What is the aftercare of a urinary diversion surgery?

The aftercare of a urinary diversion surgery, such as a continent urinary diversion (CUD) or ileal conduit, involves several important aspects to ensure proper healing and successful recovery. Here are some key points regarding the aftercare of urinary diversion surgery:

1. Wound Care:

- Keep the surgical site clean and dry to prevent infection.

- Follow your doctor's instructions regarding wound dressings and care.

- Avoid strenuous activities that could put pressure on the surgical site.

2. Pain Management:

- Your doctor may prescribe pain medication to manage discomfort during the initial recovery phase.

- Take medication as prescribed and follow the instructions carefully.

- Inform your doctor if pain becomes severe or does not improve with medication.

3. Fluid Intake:

- Maintaining adequate hydration is crucial after urinary diversion surgery.

- Drink plenty of fluids, as recommended by your doctor, to support kidney function and prevent dehydration.

4. Diet:

- Initially, you may be on a clear liquid diet to allow the digestive tract to rest and heal.

- Gradually introduce solid foods as tolerated, as advised by your healthcare team.

- Avoid foods that may irritate the bladder or cause urine leakage, such as spicy or acidic foods.

5. Rest and Activity:

- Adequate rest is essential for healing.

- Avoid strenuous activities or lifting heavy objects until your doctor gives you the go-ahead.

- Gradually increase your physical activity as tolerated over time.

6. Urinary Management:

- Depending on the type of urinary diversion performed, you may have a catheter or a stoma (an opening on the abdomen).

- If you have a catheter, ensure proper care and maintenance to prevent infection and blockages.

- If you have a stoma, learn how to manage the stoma and use the appropriate ostomy supplies to collect urine.

7. Follow-up Appointments:

- Regular follow-up appointments with your doctor are crucial to monitor your progress and address any concerns or complications.

- Your doctor may schedule tests, such as urine analysis or imaging studies, to assess the functionality of the urinary diversion.

8. Management of Complications:

- Any signs of infection, such as fever, chills, or pain, should be reported to your doctor immediately.

- If you experience urine leakage, difficulty urinating, or any other concerns related to the urinary diversion, contact your healthcare team promptly.

Remember that the specific aftercare instructions may vary depending on your individual case and the type of urinary diversion performed. It is essential to follow your doctor's recommendations and attend regular follow-up appointments to ensure a successful recovery.