Cystostomy is a broad term coined for creating a surgical opening into the urinary bladder; it is mostly done as an intended component of urologic surgery. Cystostomy includes “suprapubic cystostomy” or “suprapubic catheterization”. This is different from urethral catheterization. Urethral catheterization is through the natural opening of urethera, whilst cystostomy is through a planned surgical opening into the bladder.
When is cystostomy surgery indicated ?
The foremost indication of cystostomy is basically urinary retention. When you are unable to pass urine, catheterization has to be done. It can be either done temporarily or permanently to find a solution for this problem. So it is done in a setting where an individual is unable to empty his or her bladder effectively and if urethral catheterization is either not desired or is impossible, then suprapubic cystostomy can be done. What cystostomy does is it allows for the bladder to drain, bypassing all the natural routes whenever the urethral catheterization is unfeasible. This is the most commonly performed surgical procedure amongst all urological emergencies.
What is the procedure for cystostomy surgery ?
Cystostomy for the function of suprapubic catheterization may be done in 2 ways.
- It can be done via an open approach, in which a little incision is made just below the belly button, but above the pubic symphysis.
- It can be done via a percutaneous approach as well, in which the catheter is inserted directly into the abdominal wall, just above the pubic symphysis, with or without the help of ultrasound guidance or visualization by flexible cystoscopy.
What are the complications of cystostomy surgery ?
The instant complications of suprapubic catheter placement may include bleeding in the urine (hematuria). This is usually transient or temporary. Post-obstructive dieresis may also occur in which urine output is greatly increased and may be greater than even 200 ml/hour. The later complications can include unintended urethral catheterization, or intraperitoneal extravasation (urine going into the abdominal cavity instead of coming out), altered body image because of presence of tubes, latex allergy, blockage or obstruction of the tubing (by blood, mucous, or bending), and difficulty in finding the cystotomy tract or access again if the tubing comes out.
How to find and reach urologists for cystostomy surgery ?
Now you can find and reach urologists for cystostomy surgery from different hospitals and destinations on a single platform, Hinfoways. You can avail opinions and information from multiple urologists , get cost estimates for cystostomy surgery from different hospitals, compare things and then choose an urologist for cystostomy surgery.
Find, reach and choose an urologist for cystostomy surgery on Hinfoways. Make an informed choice.
Disclaimer: The content provided here is meant for general informational purposes only and hence SHOULD NOT be relied upon as a substitute for sound professional medical advice, care or evaluation by a qualified doctor/physician or other relevantly qualified healthcare provider.
