What Can I Expect After Bladder Surgery?

Bladder ostomy is caused by urethral obstruction. It is performed on the pubic bladder to drain urine outside the body. Urinary cystostomy requires proper and thoughtful care to enable such patients to recover early and prevent various complications.

Cystostomy

Bladder ostomy is caused by urethral obstruction. It is performed on the pubic bladder to drain urine outside the body. Urinary cystostomy requires proper and thoughtful care to enable such patients to recover early and prevent various complications.

nickname

Cystostomy

Common locations

bladder

Common causes

Urethral obstruction

Common symptoms

More than bladder bleeding

Patients with acute urinary retention cannot insert a urinary catheter from the urethra and are not suitable for emergency prostatectomy. (2) Those with severe bladder or prostate bleeding.

Patients with severe azotemia.

After the catheter is inserted, it causes severe pain, and those who use antispasmodic analgesics cannot relieve the pain.

Patients with severe urinary tract infections.

2 Diet In order to keep the catheter clean and unobstructed, daily rinsing should be performed daily, 40 to 60 ml each time; if the bladder infection is severe, it can be rinsed with an anti-infective solution, such as 1: 5000 furacicillin solution or 1% neomycin Solution. Pay attention to the clean and dry ostomy fistula, clean the ostomy fistula daily.

If bleeding in the bladder does not stop, a small amount of 0.03 ephedrine can be added to the irrigation solution, which can often achieve hemostasis.

The drainage bag must be below the bladder level to prevent urine from returning to the bladder and causing infection.

The drainage bag is changed every 2 days, and the drainage tube is replaced once a month.

If a catheter obstruction occurs, you should go to the hospital for treatment.

Drink plenty of water to prevent bladder stones.

Effect of cystostomy surgery

The puncture ostomy method is simple and less suitable for most patients. The surgical method is suitable for prostate, bladder, and urethral surgery. Note that for permanent fistulas, the bladder must be flushed regularly and the ostomy tube replaced to prevent infection and stones. Urinate regularly to prevent bladder contracture.

Bladder anesthesia method

Spinal or epidural anesthesia.

Bladder anesthesia contraindication

Safe and effective

Cystostomy considerations

1. Poor urine drainage or leaking urine. When this happens, pay attention to whether the fistula is blocked, and then adjust the position of the fistula. When the urine leakage is serious, a negative pressure should be placed for suction. ^[1]

2. Rinse the bladder intermittently with normal saline or a 1: 2 000 furacillin solution.

3. Connect the bladder ostomy tube to the urine collection bag. Patients with acute urinary retention should slowly release urine in the bladder. For example, patients with cardiovascular insufficiency should quickly empty the bladder, which may cause shock.