Name of the Procedure:

Change of Cystostomy Tube; Simple

Summary

A cystostomy tube change is a straightforward procedure to replace an existing tube that drains urine directly from the bladder through a surgically created opening. This helps maintain proper bladder function by ensuring the tube is not blocked or damaged.

Purpose

This procedure addresses issues with drainage in patients who have a cystostomy tube. Its primary goal is to ensure proper function of the tube, preventing infections, blockages, or discomfort caused by malfunctioning equipment.

Indications

• Blockage or malfunctions in the current cystostomy tube
• Routine maintenance as part of scheduled care
• Signs of infection or leakage around the existing tube site
• Discomfort or pain associated with the current tube

Preparation

• No specific fasting required unless otherwise instructed by the healthcare provider.
• Patients may be advised to adjust medications that affect blood clotting.
• A general assessment and possibly a quick urine test to rule out infection might be performed before the procedure.

Procedure Description

1. The patient is positioned comfortably.
2. A local anesthetic may be applied to numb the area if necessary.
3. The existing cystostomy tube is gently removed.
4. The tube insertion site is cleaned and checked for signs of infection.
5. A new sterilized cystostomy tube is inserted into the bladder through the existing opening.
6. The tube is secured and connected to the drainage system.
7. The healthcare provider ensures proper functioning and secures dressings.

Duration

Typically, the procedure takes about 15-30 minutes.

Setting

This procedure is generally performed in an outpatient clinic or a hospital setting.

Personnel

• A urologist or trained nurse performs the procedure
• An assisting nurse or medical assistant
• Occasionally, an anesthesiologist if sedation is required (rare for simple changes)

Risks and Complications

• Infection at the insertion site
• Bleeding or irritation
• Discomfort or pain during tube change
• Accidental injury to the bladder
• Tube misplacement

Benefits

• Restored proper bladder drainage
• Reduced risk of infections and complications from blocked or damaged tubes
• Improved comfort and quality of life

Recovery

• Patients can usually go home shortly after the procedure.
• Instructions include how to care for the site and tube.
• Advisement on signs of infection or complications to watch for.
• A follow-up appointment may be scheduled to ensure healing and proper tube function.

Alternatives

• Long-term usage of indwelling urinary catheters
• Regular bladder catheterization for urine drainage
• Surgical options to correct underlying bladder drainage issues

Patient Experience

• Mild discomfort during the procedure, typically alleviated with a local anesthetic.
• After the procedure, some soreness around the site might be experienced.
• Pain management typically involves over-the-counter pain relief medication.
• Routine activities can often be resumed shortly with minimal restriction.

This markdown-styled text provides a structured and comprehensive overview of a simple cystostomy tube change, catering to both medical professionals and patients seeking information.