What are the four methods of urinary diversion?

What are the types of urinary diversions?

• bladder catheterization.
• cystostomy.
• nephrostomy.
• ureteral stent.
• urostomy.
• continent urinary diversion.

What are two types of urinary diversions?

There are 2 types of urinary diversions: continent and non-continent.

What is stoma and urinary diversion care?

Ileal conduit urinary diversion: A segment of the intestine directs urine through a stoma into an external collecting bag. With this procedure, the ureters (the tubes that carry urine from the kidneys to the bladder) drain freely into part of the ileum (the last segment of the small intestine).

What nursing care should be provided for a client with an ileal conduit?

Ileal Conduit Care

1. Change the pouching system once a week or more to avoid leaks and skin irritation.
2. Be gentle when removing the pouch system.
3. Cleaning the stoma and skin with water is enough.
4. Look out for allergic reactions or sensitivities.

What is the most common urinary diversion?

The most commonly used continent cutaneous urinary diversion is the Indiana pouch (see the image below). Introduced in 1987, the Indiana pouch is a urinary reservoir created from a detubularized right colon and an efferent limb of terminal ileum.

What is a ureteral reimplantation?

Ureteral reimplantation (yoor-EET-er-ool RE-im-plan-TAY-shun) is used to treat reflux (REE-flux), a condition in which urine from the bladder is able to flow back up into the kidneys through the tubes that connect the kidneys with the bladder.

What causes urinary diversion?

A urinary diversion is done when the normal flow of urine is blocked or the bladder can’t store urine. The most common reason to have a urinary diversion is after the whole bladder is removed for bladder cancer. A urinary diversion may also be called a urinary tract diversion or bladder diversion.

How do you know if a stoma is functioning?

Palpation

• Gently feel around the stoma site for any tenderness.
• Ask the patient to cough and feel for a cough impulse for any obvious parastomal hernia.
• Gently digitate the stoma to assess for any stenosis and check patency.

What should the nurse teach a client about how do you care for the skin around a colostomy stoma?

Caring for a Colostomy

1. Use the right size pouch and skin barrier opening.
2. Change the pouching system regularly to avoid leaks and skin irritation.
3. Be careful when pulling the pouching system away from the skin and don’t remove it more than once a day unless there’s a problem.
4. Clean the skin around the stoma with water.

How do you care for an ileal conduit?

Soap and water will not enter the stoma or harm you. Choose a time of day when your ileal conduit is the least active to shower or bath. Have a new flange and pouch cut and ready to put on after your bath or shower. Shower or bathe with your appliance off at least once a week, to keep your skin clean and healthy.

What is the purpose of emptying a urinary diversion device every 2 hours?

With this low-pressure pouch, urine can be stored within the body. The goal of this procedure is to allow control of emptying (continence) or backflow to the kidneys (reflux). The reservoir is emptied by intermittent catheterisation with a small plastic catheter every 2–6 hours.

When does an urinary diversion need to be done?

Urinary diversion is when the normal structures are bypassed and an opening is made in the urinary system to bring the urine out another way. This might need to be done if your bladder stops working the right way or needs to be removed because of cancer or an injury.

How is the flow of urine diverted to a replacement bladder?

The flow of urine is diverted to a replacement bladder (“neobladder”) or through an opening in the abdominal wall (called a “stoma”). There are 2 types of urinary diversions: continent and non-continent.

What foods can you eat after urinary diversion surgery?

After urinary diversion surgery, patients will likely be able to resume their normal diet. Some foods, such as asparagus and seafood, may cause urine to have a stronger odor, which may be noticeable when emptying a pouch. If odor is a concern, patients should talk with their health care providers about changes in diet.

Is there an external pouch for continent urinary diversion?

Urine flows through the ureters into the reservoir and is drained by the patient. Continent urinary diversion does not require an external pouch. Continent urinary diversion consists of two main types, continent cutaneous reservoir and bladder substitute.