Understanding Cystostomy: Types, Procedures, and Risks

Cystostomy is a surgical procedure that involves creating an opening in the urinary bladder to allow for the drainage of urine. This procedure is typically performed when there is a blockage or obstruction in the urinary tract, such as a tumor or a stone, that is preventing the normal flow of urine.

There are several types of cystostomies, including:

1. Open cystostomy: This is the most common type of cystostomy, where an incision is made in the abdomen to access the bladder and create an opening for drainage.
2. Laparoscopic cystostomy: This is a minimally invasive procedure, where small incisions are made in the abdomen and a laparoscope (a thin tube with a camera and light) is inserted to visualize the bladder and create an opening for drainage.
3. Robotic cystostomy: This is a type of laparoscopic cystostomy that uses a robotic system to assist the surgeon in performing the procedure.
4. Percutaneous cystostomy: This is a minimally invasive procedure, where a needle is inserted through the skin and into the bladder to create an opening for drainage.

Cystostomies can be temporary or permanent, depending on the underlying condition and the patient's needs. Temporary cystostomies are often used to drain urine while the patient undergoes other treatments, such as chemotherapy or radiation therapy, to address the underlying condition. Permanent cystostomies may be recommended for patients who have chronic urinary retention or other conditions that make it difficult for them to empty their bladder completely.

Overall, cystostomy is a surgical procedure that can help restore normal urinary function and alleviate symptoms such as urinary retention or incontinence. However, it is important to note that this procedure carries risks and complications, such as infection and bleeding, and should only be performed by an experienced surgeon.