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Urostomy is most commonly performed after cystectomy, such as may be necessary in, for example, bladder cancer.Other indications include severe kidney disease, accidental damage or injury to the urinary tract, surgical complications because of non-related pelvic or abdominal surgery, congenital defects that cause urine to back up into the kidneys, or urinary incontinence.
The ureters are surgically removed from the bladder and repositioned to drain into this new pouch. The end of the segment of small intestine is brought out through a small opening in the abdominal wall called a stoma. Since a segment including the large and small intestines is utilized, also included in this new system is the ileocecal valve.
A urostomy bag connects to a night bag that may be attached to the bed at night. Urostomy bags are available as one- and two-piece bags: [citation needed] One-piece bags: The adhesive and the bag are welded together. The advantage of using a one-piece appliance is that it is easy to apply, and the bag is flexible and soft.
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Ostomy barriers sit on the skin and separate the ostomy pouch from the internal conduit. They are not always present. These barriers, also called flanges, wafers, or baseplates are manufactured using pectin or similar organic material and are available in a wide variety of sizes to accommodate a person's particular anatomy.
Penile external catheters/urisheaths combined with urine bags are preferred over absorbent products – in particular when it comes to 'limitations to daily activities'. [2] Advantages also include discretion, less water retention at the skin surface, and the potential for 24 hour use. Complications can increase in severity and frequency over time.
A suprapubic cystostomy or suprapubic catheter (SPC) [1] (also known as a vesicostomy or epicystostomy) is a surgically created connection between the urinary bladder and the skin used to drain urine from the bladder in individuals with obstruction of normal urinary flow.
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