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Laparoscopic Cystectomy With Ileal Conduit

What you should know

Laparoscopic cystectomy with ileal conduit is surgery to remove your bladder. Your surgeon will use a scope inserted through small incisions on your abdomen to do the surgery. He will use a small section of your intestines to create a urostomy (ileal conduit). This will allow urine to drain from your kidneys through an opening on your abdomen and out of your body. The opening, called a stoma, will be connected to a bag that collects urine.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

Risks

Surgery may increase your risk for bleeding or infection. The stoma may become swollen or painful. Part of your intestine may bulge into the area around the stoma. Urine may leak where the ureters are connected to the section of intestine. You may get a kidney stone. Your ureters may become blocked and not empty urine. Your intestines may also stop working, and it may become difficult to have a bowel movement. You may get a blood clot in your leg or arm. The above conditions may become life-threatening.

Getting Ready

The week before your surgery:

  • Write down the correct date, time, and location of your surgery.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • You may need to take an antibiotic before your surgery to help prevent a bacterial infection.

  • You may meet with a urostomy specialist to decide the best spot for the opening on your abdomen. You will also learn how to care for your stoma after surgery.

  • You may need to have blood or urine tests before your surgery. You may also need an EKG, x-rays, or a CT scan of your kidneys, bladder, or ureters. Talk to your healthcare provider about these or other tests you may need. Write down the date, time, and location for each test.

The night before your surgery:

  • You may need an enema the night before your surgery. This is liquid put into your rectum to help empty your bowel.

  • Ask caregivers about directions for eating and drinking.

The day of your surgery:

  • Ask your caregiver before you take any medicine on the day of your surgery. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital. Caregivers will check that your medicines will not interact poorly with the medicine you need for surgery.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

  • Your surgeon will insert a scope through small incisions in your abdomen. He will insert tools through the scope to perform your surgery. He will remove your bladder and may remove nearby tissue or organs. In men, the organs include the prostate and seminal vesicles (glands near the prostate). In women, the organs include the uterus, cervix, ovaries, and fallopian tubes. Your surgeon may also remove part of the urethra and lymph nodes near your bladder.

  • Your surgeon will then remove part of your intestine. He will use this to connect your ureters to an opening in your abdomen. Two small stents (tubes) will be placed inside the ureters to help urine drain while you heal. Your surgeon will close your incision with stitches or staples.

After your surgery:

You will be taken to a room to rest until you are fully awake. You will be monitored closely for any problems. Do not get out of bed until your healthcare provider says it is okay. You will then be able to go home or be taken to your hospital room.

Contact a caregiver if

  • You cannot make it to your surgery.

  • You see blood in your urine.

  • You have a fever.

  • You get a cold or the flu.

Seek Care Immediately if

  • You are unable to urinate.

© 2014 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.

Learn more about Laparoscopic Cystectomy With Ileal Conduit (Precare)

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