A urostomy is an opening in the belly (abdominal wall) that’s made during surgery. It re-directs urine away from a bladder that’s diseased or not working as it should. The bladder is either bypassed or removed. (Surgery to remove the bladder is called a cystectomy.) After this surgery, urine is passed out of the body through an opening on the belly called a stoma. A Wound Ostomy Continence nurse (WOCN or WOC nurse) or the surgeon will figure out the best location for your stoma. (A WOC nurse is a specially trained registered nurse who takes care of and teaches ostomy patients. This person may also be called an ostomy nurse.)
The stoma will look pink to red and will be moist and shiny. The shape will be round to oval, and it will shrink over time after surgery. Some stomas may stick out a little, while others are flush with the skin.
You won’t be able to start or stop urine coming out through the stoma, so you might need a pouch to collect the urine as it comes out. The stoma has no nerve endings, so it’s not a source of pain or discomfort. It is just a change in the way urine comes out of your body.
A urostomy is not a disease, but a change in the way your body works. It surgically changes the way urine comes out of your body.
The stoma will look pink to red and will be moist and shiny. The shape will be round to oval, and it will shrink over time after surgery. Some stomas may stick out a little, while others are flush with the skin.
You won’t be able to start or stop urine coming out through the stoma, so you might need a pouch to collect the urine as it comes out. The stoma has no nerve endings, so it’s not a source of pain or discomfort. It is just a change in the way urine comes out of your body.
A urostomy is not a disease, but a change in the way your body works. It surgically changes the way urine comes out of your body.
Mitrofanoff
This surgery avoids the need to wear a urostomy pouch over the stoma to collect the urine. Instead a small stoma is created and a catheter is passed into a reservoir (or the natural bladder) to drain the urine. The person having the operation must be highly motivated to accept this procedure. Good dexterity is required and a firm commitment to take care of the reservoir. As there is no other way of draining the reservoir a catheter must be passed at regular intervals, usually four hourly.
Paul Mitrofanoff developed a continent urinary stoma mechanism in 1980. A urinary reservoir is fashioned from bowel, or the person’s own bladder may be used as the reservoir. A channel is created from the appendix, ureter or ileum. The diversion is continent because of the valve arrangement, which prevents urinary leakage. The channel connects the reservoir to the abdominal surface. A small catheterisable stoma is placed in a cosmetically suitable site. It is important that the person is able to see the stoma in order to insert the catheter easily.
Paul Mitrofanoff developed a continent urinary stoma mechanism in 1980. A urinary reservoir is fashioned from bowel, or the person’s own bladder may be used as the reservoir. A channel is created from the appendix, ureter or ileum. The diversion is continent because of the valve arrangement, which prevents urinary leakage. The channel connects the reservoir to the abdominal surface. A small catheterisable stoma is placed in a cosmetically suitable site. It is important that the person is able to see the stoma in order to insert the catheter easily.
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