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Laparoscopic Cystectomy With Ileal Conduit
WHAT YOU SHOULD KNOW:
- A cystectomy is a surgery to remove your bladder. Your bladder is the organ that holds the urine in your body before you urinate. Normally, your urine passes from your kidneys into your bladder through tubes called ureters. Your urine then moves out of your bladder through a tube called your urethra. You may need a cystectomy if your bladder does not work. You also may need a cystectomy if your bladder or kidneys are damaged. In a laparoscopic cystectomy, small incisions (cuts) are made in your abdomen. Caregivers will put tools and a scope with a camera on it through these cuts to remove your bladder.
- After your bladder is removed, your ureters are connected to a piece of your bowel. This creates a passage called an ileal conduit. This passage drains your urine out of your body through a hole in your abdomen. This hole is called a stoma and is attached to a bag that collects your urine. With an ileal conduit, urine may leave your body even when your bladder is not working. An ileal conduit may help prevent damage to your kidneys. If you have cancer, a cystectomy may help treat it and decrease the risk of it spreading to other parts of your body.
Take your medicine as directed.
Call your primary healthcare provider 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.
- Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.
- Blood thinners: This medicine helps prevent clots from forming in the blood. Clots can cause strokes, heart attacks, and death. Blood thinners make it more likely for you to bleed or bruise. Use an electric razor and soft toothbrush to help prevent bleeding.
- Pain medicine: You may need medicine to take away or decrease pain.
- Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.
- Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.
- Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.
- Stool softeners: This medicine makes it easier for you to have a bowel movement. You may need this medicine to treat or prevent constipation.
Ask for information about where and when to go for follow-up visits:
For continuing care, treatments, or home services, ask for more information.
- During your follow-up visit, your caregiver will check your wound (surgery area). Your caregiver may take out your stitches or staples. Your caregiver may take out any drains that were put in during your surgery. You may need blood and urine tests. You may have imaging tests to take pictures of your kidneys, ureters, and other organs. Ask your caregiver for information about any tests you may need.
Your caregiver may teach you to put mineral oil around your stoma. This may help keep your skin from being rough and dry. Your caregiver also may have you put a bandage around your stoma. Ask your caregiver for more information on how to care for your stoma.
Do not smoke:
If you smoke, it is never too late to quit. Ask for information about how to stop smoking if you need help.
CONTACT A CAREGIVER IF:
- You have a fever.
- The skin around your stoma becomes red, irritated, or swollen.
- The stitches on your surgery wound come apart.
- Urine does not come out of your stoma.
- You are constipated (have hard, dry stools) or you are unable to have a bowel movement.
- You have an upset stomach or throw up.
- You have chest pain or trouble breathing that is getting worse over time.
- You see stones or blood in your urine bag.
- Your abdomen becomes swollen.
- You have questions or concerns about your cystectomy, medicine, or care.
SEEK CARE IMMEDIATELY IF:
- Part of your bowel sticks out through your stoma.
- You have very bad pain in your abdomen or sides.
- You have a fast heartbeat.
- You have bleeding from your surgery wound that does not stop.
- You have new and sudden chest pain. You may have more pain when you take deep breaths or cough. You may cough up blood.
- You suddenly feel lightheaded and have trouble breathing.
- Your leg feels warm, tender, and painful. It may look swollen and red.
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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.