The common problems related to urinary diversion
In case if you have been undergone continent urinary diversion you must know how to insert a catheter to drain out urine entirely and safely. At the start, your nurse will help you in this process but eventually, you need to learn it by yourself.
Several complications may disturb you after the operation.
Some common problems which occur with urinary diversion are:
- Changes in liquids and salt balance
- Hardships in putting the catheter in the stoma
- Peristomal skin (Skin around the stoma)issues
- Bowel seepage, urine leakage, or bowel obstruction
- Infected urine
- Accumulation of the mucus leading to the stones
- Skin discomfort nearby stoma
- Sexual issues in both men and women after the formation of the neobladder
- Typically, a urinary diversion is 100 % successful and the individuals can enjoy their life as before. They can enjoy daily life activities and events. Initial months can be hard for the patients.
How to live with a urinary diversion?
Even though it seems very difficult and horrifying at the start but you will learn it and adapt it over time. The most crucial part is that drain out every single drop of the urine when you do it yourself. If you don’t consume plenty of water or any urine remains in the pouch after the catheterization it can be a reason for urine infections and stone formation.
Your goal should be drinking one to two liters of liquids every day. You should not consume fizzy drinks and especially alcohol.
What happens after the urinary diversion surgery?
Initially, the bladder has not had as much capacity as a natural bladder of an adult. That’s why you need to empty the pouch many times, such as after every 2 hours. With time, the pouch or reservoir got stretched and you need to put in a catheter after every six hours.
In case if you have undergone non continent urinary diversion your Stoma nurse or expert will recommend the best and appropriate stoma accessories and appliances. He or she will also how to take good care of your stoma. The stoma bags come mostly in one or two pieces. In the case of a two-piece pouching system, the skin barrier and the pouch can be separated. There is a visible separation. The patient adheres to the flange or the skin barrier over the stoma and pastes it with the abdomen. Then he put or clips the pouch over the stoma.
Some people can choose a one-piece pouching system. In one piece pouching system there is no separation between the skin barrier and the pouch. It comes as a single piece. The barrier and the pouch previously adhere to one another. Urine from the reservoir is collected and stores in the pouch over the stoma and can be drained later using a catheter or through the valve opening at the bottom.
You can seek help from your stoma nurse or expert while selecting the best stoma accessories and supplies for you. They can help you to choose the best products such as catheters and many other accessories such as wipes, dressings, plastic disposal bags, and products that can help you in protecting your stoma.
You can start your physical activities such as driving and swimming after almost three weeks of the surgery. Once your doctor allows you can start light exercise and other workouts. Beware that you cant engage yourself in tiring workouts.
You should use Ostomy supplies such as an Ostomy belt or wrap when you are going swimming. It will help you in holding your pouch and helps in avoiding leakage.
Also, your catheter should be very clean and sterile. If you use a contaminated catheter it can cause infections and skin problems. You should use gloves while using a catheter. And also, wash your hands before and after using the catheter.
If you are worried about the urinary diversion and it has been exploiting your daily life, then you must book your appointment with your doctor without wasting any time. You can find detailed information about urinary diversion from different websites on the internet.
You can share your feelings with your doctor, family, and friends. You can talk with the people who have undergone this condition. They will share their journey and experiences with you which may help you.