open access

Vol 10, No 3 (2017)
Aktualności w pielęgniarstwie nefrologicznym
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Urostomy care in a patient after kidney transplant

Marta Hreńczuk1, Tomasz Piątek1, Maciej Kosieradzki2, Piotr Małkowski1
Forum Nefrologiczne 2017;10(3):231-234.
Affiliations
  1. Zakład Pielęgniarstwa Chirurgicznego, Transplantacyjnego i Leczenia Pozaustrojowego, Warszawski Uniwersytet Medyczny
  2. Katedra i Klinika Chirurgii Ogólnej i Transplantacyjnej, Warszawski Uniwersytet Medyczny

open access

Vol 10, No 3 (2017)
Aktualności w pielęgniarstwie nefrologicznym

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.

Get Citation

Keywords

lower urinary tract pathology; renal transplantation; urostomy; functions of the nurse

About this article
Title

Urostomy care in a patient after kidney transplant

Journal

Renal Disease and Transplantation Forum

Issue

Vol 10, No 3 (2017)

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

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