Before your operation urostmy

“I had lots of questions before my urostomy operation”

It's totally normal to feel apprehensive about your operation, but there are plenty of people to help you every step of the way. Here are some common questions you might want to answer before your operation.

What is a urostomy?More info
A urostomy is an operation that involves creating a diversion to allow your urine to pass outside your body through a small spout on the abdomen called a stoma.
Why am I having a urostomy? More info

Your operation may need to be performed for a number of different reasons - your surgeon and specialist stoma care nurse will explain these reasons to you. For a number of people, your bladder may need to be removed as a result of disease or damage.

What is the operation like? More info

Usually, the surgeon will form an ‘ileal conduit’, which entails detaching the ureters from the bladder and joining them both to a short length of the small bowel. One end of this piece of your small bowel is sealed off, while the other end is brought to the surface of your abdomen to form your stoma.

Opposite: Ileal conduit Kidneys 1 Ureters 2 Stoma 3
Where will my stoma be? More info

A urostomy is normally on the right-hand side of your body. Before your operation, your specialist stoma nurse will usually mark where your stoma should be, as a guide to the surgeon.

It will be in a position where you can see it, so that you can change your stoma bags easily. However, it may not always be possible to put the stoma in the exact position your nurse has marked.

What will it look and feel like? More info

Your stoma will look a bit like the inside of your mouth and it will be soft to touch. It will be pinkish-red in colour and should be moist. The stoma should stand out slightly, like a spout, from your abdomen.

Will it be painful?More info
There is no sensation in the stoma and it is not painful. It is likely to be swollen at first and will take a few weeks to reduce in size. There will be small stitches around the edge of the stoma, which will usually dissolve.