Vesicostomy: Before Your Child's Surgery
What is a vesicostomy?
A vesicostomy is surgery to make an opening for urine to travel from
the bladder out of the body. This opening is called a stoma. It's
made through the skin on the belly. It looks like a small, narrow
slit in the skin below the belly button.
This kind of surgery is done when a child has a problem draining
urine from the bladder in the usual way. The doctor makes a stoma so
urine can leave the body. This new way of passing urine is usually
temporary. Your doctor will talk to you about how long your child
will need it.
Your child will be asleep during the surgery. The doctor makes a cut
in your child's lower belly and in the bladder. The cuts are called
incisions. The doctor then attaches a small part of the bladder wall
to an opening in the skin of the lower belly. After that, urine can
leave the body through the stoma.
Most children go home 1 or 2 days after surgery. Your child will
probably be able to go back to school or day care in about 1 week.
After surgery, urine should flow freely from the stoma. This will
not hurt or be uncomfortable for your child. Your child will need to
wear a diaper that covers the stoma. Your doctor or nurse will teach
you how to care for your child's stoma.
How do you prepare for surgery?
Surgery can be stressful for both your child and you. This
information will help you understand what you can expect. And it
will help you safely prepare for your child's surgery.

Preparing for surgery
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Tell the doctor ALL the medicines, vitamins, supplements,
and herbal remedies your child takes. Some may increase
the risk of problems during the surgery. Your doctor will
tell you if your child should stop taking any of them
before the surgery and how soon to do it.
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The day before surgery
What happens on the day of surgery?

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Follow the instructions exactly about when your child
should stop eating and drinking. If you don't, the surgery
may be canceled. If the doctor told you to have your child
take his or her medicines on the day of surgery, have your
child take them with only a sip of water.
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Be sure your child has something that reminds him or her
of home. A special stuffed animal, toy, or blanket may be
comforting. For an older child, it might be a book or
music.
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At the hospital or surgery center
When should you call your doctor?
Current as of: November 15, 2023
Content Version: 14.0
Care instructions adapted under license by your healthcare
professional. If you have questions about a medical condition or
this instruction, always ask your healthcare professional.
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