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You are a urostomate

A urostomy is a surgically created opening made to drain urine from the kidneys, after a part of the urinary tract has been damaged (bladder cancer, trauma…). This is usually a permanent stoma. There is a continuous output of urine flowing, so you will need to use a drainable urostomy collection pouch.

Kidney: In humans, bean-shaped organs which ensure blood filtration and produce urine.

Ureter: Conduits that allow the flow of urine from the kidneys to the bladder.
A reflux of urine towards the kidneys is responsible for severe infections.

Bladder sphincter: the bladder sphincter is an annular muscle at the bottom of the bladder that allows the bladder to close when contracted.

Bladder: The bladder is a reservoir for urine. The emptying is controlled by the sphincter. Correct functioning of the muscles and nerves in the bladder wall is essential for full voluntary emptying.

Urethra: The canal which urine passes through which starts at the bladder to leave the body, herefore allowing the bladder to empty.

The 2 most frequent types of urostomies

The cutanous ureterostomy

Urethers are moved to the outside of the body.
When the stoma is just formed, it will have one or two thin tubes (drains) attached to the stoma pouch. These are positioned in theatre and are there to help the operation heal inside.
They will usually fall out into your stoma pouch within 10 - 14 days after the operation.

The trans-ileal urostomy (Bricker)

This operation is usually longer as there are two steps:

- Step 1: consists of isolating a part of your ileon (~15cm).
- Step 2: one end of the ileo part will be closed and the other part will be placed outside of the body as a stoma. The ureters will be connected into this ileo part. Urine can pass through the ileo part and leave the body.

Urostomate patient guide