As with all types of surgery, there can sometimes be problems. A small number of patients may continue to
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experience some incontinence (urine leakage).
Sometimes the stoma can become difficult to catheterise. It may get tighter, this is called stenosis. Wearing
a small stopper in the stoma for three months after surgery may stop this problem. If the stoma does get
stenosed it is important for you to contact your doctor or
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specialist nurse immediately. This can be corrected
fairly easily by leaving a catheter in for one to two weeks. If this doesn’t work the stoma will need to be
stretched in theatre under a general anaesthetic. Do not wait until you cannot pass the catheter at all, as this
will make the need for the stretch using anaesthetic more likely.
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Two other problems that can happen are difficulty in completely emptying the bladder and urine infections.
You should let your doctor or specialist nurse know if you have:
• Blood in your urine
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• Smelly urine
• A temperature causing you to shiver or sweat
• Difficulty draining any urine
• Urine leaking from your urethra or stoma that has not happened before
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• Episodes of back or abdominal pain.
Never leave catheterisation for longer than four hours during the day. Your bladder may overfill and there
is a real risk that your bladder could burst if you have also had surgery to close your bladder neck. It is
recommended that you wear a medic alert disc to make
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medical professionals aware that you have a
Mitrofanoff. The nurse specialist can tell you how you can buy one of these.
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منبع : www.uhs.nhs.uk
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