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Urostomy care in a patient after kidney transplant
Affiliations- Zakład Pielęgniarstwa Chirurgicznego, Transplantacyjnego i Leczenia Pozaustrojowego, Warszawski Uniwersytet Medyczny
- Katedra i Klinika Chirurgii Ogólnej i Transplantacyjnej, Warszawski Uniwersytet Medyczny
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Abstract
Kidney transplantation is the best method of renal replacement therapy in the end-stage renal disease. In patients with lower urinary tract pathology, conducting ureterocystostomy is usually not possible. This problem affects 15% of recipients, much more often concerning children due to the congenital malformations of the urinary tract. Lack of possibility to conduct ureterocystostomy makes surgeons opt for Bricker’s method, which is the ureterointestinal anastomosis, urostomy. This kind of anastomosis requires the supply of ostomy supplies.
The anastomosis with the use of Bricker’s method (using ileal conduit) requires special care as,
apart from the constantly leaking urine, intestinal mucus is secreted which causes it to thicken and it irritates the skin. The psychological aspect is extremely important, therefore the role of the nurse is not limited solely to technical and nursing activities, but their function is also to educate and support.
Abstract
Kidney transplantation is the best method of renal replacement therapy in the end-stage renal disease. In patients with lower urinary tract pathology, conducting ureterocystostomy is usually not possible. This problem affects 15% of recipients, much more often concerning children due to the congenital malformations of the urinary tract. Lack of possibility to conduct ureterocystostomy makes surgeons opt for Bricker’s method, which is the ureterointestinal anastomosis, urostomy. This kind of anastomosis requires the supply of ostomy supplies.
The anastomosis with the use of Bricker’s method (using ileal conduit) requires special care as,
apart from the constantly leaking urine, intestinal mucus is secreted which causes it to thicken and it irritates the skin. The psychological aspect is extremely important, therefore the role of the nurse is not limited solely to technical and nursing activities, but their function is also to educate and support.
Keywords
lower urinary tract pathology; renal transplantation; urostomy; functions of the nurse
About this articleTitle
Urostomy care in a patient after kidney transplant
Journal
Renal Disease and Transplantation Forum
Issue
Pages
231-234
Bibliographic record
Forum Nefrologiczne 2017;10(3):231-234.
Keywords
lower urinary tract pathology
renal transplantation
urostomy
functions of the nurse
Authors
Marta Hreńczuk
Tomasz Piątek
Maciej Kosieradzki
Piotr Małkowski