1. Urostoma’s The postoperative care
Ronny Pieters, RN
EAUN Board member
Chairman Urobel

2. Pre-operative Preparing the patient Physical Psychological
What has the patient understood?
Depending on the patient
wants to know it all
wants to know what’s needed
Re-assuring: “we will take care of you”

3. Post-operative Intensive care or PACU Specialised in intensive care
Specialised in urologic nursing

4. Post-operative 2 Ureterkatheters Drain Naso-gastric tube
Central catheter
PCA
2 Ureterkatheters
Drain
Stoma
Sub-cutaneous drain

6. Post-operative IV-therapy Naso-gastric tube
Full parenteral nutrition ~5 days
PCIA ~3 days (or PCEA)
Naso-gastric tube
Under aspiration
Till bowel movement
Gradual feeding

7. Post-operative Sub-cutaneous drain Drain Ureter catheters
Removed when minimal drainage
Drain
Mobilised after 7 days
Ureter catheters
In situ for 12 days
In beginning monitoring of urineoutput from both catheters seperately

8. Post-operative Stoma Catheter in stoma Applied with stoma-appliance
Catheters in bag or pull-through
When dressing on stoma, moisturized cream

9. Post-operative Patient care Explain the different catheters
Explain the PCIA
Inform on the aspect of the urine
Inform on the coming days
Inform on stoma care (Françoise)
Start preparing the discharge home

10. Post-operative In case of pouch, neo-bladder
Catheter in the pouch or bladder
Flushed (mucus) every 4 h
Usually more than one catheter to avoid filling of pouch or neo-bladder