Cystostomy – a special tube is administered directly into the bladder through the abdominal wall for direct output of urine from the bladder to a urine collection bag, which is a special bag.
Normally, the urine was filtered in the kidney, then the pelvis of the ureter to the bladder descends, and which gradually accumulates. Bladder wall while gradually stretched. When you reach a certain level of tension in the brain sends a signal, and there is the urge to urinate. This sphincter, closing the exit from the bladder relaxes and urine along the urethra (urethra) goes out.
In case of pathology cystostomy, the patient may not be able to urinate, despite the fact that the bladder will be maximally filled. Such a condition can be extremely dangerous for life and health, so in such cases, doctors urgently make an attempt to mechanical diversion via a catheter introduced through the urethra.
Replacement of cystostomy or washing at home and in the clinic:
In medical centers “Doctor Plus” you can use the service call to the urologist at the house for a replacement or washing at home cystostomy and get advice. The procedure was performed by a physician of the highest category, candidate of medical sciences. Experience 15 years. Our specialist will come to you at a convenient time for you. If necessary, it is possible to conduct ultrasound of the genitourinary system at home. Cost of services 3,500 rubles. We also have all the necessary conditions to carry out this manipulation in our clinics. Make a request, please call (495) 125-49-50.
Indications for installation cystostomy:
Catheter – a thin rubber tube which, when introduced into the urethra from the bladder urine is expelled. However, catheterization is not always possible, and gives the desired effect, such as urethral stone slab. In this case, set vrachёm cystostomy – into the bladder through the abdominal wall of the drainage tube is introduced.
Indications for installation cystostomy:
- The impossibility of the catheter through the urethra, if necessary, long-term stays in the bladder drainage;
- Benign prostatic hyperplasia;
- Acute Prostatitis;
- Do not synchronize the muscles of the bladder and sphincter, which leads to stagnation of urine;
- Injury to the pelvic urethra ruptures;
- Operations carried out on the urethra, penis.
Preparing for cystostomy
Before the planned cystostomy stop taking antiplatelet agents and anticoagulants (blood thinners), to reduce the risk of uncontrolled bleeding. Mandatory consultation of the endocrinologist for diabetes patients, and women, sexually active need to do a pregnancy test.
The main methods of installation cystostomy are:
- trocar cystostomy
- open cystostomy
Replacement home cystostomy Currently, the main type of trocar is practiced cystostomy. One of the main conditions cystostomy setting using a trocar is a full bladder. In an emergency setting such a problem does not arise, because this is the reason that put cystostomy. When planning activities in advance bladder is filled with pre-drinking enough fluid.
All manipulations are carried out under local anesthesia and can be performed on an outpatient basis without subsequent hospitalization. On the treated area with an antiseptic is 0,5 cm 2-3 cm above the pubic joint, which is introduced through a trocar with cystostomy. After that cystostomy sutured to the skin 1-2 stitches.
- an allergic reaction to the anesthetic,
- development of bleeding,
- the development of infectious complications such as suppuration,
- perforation of the colon due to lack of bladder filling.
The reason to see a doctor after cystostomy:
- fever and fever.
- fester around the cystostomy,
- turbid urine color of cystostomy,
- urine with blood from the cystostomy,
- lack of urine from the cystostomy.
One side effect of installing cystostomy is atrophy of self-urination. In order to avoid this it is recommended to train, starting with 6-7 days setting cystostomy. By eliminating the reasons for the delay of urine the bladder periodically emptied himself, ate the reason has not yet been resolved, the urine drainage field simulate a release bladder filling.
Bladder training should consist of the following stages:
- Keeping a drinking regime;
- unclamping drainage and emptying of the bladder;
- simulation of normal urination.
Also in patients with cystostomy required urografichesky control cystometric to measure bladder capacity and control of the morphological structure of its walls to spot the signs of the beginning of the infection, which is often accompanied by cystostomy.
Patients with cystostomy require regular ultrasound control of the state of the urinary system, as well as a permanent laboratory control parameters of blood and urine. This will allow the doctor to react to the negative trends and to stop the pathological process.