Do you know about cystostomy? Here is some basic knowledge for you

The development of medical technology has helped many patients achieve better physical recovery. There is a medical technology that may not be known to everyone, that is, cystostomy. Let us learn about it together.

Patients who are suitable for fistula surgery

1. Patients with acute urinary retention who cannot have a urethral catheter inserted and are not suitable for emergency prostatectomy.

2. Patients with severe bladder or prostate bleeding.

3. Patients with severe azotemia.

4. Patients who experience severe pain after catheter insertion and whose pain cannot be relieved by anticonvulsant and analgesic drugs.

Patients with severe urinary tract infections.

Cystostomy Care

1. The drainage bag must be below the level of the bladder to prevent urine from flowing back into the bladder and causing infection.

2. Change the drainage bag every 2 days and the drainage tube once a month.

3. If catheter obstruction occurs, go to the hospital and ask a doctor for treatment.

4. Drink plenty of water to prevent bladder stones.

Cystotomy precautions

1. If urine drainage is not smooth or urine leakage occurs, pay attention to whether the stoma is blocked and adjust the position of the stoma.

2. Flush the bladder intermittently with saline or 1:2,000 furacilin solution.

3. Connect the cystostomy tube to the urine collection bag. Patients with acute urinary retention should slowly release urine from the bladder. For example, patients with cardiovascular dysfunction who empty their bladder quickly may suffer shock.

Health guidance after cystostomy

1. Family members assist the elderly in taking care of themselves and encourage them to gradually do what they can, such as six cleans (cleaning of the mouth, face and hair, hands and feet, skin, perineum, and bed sheets), five preventions (preventing bedsores, postural hypotension, urinary tract infection, respiratory system infection, and cross infection), three nos (no feces stones, no falling from the bed, and no burns), and one management (dietary management).

2. Spend some time talking with the elderly and encourage them to have more hobbies, such as reading, watching TV, listening to the radio, etc. They can go for a walk outdoors appropriately. Keep the bladder stoma tube unobstructed and the stoma dressing dry. Change the dressing every day in summer, and increase or decrease it according to the situation in other seasons. Observe the skin condition outside the stoma, go to the hospital to change the stoma tube every month, and change the drainage bag every week. If it is contaminated, change it at any time. Instruct the elderly to urinate at the bottom of the urine bag. The urine bag should not be higher than the stoma. When changing the urine bag, urinate first and then change the bag to prevent retrograde infection caused by urine reflux. The urine bag can be fixed to the clothes with a pin. When going out, the urine bag can be placed in a special cloth bag at an appropriate height.

3. Encourage the elderly to eat more light, easily digestible food and keep bowel movements smooth to avoid straining during defecation, which may cause wound bleeding and fistula prolapse due to excessive abdominal pressure. Eat more foods rich in protein and vitamins, which are beneficial to the recovery of cell tissue and the role of nourishing nerves. Avoid eating animal viscera, high calcium, and high oxalate foods to prevent the formation of stones. Drink more water, and the daily amount of water should be evenly distributed to dilute urine and flush the urinary tract.