{"id":4387,"date":"2024-12-12T14:36:34","date_gmt":"2024-12-12T13:36:34","guid":{"rendered":"https:\/\/www.peyrat-urologie.fr\/expertise\/cystostomy\/"},"modified":"2026-02-02T20:27:27","modified_gmt":"2026-02-02T19:27:27","slug":"cystostomy","status":"publish","type":"page","link":"https:\/\/www.peyrat-urologie.fr\/en\/expertise\/cystostomy\/","title":{"rendered":"Cystostomy"},"content":{"rendered":"\t\t
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Cystostomy<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tHome \/ <\/a>Cystostomy\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Cystostomie\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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When should a cystostomy be considered?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Cystostomy is a surgical procedure involving the creation of a temporary or permanent opening in the bladder to ensure drainage outside the natural route. This technique is used in many situations where normal evacuation of urine is impossible or contraindicated. <\/p>

Cystostomy is indicated in particular in cases of :<\/p>

\u2714 Severe urethral obstruction<\/strong> (tumors, strictures, trauma) preventing normal urine flow,<\/p>

\u2714 Significant bladder dysfunction<\/strong> with inability to urinate spontaneously,<\/p>

\u2714 Recurrent urinary tract infections<\/strong> requiring prolonged drainage,<\/p>

\u2714 Preparation for or following complex pelvic or urological surgery<\/strong> ,<\/p>

\u2714 Palliative management<\/strong> in some patients to relieve symptoms.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Objectives of cystostomy<\/h3>

– Ensure effective, safe bladder drainage,
– Prevent or treat complications associated with urinary retention,
– Improve patient comfort and quality of life,
– Facilitate management of complex situations.<\/p>

Surgical technique<\/h3>

Cystostomy can be performed using different methods, depending on the clinical context:<\/p>

– Percutaneous cystostomy<\/strong> (under radiological or ultrasound control): minimally invasive method, often used in emergency or outpatient care.
– Surgical cystostomy<\/strong>: incision in the lower abdomen to expose the bladder and place a drain (catheter or catheter).<\/p>

The procedure is performed under local, locoregional or general anesthesia, depending on the situation.
A catheter is placed through the abdominal wall into the bladder to ensure continuous drainage.<\/p>

Post-operative care<\/h3>

– Check that the drain and skin site are working properly,
– Moderate risk of local infection (can be prevented by antibiotics),
– Management of the catheter: regular changes and local care,
– Possibility of returning home with appropriate equipment and medical follow-up.<\/p>

Results and follow-up<\/h3>

– Cystostomy bladder drainage effectively prevents distension and renal complications,
– Whether the device is maintained or removed depends on the evolution of the underlying pathology,
– Dr. Laurence Peyrat provides regular follow-up to adapt management, prevent complications and plan for possible rehabilitation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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The expertise of Dr Peyrat Laurence<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Why consult Dr Laurence Peyrat?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Urologist experienced in the management of complex bladder pathologies,\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Regular practice of cystostomy techniques, percutaneous or surgical,\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Rigorous monitoring to optimize patient quality of life and safety.\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\u2714 Personalized support and coordination with care teams,\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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About us<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Patient journey<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Discover in video the typical patient journey, my approach to urology and my method of procedure.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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A first step towards an effective solution<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Make an appointment today to benefit from attentive listening and support tailored to your situation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tSurgery appointment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

When should a cystostomy be considered? Cystostomy is a surgical procedure involving the creation of a temporary or permanent opening in the […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":4370,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4387","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/4387","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/comments?post=4387"}],"version-history":[{"count":2,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/4387\/revisions"}],"predecessor-version":[{"id":5097,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/4387\/revisions\/5097"}],"up":[{"embeddable":true,"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/4370"}],"wp:attachment":[{"href":"https:\/\/www.peyrat-urologie.fr\/en\/wp-json\/wp\/v2\/media?parent=4387"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}