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Cystostomy
What is
Cystostomy?
Cystostomy is a surgically created opening
through the lower abdomen into the urinary
bladder. A plastic tube is inserted into the
opening and drains urine from the bladder into a
plastic collection bag. This relatively simple
procedure is done when a person requires an
indwelling catheter to drain excess urine from
the bladder but cannot, for some reason, have it
pass through the urethral opening.
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Effects
of Cystostomy
When a
cystostomy tube (catheter) is left in place, the
bladder is able to completely empty. This is
considered by majority of patients because it is
more comfortable than an indwelling urethral
catheter, as well as permits greater mobility
for the patient and a reduced amount of risk of
bladder infection.
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Candidates for Cystostomy
Cystostomy is done in patients who are unable to
urinate or have urine left in their bladder in
order to have it drained.
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Your Consultation
The
patient may have general, spinal, or intravenous
sedation in order to prevent discomfort. Our
staff at BHMG will explain to the patient any
special preparation that will be necessary.
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The
Cystostomy Procedure
An
incision is made in the abdominal wall into the
bladder after skin preparation is done after
which a drainage tube or a catheter is inserted.
This tube is secured to the abdomen and a
sterile dressing is then applied.
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Recovery
After
the surgery, it is imperative that arrangements
are made for someone to take the patient home as
he or she will not be permitted to dive due to
the sedatives used during the procedure. Other
special instructions may be given out to the
patient by the surgeon.
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Risks
The
potential risks in this invasive medical
procedure include:
. Discomfort
. Infection
. Pressure upon urination
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Frequently Asked Questions
Q:
What is a cystostomy?
A:
A cystostomy is a surgical formation of an
opening in the abdomen which permits a tube or a
catheter to be inserted making it possible to
drain urine from the bladder. This procedure is
also called a vesicostomy.
Q:
What is a suprapubic cystostomy?
A:
A suprapubic cystostomy is when the formation of
an opening into the bladder passes directly
above the pubic bone. This procedure is a
surgically-created connection between the
urinary bladder and the skin which is used to
drain urine from the bladder in individuals who
has obstruction of normal urinary flow. Urinary
flow may be blocked because of many factors such
as swelling of the prostate (benign prostatic
hypertrophy), traumatic disruption of the
urethra, urinary tract congenital defects, or by
other obstructing objects such as kidney stones
and cancer. With the aid of ultrasound imaging,
a thin tube or a catheter is initially placed
through the skin just above the pubic bone into
the bladder. This catheter remains in place for
approximately a month while the tissue
surrounding it scars and creates a tract between
the bladder and the skin. After the initial
period, the catheter is changed intermittently
so that infections may be prevented.
Q:
Who are the candidates for a cystostomy?
A:
Cystostomy may be indicated for patients who are
having a hard time emptying their bladders
completely or are not able to urinate at all.
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The following list of Urology procedures are
performed at Beverly Hills Medical Group -
please click the links to find out more:
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