vesicostomy
Pronunciation: VES-ih-koh-stoh-mee
Surgical creation of an opening from the bladder to the abdominal wall for urinary drainage.
Full Definition
Vesicostomy is a surgical procedure that creates a direct communication between the bladder and the skin surface, typically performed as a temporary measure in infants and children with severe bladder outlet obstruction or neurogenic bladder. The procedure involves bringing a portion of the bladder wall to the abdominal surface, creating a stoma that allows continuous urinary drainage. This technique provides bladder decompression, protects the upper urinary tract from damage, and can improve renal function while definitive treatments are planned or the child grows to an appropriate size for more complex reconstructive procedures.
Usage
Usage note: Specify whether temporary or permanent, and include stoma care instructions in documentation.
In Context
- "Cutaneous vesicostomy was performed to decompress the bladder in the infant with posterior urethral valves." — operative report
- "The patient's vesicostomy provided adequate drainage while awaiting bladder reconstruction." — clinic follow-up