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Dr. Andrew Rynne

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Is It Safe To Undergo Urostomy When Suffering From Quadriplegia?

Hi.I have a son that is a quadrapeligic. He is considering a urostomy after several problems with the draining tube he has coming from his stomach. He was concerned with the urostomy since it is so final of an operation. Are there any complications that people have experienced and what they are? He has been told he needs this but we decided he needs a second opinion to make sure its the right thing to do. Please give me any info that might be helpful at this point. He has been injured for 27 yrs. thanks, Mom
Fri, 14 Feb 2014
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Neurologist 's  Response
Hi,

Thank you for posting your query.

It is unfortunate that your son is quadriplegic and has no control on urination.

This requires certain procedures to drain the urine. The simplest procedure is to have an indwelling urinary catheter (Foley's catheter), but that is also a source of infection, and can not be kept for long.

Other option is to learn CIC-clean intermittent catheterization. This can be done by people who have good strength in the arms and hands. However, as your son is quadriplegic, he would have arm weakness also, and he would not be able to f=do the CIC.

So, the best option for him is to go for urostomy or a suprapubic cystostomy. Even though it is a surgical procedure, it is safe and can be easily done.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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Is It Safe To Undergo Urostomy When Suffering From Quadriplegia?

Hi, Thank you for posting your query. It is unfortunate that your son is quadriplegic and has no control on urination. This requires certain procedures to drain the urine. The simplest procedure is to have an indwelling urinary catheter (Foley s catheter), but that is also a source of infection, and can not be kept for long. Other option is to learn CIC-clean intermittent catheterization. This can be done by people who have good strength in the arms and hands. However, as your son is quadriplegic, he would have arm weakness also, and he would not be able to f=do the CIC. So, the best option for him is to go for urostomy or a suprapubic cystostomy. Even though it is a surgical procedure, it is safe and can be easily done. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in