Ureterostomy

Surgical procedure to create an opening from the ureter to the skin

Overview

Illustration of a ureterostomy

A ureterostomy is a surgical procedure that creates an opening from one or both of the ureters to the outside of the body. This procedure is typically performed to divert urine away from a diseased or dysfunctional bladder.

Indications

Ureterostomy is indicated in several medical conditions, including:

• Bladder cancer
• Severe urinary incontinence
• Congenital abnormalities of the urinary tract
• Neurogenic bladder
• Trauma to the bladder or urethra

Procedure

The procedure involves the surgical creation of a stoma, which is an artificial opening on the body's surface. The ureter is detached from the bladder and brought to the skin surface, where it is sutured in place. A stoma appliance is then fitted to collect urine.

Types of Ureterostomy

There are several types of ureterostomy, including:

• Cutaneous ureterostomy: The ureter is brought directly to the skin surface.
• Transureteroureterostomy: One ureter is connected to the other, and a single stoma is created.

Postoperative Care

Postoperative care for a patient with a ureterostomy includes:

• Monitoring for signs of infection
• Ensuring proper stoma care and appliance fitting
• Educating the patient on stoma management
• Regular follow-up with a healthcare provider

Complications

Potential complications of ureterostomy include:

• Infection
• Stoma stenosis
• Urinary tract infections
• Skin irritation around the stoma

Related pages

• Urostomy
• Nephrostomy
• Urinary diversion