How many years can you live with a cystostomy?

Cystostomy is also a relatively common method. It is more suitable for patients with acute urinary retention. At this time, the patient is unable to urinate normally from the urethra and can only undergo cystostomy. The patient's survival rate is relatively good, but you must pay attention to replacing the catheter every month to prevent infection. Once infection occurs, the harm is relatively large. At the same time, various complications must also be prevented.

Suitable patients

1. Patients with acute urinary retention who cannot have a urethral catheter inserted and are not suitable for emergency prostatectomy. Severe bladder or prostate bleeding. 2. Patients with severe azotemia. 3. After the insertion of the catheter, severe pain occurs and the pain cannot be relieved by antispasmodic and analgesic drugs. 4. Patients with severe urinary tract infection. To keep the catheter clean and unobstructed, it should be flushed regularly every day, 40 to 60 ml each time. If the infection in the bladder is severe, anti-infection solutions can be used for short-term flushing, such as 1:5000 furacilin solution or 1% neomycin solution. Make sure the stoma is clean and dry and clean it every day.

Precautions

1. If urine drainage is poor or urine is leaking, pay attention to whether the fistula tube is blocked and adjust the position of the fistula tube. When urine leakage is severe, a negative pressure suction tube should be inserted. 2. Use normal saline or 1:2,000 furazolidone solution to flush the bladder intermittently. 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 should empty their bladder quickly, which may cause shock.

Surgical results

The puncture stenting method is simple and less damaging and is suitable for most patients. The surgical method is suitable for those after prostate, bladder and urethra surgery. Precautions are that permanent stenting requires regular flushing of the bladder and replacement of the stenting tube to prevent infection and stone formation, and regular urination is required to prevent bladder contracture. Anesthesia method