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WHAT YOU NEED TO KNOW:
Urostomy creation is surgery to create a new way for urine to drain from your body. You may need a urostomy if you have bladder cancer or a birth defect that affects your bladder. Damage to nerves in the bladder or chronic inflammation in your bladder may also lead to a urostomy. After a urostomy, urine will drain through an opening in your abdomen called a stoma. The urine collects in a pouch. You will need to empty the pouch regularly.
Seek care immediately if:
- You cannot stop the bleeding from your stoma.
- You have severe abdominal pain.
Contact your healthcare provider if:
- You have a fever.
- You have blood in your urine, and your urine has a strong odor.
- Your incision wound or stoma is red or swollen, or you have a rash.
- You have nausea, bloating, pain, or are vomiting.
- You empty less than 30 mL of urine from your pouch per hour or less than your healthcare provider said you should.
- Your stoma changes in size or appearance.
- You are weak and unable to do your normal activities.
- You have questions or concerns about your condition or care.
You may need any of the following:
- Medicines may be given to prevent or treat a bacterial infection or to reduce pain. Ask your healthcare provider how to take pain medicine safely.
- Take your medicine as directed. Call your 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.
Follow up with your healthcare provider as directed:
Write down your questions so you remember to ask them during your visits.
Self-care after urostomy creation:
- Care for the skin around your stoma. Wash your hands before and after you care for your stoma. This will help prevent infection. Wash the stoma and the skin around it with mild soap and water. Rinse the area well and pat dry. Do not rub on the stoma. Check the skin for signs of infection, such as redness, swelling, or pus. Ask for more information on stoma care.
- Go slowly and be careful after surgery. You will need to limit your activities for the first 2 to 3 weeks after surgery, or as directed. Do not lift anything heavy. Ask your healthcare provider when you can return to your normal activities and sports. Contact sports, such as football, may not be safe for you even after you heal from surgery.
- Ask when you can take a bath or shower after surgery. You can leave the pouch on or take it off when you bathe. If you leave the pouch off, urine may leak out of the stoma while you bathe. Carefully dry the skin around the stoma and apply new skin protection.
- Drink liquids as directed. Most people should drink at least 8 (8-ounce) cups of liquids each day. Ask your healthcare provider how much liquid you should drink each day.
- Return to work when your healthcare provider says it is okay. You may need support to prevent a hernia if you lift heavy items or perform heavy labor. You may need an ostomy belt over the pouch to keep it in place.
- Carry extra supplies with you in case your bag leaks. Supplies include extra pouches, skin protection products, and a change of clothing. Wear loose clothing so it will not rub against the stoma.
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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.