Sunday 10 October 2021

Urostomy and Treating Kidney Stones

Urostomy, the surgical removal of the abdominal wall made during surgery, is an operation with pros and cons. The pros are that the surgery would remove the bladder and free the person of the burdens of iodine deficiency; this would allow the person to function more normally. The cons include a possible infection after the surgery as the surgeon would have to insert the appropriate equipment into the body, including catheters, oral tubes, and laparoscopic equipment. Most people who undergo urostomy or bladderctomy are diagnosed with kidney stones. 



This condition is because the bladder and urinary tract are cut off from the rest of the body during these operations. The urinary crystals that form in the bladder are not removed during these surgeries because these crystals would become lodged in the bladder. The surgeon would have to surgically remove the bladder and urinary tract during these operations to relieve the pain caused by the urinary crystals.

On the other hand, a urostomy would be performed when urinary tract infections have damaged the bladder. Infection is usually caused by the spread of bacteria or other harmful organisms to the bladder. 


Once bacteria enter the bladder, it would generate infections and blockage that causes severe discomfort. An empty bladder would be the optimal time for a urostomy to take place. The following are some of the conditions that may require a urostomy. If bladder stones have damaged the bladder, it is not possible to empty it. Damage is when the urostomy is needed.


The surgeon would cut through the bladder and remove the stones inside. It takes longer before recovery from bladder stones is complete, so this procedure should be done immediately upon detection. Another example of when a urostomy is needed is when kidney stones entirely block the bladder. This condition requires prompt intervention because the stone obstruction is dangerous and can cause severe pain that interferes with daily activities. Although kidney stones sometimes cannot be removed, a urostomy can be performed to pass through the bladder. What happens in this procedure is that the bladder is cut in two. One is taken away, and the other is placed back. 




The latter has proven to be more effective in ensuring that the stones can eventually pass out of the body. The length of a urostomy surgery can also vary. Most surgeons would recommend that the bladder be kept open for three to six hours. This time would ensure that the bladder can usually empty itself. For patients who have urinary incontinence, this might also be beneficial to avoid dealing with incontinence and urge incontinence. However, patients with bladder problems should also discuss their options with a qualified urologist so that an appropriate strategy can be set up. 




A urostomy might also be recommended if a person has had a previous operation. This recommendation is because it would help make the opening in their bladder smaller. However, a person must remember that a person would have to go through a urostomy again once a person undergoes an abdominal incision. So even though a urostomy might sound like an excellent alternative to bladder problems, it is still best to see their doctor for further tests and diagnosis. He or she could give a person valuable insight into what options a person has regarding bladder problems and how to treat them effectively.



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