Urinary Diversion Complications

If you have been given a continent urinary diversion you will need to learn how to use acatheterto empty the urinary reservoir completely in a clean safe manner. You will initially be shown how to do this by your specialist nurse after your operation.

然而，你可能会遇到一些与泌尿系统改道有关的并发症。

Problems with urinary diversions do occur and may include:

• Alterations in fluid and/or salt balance
• Difficulties in inserting the tube into the stoma
• Problems with the skin growing over the stoma and general complications that might occur as a result of the abdominal operation
• Bowel obstruction, urine leakage and bowel leakage
• Urine infections
• Mucus build up which may lead to formation of stones
• Skin soreness around stoma
• 新膀胱-男性和女性的性功能障碍如果手术是为了治疗膀胱癌。

一般来说，尿液改道是非常成功的，大多数患者能够恢复正常的日常活动和生活方式。然而，手术后的头几个月是非常困难的。

Living with urinary diversion

Although it is daunting at first, you will become used to using a catheter after time. It is very important that you drain the urine completely each time you self-catheterise. If urine is left after you catheterise or if you do not take in enough fluids, it may make you prone to urine infections or lead to the formation of stones.

目标是每天至少喝1.5- 2升的液体，并尽量避免碳酸饮料和酒精。

Healthy Drinking

[BBC:021]Healthy Drinking

Did you know that what you drink can affect your bladder? This helpful guide from University Hospitals of Leicester explains simply which drinks can irritate your bladder.

After Urinary Diversion Surgery

在手术后的最初几周，蓄水池不能像正常成年人的膀胱那样容纳那么多的尿液。这意味着你需要更频繁地排水，每两个小时一次。随着贮液时间的延长，情况会有所改善，但你不应该超过六个小时没有导管。

If you have been given a non-continent urinary diversion the stoma therapist will advise you on suitable stoma appliances and give you instruction on how to care for the stoma. The stoma bag can be a one or two piece system. In a two piece collecting system the base plate (flange) and bag come as separate components. The base plate fits around the stoma and sticks onto your abdomen. The bag is then clipped onto the base plate.

Some patients prefer a one piece system where the bag and base plate come already attached to each other. Urine collects in the stoma bag on your abdomen and you can empty it out via a tap at the bottom of the bag.

Your specialist nurse will also advise you about how to obtain supplies of catheters and other equipment like wipes, disposal bags and dressings to protect your stoma from friction with your clothes. We run our own Bladder & Bowel Home Delivery service, and can provide all of your urostomy, wound care and prescription medications delivered right to your front door –find out more.

Further Information

If you are concerned about your urinary diversion and it is starting to affect your day to day life make an appointment to see your doctor. You can find out more general information aboutUrinary Diversionin our Surgical information.

For further support please contact theUrostomy Association. They offer support, reassurance and practical information to anyone who may be about to undergo, or who has already had surgery resulting in a urostomy, continent urinary pouch or a neo-bladder. Appropriate support and advice is also offered to families and carers both before and after surgery.

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