urostomies can provide comfort and practical advice.

Frequently Asked Questions

1. Will I be able to have a normal life with a urostomy?

Yes, many people with urostomies lead full, active lives. It may take time to adjust, but with proper care and support, you can continue to enjoy your usual activities.

2. How do I prevent skin irritation around the stoma?

Keep the skin clean and dry, use barrier creams if necessary, and ensure the urostomy bag fits well. If irritation occurs, consult a healthcare professional.

3. Can I drink normally?

Yes, it is important to stay hydrated by drinking plenty of fluids. This helps to keep urine diluted and reduces the risk of infections and blockages.

A urostomy can significantly improve the quality of life for individuals with severe urinary tract issues. Understanding the procedure, learning proper care techniques, and finding emotional support are key to adapting and thriving with a urostomy.

For personalized medical advice and care, always consult your local Nurse Specialized in Wound, Ostomy, and Continence (NSWOC).

Personalized Support

Explore the different types of ostomies, including colostomy, ileostomy, and urostomy. Understanding these different types helps in effectively managing care and adjusting to life with an ostomy.

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