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Jan 02, 2012

Leakage Issues After Urostomy: Seeking Advice

This topic is about a person who has undergone urostomy surgery and is experiencing persistent leakage from the urethra, which was not removed during the procedure. They are concerned about this issue and are seeking advice from others who might have faced similar situations. Here are some helpful insights and advice for managing this condition:

1. Understand the extent of bladder removal:
- Sometimes, only part of the bladder is removed during surgery. If any bladder tissue remains, it might still produce fluid that can leak through the urethra.

2. Describe the discharge for medical evaluation:
- Pay attention to the color, amount, and texture of the discharge, whether it is watery or thick. This information can help healthcare providers identify the source of the leakage.

3. Consider the possibility of a fistula:
- A small urinary fistula might cause ongoing, nearly clear drainage. Tests like contrast studies can confirm this. Treatment options will consider the benefits and risks, and mild, non-infected fistulas are often just monitored.

4. Manage the leakage practically until a diagnosis is made:
- Use panty liners or light absorbent pads to handle the leakage comfortably.
- If the leakage becomes heavier or changes in color or smell, reach out to your surgeon or stoma nurse immediately.
- Bringing a sample or a photo of the discharge to your medical appointments can be very helpful for your healthcare team.
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