Home Care for Cystostomy Tubes - Science

Home Care for Cystostomy Tubes - Popular Science (I)

Author: Wang Lingmei, General Hospital of North China Petroleum Administration Bureau

Cystostomy catheters are mainly used for patients who need long-term indwelling catheterization. Compared with indwelling urinary catheters, cystostomy catheters are beneficial in reducing the incidence of urinary tract infections, reducing urethral sphincter damage, and can observe spontaneous urination. It is suitable for elderly patients with prostatitis, urethral tumors, benign prostatic hyperplasia, poor general condition and unsuitable for surgical treatment, and urine retention caused by urine emptying disorder caused by neurogenic bladder. The catheter should be worn for a long time after the operation, so home care for cystostomy patients is particularly important.

Home care for cystostomy tubes:

1. Keep the skin around the urethral opening clean and dry. Clean the skin around the stoma with clean water or saline cotton balls every day, and apply iodine cotton balls to the stoma to prevent infection.

2. Change body position. Patients who are bedridden for a long time should change their body position appropriately to prevent the bladder from being overfilled on one side and causing infection.

3. Replace the drainage bag. When replacing the drainage bag, you need to first clamp the drainage tube, pour out the urine, clean and disinfect the drainage tube, and then connect the drainage bag.

4. Drink plenty of water. Drink about 2000~3000 ml of water every day to dilute the urine and prevent blood clots from blocking the drainage tube. You can eat high-protein foods such as chicken, fish, and milk appropriately, and avoid spicy foods such as peppers and garlic.

5. Regular follow-up visits. Follow the doctor's instructions to have regular follow-up visits to check the condition of the fistula tube and the surrounding tissues, and to detect and handle abnormal conditions in a timely manner.