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Cystectomy With Continent Cutaneous Urinary Diversion

WHAT YOU NEED TO KNOW:

Cystectomy with continent cutaneous urinary diversion is surgery to remove your bladder. Your surgeon will create a urostomy to help urine drain from your kidneys out of your body. He will make a new bladder from a piece of your intestine. The new bladder will be connected to an opening called a stoma on your abdomen.

HOW TO PREPARE:

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 antibiotics before your surgery. This medicine helps kill bacteria that may cause an infection.
  • You may need to donate blood before your surgery. Your blood is stored in case you need it during or after your surgery.
  • Your caregiver may tell you to eat foods high in fiber the weeks before surgery. This will help you have bowel movements and clean out your intestines. You may also need an enema before your surgery. This is liquid put into your rectum to help empty your bowel.
  • You may need blood or urine tests before your surgery. You may also need x-rays or a CT scan of your kidneys, bladder, or ureters. Talk to your caregiver 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 be given medicine to help you sleep.
  • 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.

WHAT WILL HAPPEN:

What will happen:

  • Your surgeon will make an incision in your abdomen near your umbilicus (belly button). He will remove your bladder and may remove nearby 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 make a new bladder by connecting the section of intestine to your ureters. Two small stents (tubes) will be placed inside the ureters into the kidney to help urine drain while you heal. Your surgeon will connect part of the new bladder to an opening on your abdomen. He may also use part of your appendix. He 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. Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home or be taken to your hospital room.

CONTACT YOUR HEALTHCARE PROVIDER IF:

  • You cannot make it to your surgery.
  • You have a fever.
  • You have questions or concerns about your surgery.
  • The problems for which you are having surgery get worse.

Risks

Surgery may increase your risk for bleeding or infection. Urine may leak where the ureters are connected to the section of intestine. Your ureters may also become blocked and not empty urine. You may get a blood clot in your leg or arm. Your symptoms may become worse if you do not have surgery. The above conditions may also become life-threatening.

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.

© 2015 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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