A urinary diversion is an alternate way to release urine from the body when there is damage to the urinary system. When bladder has been removed to stop the spread of cancer, or when the nerves of the bladder are damaged. Due to problems in the bladder, the urine may get accumulated in the kidneys and ureters etc which calls for diversion .A urinary diversion can be urostomy, which requires a pouch to be worn outside the body.
The most common method adopted for storing and eliminating urine is the continent diversion. Using s section of the stomach or large intestine, a pouch or reservoir is made. The ureters are redirected to carry urine to this pouch where it is stored. The urine is passed out through an opening created in the abdomen called the stoma. The creation of stoma depends on the type of diversion used.
Continent cutaneous reservoir
The reservoir is emptied through the stoma regularly via a catheter. If the urethra is left untouched and preserved after the surgery, then there is no need for a catheter or a stoma.
The urethra is left just as such after the surgery, and the patient can urinate through the urethra itself as before. Sometimes urine has to be emptied using a catheter through your urethra. An internal pouch has to be created surgically that stores urine just the way as the bladder used to do. This pouch connected to your urethra. The urine is emptied in the normal way, except different muscles are used to expel it.
After the surgery, the patient is taught how to insert a catheter through the stoma or urethra so as to drain your reservoir. This can be done either by standing in front of the toilet or by sitting on the toilet and then emptying the catheter between your legs. During the first two weeks the catheter will have to be drained frequently. Soon, the patient will be able to put 4 to 6 hours between catheterizations.
The reservoir has to be flushed out using sterile water or normal saline with a syringe. Because the reservoir is made from a part of the intestine, it is likely to produce some mucus. Flushing the reservoir cleans the mucus and other wastes. Drinking plenty of water helps in flushing out the bacteria more easily. The period of flushing the reservoir is determined by the doctor.
Infections are common after surgery and symptoms such as dark urine or excess mucus content, nausea, pain in the back should be consulted with the doctor straight away. Once the injuries are healed the person can return to his normal life the only exception maybe contact sports and hard physical labor