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Doctor insights on: Urostomy

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Dr. James Lin
17 Doctors shared insights

Urostomy (Overview)

External drainage system for the urinary tract in patients who have bladder removal for bladder cancer. A segment of the patients intestine is used to divert the urine.


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Any advise on wearing an urostomy?

Any advise on wearing an urostomy?

Keep trying: Wearing a urostomy is a trial and error process until you find the appliance that works best for you. Talk to your surgeon or nursinag association to put you in touch with an enterostomal therapist who is a nurse who specializes in stomal solutions. Most of all keep trying until you find a solution you are happy with.

Dr. James Lin
17 Doctors shared insights

Urostomy (Overview)

External drainage system for the urinary tract in patients who have bladder removal for bladder cancer. A segment of the patients intestine is used to divert the urine.


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How will a urostomy fit into my life?

How will a urostomy fit into my life?

Many adjust well.: The idea of a urostomy can be very difficult to become comfortable with. There can be a sense of loss, not just of body image, but of bodily control. But most of our patients learn to adapt very well, managing the stoma & appliances with confidence. Many are happy to be free of bladder symptoms & are active in support groups. Thousands of people walk around with urostomies & we are unaware.

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What's a urostomy and does it have complications?

UROSTOMY: There are several types of urostomies and they all have their own potential complications.

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What is the definition or description of: urostomy?

What is the definition or description of: urostomy?

Urostomy: External drainage system for the urinary tract in patients who have bladder removal for bladder cancer. A segment of the patients intestine is used to divert the urine.

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How is the best way to change and clean an urostomy?

How is the best way to change and clean an urostomy?

Skin protection: Usual problem is skin irritation, excoriation due to poorly fitted stomal bag, follow instructions (advice) of your ostomy care provider, protect the skin, use correct size stomal bag and prevent leak.

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What are some problems that can happen if a urostomy?

What are some problems that can happen if a urostomy?

Several.: A well placed urostomy usually has few complications, but they certainly can occur. Urine on the skin can cause skin irritation & breakdown. The conduit can become infected or blocked by stones or narrowing. The connection to the kidneys can become blocked, or loss of blood supply can cause the conduit to fail. Certain metabolic problems can occur since the conduit can absorb compounds.

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Is a urostomy reversal a good idea?

Is a urostomy reversal a good idea?

Urostomy: To answer your question we would need to know the indication for urostomy. Additionally in certain cases a urostomy would not be reversible especially if done for malignancy. Your question would be best answered by your treating urologist.

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What are the differences between a urostomy and a iliostomy?

What are the differences between a urostomy and a iliostomy?

Urostomy v ileostomy: A urostomy is a way to divert the flow of urine from the bladder. The most common is an ileal conduit. This is formed by connecting the ureters to a small segment of bowel and then bringing that bowel out to the abdominal wall as a stoma. This looks much like an ileostomy because it is fashioned out of small bowel. However, it only puts out urine whereas an ileostomy puts out liquid stool.

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Please help! What is the difference between a urostomy and a iliostomy?

Please help! What is the difference between a urostomy and a iliostomy?

Lots: Urostomy is for urinary diversion when the urinary bladder is removed ileostomy is for stool/fecal diversion when the colon is removed when it is permanent or temporary if the colon needs diversion from the passage of stool on a temporary basis.

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Can you have peritoneal dialysis if you also have a urostomy bag?

Can you have peritoneal dialysis if you also have a urostomy bag?

Yes: It can certainly be done if you have the right person to place the catheter. I will be happy to help you with that.

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I have excessive puss in my urostomy & urine extremely acidic. Am a paraplegic female 55 years old. Antibiotics do not help?

I have excessive puss in my urostomy & urine extremely acidic. Am a paraplegic female 55 years old. Antibiotics do not help?

Mucus normal: Whilst people who have a urostomy do have a certain amount of mucus in their urine, an increased level or change in the colour of the urine and/or a strong unpleasant odour can also be a sign of a UTI. Empty your pouch regularly, wipe mucous off (if have 2 piece), drinking more fluids helps to reduce the amount of mucus in the urine, unless otherwise advised by your doctor

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98 year old father with a 20 year urostomy, performed his own changes since the begining. 2 years ago surgery to remove gall bladder caused a hernia, which is causing leaking wafer?

98 year old father with a 20 year urostomy, performed his own changes since the begining. 2 years ago surgery to remove gall bladder caused a hernia, which is causing leaking wafer?

Good nurse can help: Help your dad see a certified wound / ostomy nurse (CWON). They can help with different wafer and "filler" products to get the best fit possible. At 98 I am guessing that hernia repair is not an option, although more and more people are living that long and having surgery late in life. I am sorry he is having to go through this. Good luck!

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