About Urostomy
Key Highlights
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Provides a reliable and safe method for urine elimination when the bladder is non-functional.Can be a life-saving procedure for patients with advanced bladder cancer or severe trauma.Allows for improved management of urinary incontinence and protection of kidney function.Enhances quality of life by resolving debilitating symptoms and preventing complications like recurrent infections.The external pouch system is discreet, secure, and designed for active daily living.
Who is this surgery for?
- Bladder cancer requiring a radical cystectomy (removal of the bladder).
- Neurogenic bladder dysfunction (e.g., from spinal cord injury, spina bifida, multiple sclerosis) that does not respond to other treatments.
- Severe, chronic urinary incontinence that is unmanageable with conservative therapies.
- Bladder damage from radiation therapy, trauma, or fistula.
- Certain congenital birth defects affecting the bladder or urethra.
- Interstitial cystitis or other painful bladder syndromes causing intractable symptoms.
How to prepare
- Comprehensive pre-operative evaluation including blood tests, imaging (CT scan, MRI), and cardiac assessment.
- Consultation with a stoma nurse (enterostomal therapist) for stoma site marking and education.
- Bowel preparation may be required to clean the intestine segment to be used.
- Discontinuation of certain medications like blood thinners (aspirin, warfarin) as advised by the surgeon.
- Fasting for 8-12 hours before the surgery.
- Psychological counseling and support to prepare for life with a stoma.
Risks & possible complications
- Surgical risks: bleeding, infection, blood clots (deep vein thrombosis), and adverse reactions to anesthesia.
- Stoma-related complications: ischemia (poor blood supply), retraction, prolapse, or stenosis (narrowing).
- Urinary complications: leakage, kidney stones, or urinary tract infections.
- Bowel complications: ileus (temporary paralysis of the intestine) or bowel obstruction.
- Long-term risks: skin irritation around the stoma, electrolyte imbalances, or parastomal hernia.
Recovery & hospital stay
- Initial hospital stay involves pain management, IV fluids, and monitoring for complications.
- The stoma nurse provides hands-on training for pouching system changes and stoma care.
- Diet is gradually advanced from liquids to solid foods as bowel function returns.
- Avoid heavy lifting and strenuous activity for 6-8 weeks to allow abdominal healing.
- Regular follow-up appointments with the urologist and stoma nurse are essential.
- Patients learn to integrate stoma care into their daily routine, including bathing, clothing, and physical activity.
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Typical hospital stay: 5-10 days
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Expected recovery time: 4-8 weeks
Frequently Asked Questions
If you are considering urostomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for urostomy in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform urostomy. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for urostomy compare across other countries where we have data.
Top hospitals for Urostomy in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing urostomy.
David Jones, a 68-year-old retired mechanic,...
David Jones, a 68-year-old retired mechanic, had a history of recurrent bladder cancer. Despite previous surgeries and BCG treatments, his latest cystoscopy revealed an aggressive, invasive tumor that had spread into the bladder muscle. He experienced severe, constant pelvic pain, frequent and painful urination with blood clots, and urinary incontinence that left him housebound. His urologist, Dr. Evans, explained that a radical cystectomy (removal of the bladder) with a urostomy was the only curative option to prevent the cancer from metastasizing. David underwent robotic surgery to create an ileal conduit: a segment of his small intestine was used to divert urine to a stoma on his abdomen, which would drain into a discreet external pouch. His initial hospital recovery was challenging, managing pain and learning stoma care with a nurse. Within six weeks, he regained strength and mastered changing his urostomy appliance. The constant pain and fear of cancer are gone. Emotionally, David was terrified of the 'bag,' associating it with a loss of masculinity and independence. Post-surgery, with support from an ostomy nurse and a support group, he reframed it as his 'life-saving plumbing.' He now travels, gardens, and plays with his grandchildren, viewing the urostomy not as a limitation, but as the reason he's alive to enjoy his retirement.
Urologists for Urostomy
Explore experienced urologists who regularly perform urostomy and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore