Name of the Procedure:

Catheter for Continent Stoma (A5082)

Summary

A catheter for a continent stoma is a specialized medical device used to help individuals with a continent urinary diversion empty their bladder. This device allows urine to be drained through the stoma, providing a convenient and effective way for patients to manage their urinary output.

Purpose

The procedure is designed to assist individuals who have undergone surgery to create a continent urinary diversion, such as an ileal conduit or a continent urostomy. The catheter ensures that urine can be evacuated efficiently and hygienically, reducing the risk of infection and other complications.

Indications

Patients who have undergone surgeries creating a continent stoma typically require this procedure. Indications include:

• Bladder cancer requiring urinary diversion.
• Severe bladder dysfunction where traditional catheterization is not feasible.
• Spina bifida or other congenital anomalies impacting bladder function.

Preparation

• Pre-procedure instructions: Typically, patients may need to ensure they have all the necessary supplies ready.
• Assessments: No specific diagnostic tests are usually required, but a healthcare provider may review the patient's condition and medical history.

Procedure Description

1. Preparation: Wash hands and gather the necessary equipment, including the catheter, lubricant, and a collection basin.
2. Insertion: Apply a water-soluble lubricant to the catheter, then gently insert it into the stoma.
3. Drainage: Allow urine to drain into the collection basin.
4. Removal: Once drainage is complete, carefully remove the catheter and clean the stoma site.

This procedure typically does not require anesthesia.

Duration

The entire catheterization process generally takes about 10-15 minutes.

Setting

The procedure can be performed at home, in a hospital, or at an outpatient clinic.

Personnel

• Home setting: The patient or a caregiver.
• Healthcare setting: Nurses or other trained medical professionals.

Risks and Complications

• Common Risks: Irritation or minor bleeding at the stoma site.
• Rare Risks: Infection, urinary tract infection, or trauma to the stoma. Management includes maintaining cleanliness and monitoring for signs of infection.

Benefits

• Improved Urinary Management: Allows for efficient and hygienic urine drainage.
• Independence: Grants patients greater autonomy in managing their urinary output.

Benefits are typically realized immediately after the procedure.

Recovery

• Post-procedure care: Regular cleaning of the stoma site and proper catheter storage.
• Recovery time: No downtime is typically required.
• Follow-up: Regular check-ins with a healthcare provider to monitor for complications.

Alternatives

• External Collection Devices: May be less invasive but could be less effective for continent stomas.
• Surgical Revision: In cases where the stoma or its function poses continual issues.

Each alternative has its own set of pros and cons, varying by patient condition and preference.

Patient Experience

Patients should experience minimal discomfort during the procedure. Proper lubrication and gentle handling minimize pain. Post-procedure, maintaining cleanliness is essential to prevent irritation and infection.