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Urology (Expert Forum)
Post surgery resources
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Post surgery resources
by Suzane__0__0, Feb 06, 1999 12:00AM
After removal of his bladder, prostate, and urethra for bladder cancer,
my Dad has experienced a great deal of difficulty. He has had severe pain
in the testicle region and hardening. His surgery was 12/29/99 and he is still
moving around very little on 2/6/99. He has difficulty with his bowel and has already
experienced considerable leakage of his collection bag.
What can be done to aid in the recovery process and to eliminate some of the pain?
I am also wondering where we can look for different options for a more reliabe
bag?
Thank you.
======================================================
Dear Suzanne,
A radical cystoprostatectomy with ileal conduit urinary diversion and urethrectomy is a major surgery. This removal of the bladder, prostate gland, and urethra is often the treatment of choice when bladder cancer invades the muscle of the bladder. The urine coming from the kidneys has been rerouted to drain into an opening in the abdominal wall (urostomy) covered by a collection bag. It is not unusual to have continued healing of the abdominal muscles for 6 weeks after such major surgery. Problems obtaining a water tight seal of the stoma bag may occur.
Slowly increasing activity each day is recomended. Oral pain medications may be required. After several weeks pain medications such as ibuprofen or acetominephen may be substituted for narcotic pain medicines. In regards to stoma care, a specialty in nursing of enterostomal therapy exists. Patients before and after urinary diversion surgery need to have contact with an enterostomal therapist to optimize the new urinary collection. Most large health centers have enterostomal therapy nursing available.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-CK
*keyword:Urinary diversion, bladder cancer
my Dad has experienced a great deal of difficulty. He has had severe pain
in the testicle region and hardening. His surgery was 12/29/99 and he is still
moving around very little on 2/6/99. He has difficulty with his bowel and has already
experienced considerable leakage of his collection bag.
What can be done to aid in the recovery process and to eliminate some of the pain?
I am also wondering where we can look for different options for a more reliabe
bag?
Thank you.
======================================================
Dear Suzanne,
A radical cystoprostatectomy with ileal conduit urinary diversion and urethrectomy is a major surgery. This removal of the bladder, prostate gland, and urethra is often the treatment of choice when bladder cancer invades the muscle of the bladder. The urine coming from the kidneys has been rerouted to drain into an opening in the abdominal wall (urostomy) covered by a collection bag. It is not unusual to have continued healing of the abdominal muscles for 6 weeks after such major surgery. Problems obtaining a water tight seal of the stoma bag may occur.
Slowly increasing activity each day is recomended. Oral pain medications may be required. After several weeks pain medications such as ibuprofen or acetominephen may be substituted for narcotic pain medicines. In regards to stoma care, a specialty in nursing of enterostomal therapy exists. Patients before and after urinary diversion surgery need to have contact with an enterostomal therapist to optimize the new urinary collection. Most large health centers have enterostomal therapy nursing available.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-CK
*keyword:Urinary diversion, bladder cancer
