Cystectomy With Ileal Conduit

WHAT YOU SHOULD KNOW:

Cystectomy With Ileal Conduit (Discharge Care) Care Guide

Cystectomy with ileal conduit is surgery to remove your bladder. Your surgeon will create a urostomy to help urine drain from your kidneys out of your body. A passage called an ileal conduit will be used to connect your kidneys to an opening in your abdomen. The opening, called a stoma, will be connected to a bag that collects urine.

AFTER YOU LEAVE:

Medicines:

  • Medicines may be given to decrease pain or to prevent a bacterial infection. You may also get medicine to make it easier to have a bowel movement.

  • Take your medicine as directed. Contact your primary healthcare provider (PHP) if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your PHP or surgeon as directed:

You will need to return to have the stents removed, and you may need more tests. You will also need to return to make sure the stoma (opening on your abdomen) is healing. Write down your questions so you remember to ask them during your visits.

Wound and stoma care:

Carefully wash your incision wound and stoma with soap and water. Dry the area and put on new, clean bandages as directed. Change your bandages when they get wet or dirty. Ask your PHP or surgeon for more information on stoma care.

Self-care:

  • Rest as needed. Slowly start to do more each day. Return to your daily activities as directed.

  • Prevent constipation. Eat foods that are high in fiber, and drink more liquids. High-fiber foods include fruits, vegetables, whole grains, and bran. This will help soften your bowel movements. Regular exercise and extra liquids may also help prevent constipation.

  • Ask which activities are safe for you. Do not lift heavy objects. Ask when you can return to work, drive, or have sex.

  • Do not smoke. If you smoke, it is never too late to quit. Smoking increases the time it takes for you to heal. Ask your PHP for information if you need help quitting.

Contact your PHP or surgeon if:

  • Your stitches come apart.

  • You have a fever.

  • Your incision wound or stoma is red, swollen, or draining pus.

  • You have nausea or are vomiting.

  • You do not get urine when you catheterize the stoma.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You have any of the following signs of a stroke:

    • Numbness or drooping on one side of your face

    • Weakness in an arm or leg

    • Confusion or difficulty speaking

    • Dizziness, a severe headache, or vision loss

  • You cough up blood.

  • You feel lightheaded, short of breath, and have chest pain.

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.

  • Part of your bowel sticks out through your stoma.

  • You have severe abdominal pain.

  • Blood soaks through your bandage.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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