Cystostomy can be set for a long time, in this case, the urine is carried through the capitate rubber catheter (catheter Maleko or Pezzer). It should be changed once a month, as he corked the urinary salts, crack, or toiling at the level of the head. In the presence of cystostomy rinse the bladder at least 2-x times a week. Care cystostomy perform the following way.
The skin around cystostomy rinse with boiled warm water solution "Furazilin" or a weak solution of potassium permanganate. Dry the leather surface wipes, apply to the skin around cystostomy ointment "Stomahesive" or paste lassara. After soaking remove the excess ointment with a tissue. Observe the operation of drains. The appearance of fresh blood and clots are not dangerous only in the first few days after surgery. Important is to detect the termination of the outflow of urine, as this may be due to the loss, blockage or kinking of the catheter.
To flush the bladder through a catheter, put on sterile gloves, sterile type in a Janet syringe 200 ml "Furatsilinom" at a concentration of 1:5000 or 3% solution of "Boric acid". Capitate then disconnect the catheter from the drainage bag, insert the syringe into the hole of the catheter, gently put 30-40 ml of solution. Next, disconnect the cannula of the syringe from the catheter, place a tray or other container under the flowing liquid. Repeat the procedure until the clean water.
When you change the capitate of the catheter after removing it clean the skin around cystostomy disinfectant. Enter a new catheter conductor (a long metal pin) and pull the catheter all the way to his head stretched out. Insert the tool with the guide into the bladder through cystostomy. Remove the conductor, in this expanded head lock to the catheter.
To test the capitate of the catheter, insert with a syringe Janet into the bladder solution "Boric acid" or "Furatsilinom". Urine collection day lower the outer end of the catheter into a drainage bag hanging under clothing, the thigh or abdomen. At night place the outer end of the catheter into the container that should be attached to the bed. To replace the bag pull the tube from his catheter, drain urine, clean connect the urostomy pouch with a catheter.