Urostomy (Urinary Diversion): A surgically created opening on the right hand side of the abdominal wall through which urine passes. A urostomy may be performed when the bladder is not functioning and has been removed. The most common type of surgery is known as ileal conduit.
Reason for surgery: Bladder Cancer, spinal cord injury, malfunction of the bladder and birth defects such as spina bifida.
Care of urostomy: A bag system is worn. Bags are odour free and different
manufactures have disposable or reusable varieties to fit your lifestyle. Stoma supplies
are available through your doctor on prescription. Which you can take to the local
chemist or get them delivered direct to your home via one of the many direct services
available, (they are free).
Living with a urostomy
Work: with the possible exception of jobs requiring very heavy lifting, a urostomy
should not interfere with work. People with urostomies are successful business people,
teachers, carpenters, welder, etc.
Sex and social life: Sexual functions are influenced by the reasons for which the
urostomy is performed. The urostomy itself should not interfere with normal sexual
activity or pregnancy. It does not prevent one from dating, marriage or having children.
Clothing: Usually one is able to wear the same clothing as before the surgery
Sports and Activities: With a securely attached bag one can swim, camp out and
participate in practically all types of sports. Caution is advised in heavy body contact
sports. Travel is not restricted in any way. Bathing and showering may be done with or
without the bag in place.
Diet: Usually there are no dietary restrictions and foods can be enjoyed as before. It is
suggested that up to 3 liters of fluids a day to be consumed to help decrease the
chances of kidney infection.
The physician, medical professionals specially your stoma care nurse. Followed by
your local support group.
Ureter osigmoidostomy is the oldest form of continent urinary diversion for patients born with bladder exstrophy. First performed by Simon in 1852, it remained the most popular method for urinary diversion until the early 1950s when the late complications of electrolyte disturbances, ureter sigmoid obstruction/reflux, urinary tract infections with pyelonephritis, and colon neoplasia were recognized and precluded its acceptance. The introduction and popularization of the Bricker ileal conduit to overcome these complications made urologists lose enthusiasm with ureter osigmoidostomy.
1852 Simon created the oldest form of urinary diversion for bladder patients, ureter osigmoidostomy; this was the most popular method.
1950s Bricker introduced ilea conduit, urostomy, to overcome the complications the urologists were having with the above system.