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Yashoda Hospitals > Surgery > Vesicostomy (Urinary Diversion Surgery)

Advanced
Vesicostomy (Urinary Diversion Surgery)
Surgery in Hyderabad

Yashoda Hospitals offers advanced Vesicostomy (Urinary Diversion Surgery) to relieve bladder pressure, protect kidney function, prevent urinary complications, and provide comprehensive care for children with urinary tract disorders.

  • Protecting Tiny Kidneys with Expert Pediatric Urology Care.
  • Specialised Vesicostomy Care for Better Urinary Health.
  • Advanced Solutions for Complex Pediatric Bladder Conditions.
  • Expert Hands. Safer Outcomes. Healthier Futures.
  • Comprehensive Pediatric Urology Care Under One Roof.
  • Trusted Expertise for Lifelong Urinary Health.

Vesicostomy (Urinary Diversion Surgery) is performed to manage urinary obstruction or bladder dysfunction when normal urine flow is impaired, leading to increased bladder pressure, recurrent infections, or kidney damage. It is commonly recommended for infants and young children with conditions such as congenital urinary tract abnormalities or neurogenic bladder, especially when non-surgical treatments like catheterisation, medications, or bladder training are not sufficient. The procedure involves creating a small opening (stoma) in the bladder through the lower abdomen, allowing urine to drain continuously and safely outside the body, thereby protecting the kidneys and relieving pressure within the urinary system.
Vesicostomy is typically performed under general anaesthesia and usually takes about 30 to 60 minutes, depending on the patient’s condition. After surgery, mild discomfort may occur but is generally manageable with medications and proper care. Recovery is usually quick, with most children stabilising within a short period, although ongoing stoma care and monitoring are essential. In many cases, vesicostomy is a temporary solution and can be reversed once the underlying condition improves or definitive treatment is completed. When performed by experienced specialists, it is a safe and effective procedure that helps preserve kidney function, prevent complications, and improve overall urinary health.

What is a vesicostomy (urinary diversion surgery)?

Vesicostomy is a surgical urinary diversion procedure in which a small opening (stoma) is created in the lower abdomen to allow urine to drain directly from the bladder to the outside of the body. It is most commonly performed in infants and young children who are unable to pass urine normally due to conditions such as urinary obstruction, neurogenic bladder, or congenital urinary tract abnormalities. By allowing continuous drainage, the procedure helps relieve bladder pressure and prevent kidney damage.
This procedure is usually temporary and is done to protect the urinary system until the underlying condition can be treated or improves with growth. Urine drains freely through the stoma into a diaper or collection method, reducing the risk of infections and complications. Once bladder function stabilizes or corrective treatment is completed, the vesicostomy can often be surgically closed, allowing the child to return to normal urination.

Types of Vesicostomy (Urinary Diversion Surgery):

Vesicostomy techniques are designed to create a safe, low-pressure pathway for urine to drain directly from the bladder. While the overall goal is the same, the surgical approach may vary depending on the child’s anatomy, severity of urinary obstruction, and long-term treatment plan. The commonly used types are explained below:

  • Blocksom Vesicostomy: This is the standard and most widely preferred technique, particularly in infants and young children. In this method, a small opening is created in the bladder, and the bladder wall is carefully stitched to the skin to form a stable stoma. It allows continuous urine drainage while preserving bladder capacity and function. The procedure is relatively simple, has a low complication rate, and is usually reversible, making it ideal as a temporary solution until definitive correction is possible.
  • Loop Vesicostomy: In a loop vesicostomy, a portion of the bladder wall is brought outward to form a loop-like stoma on the abdominal surface. This technique provides a wider drainage channel, which may be beneficial in cases with significant obstruction or thickened bladder walls. Although effective, it is less commonly performed today and may require more careful stoma management to prevent complications such as irritation or narrowing.
  • Cutaneous Vesicostomy: Cutaneous vesicostomy is a general term for procedures in which the bladder is directly connected to the skin’s surface to facilitate urine drainage. It includes different technical variations based on how the bladder is opened and attached to the abdominal wall. This approach is chosen when a straightforward, reliable drainage method is needed, especially in patients at risk of kidney damage from high bladder pressure.

The choice of vesicostomy type depends on the child’s specific medical condition, severity of obstruction, and long-term treatment plan. All types aim to protect kidney function, prevent infections, and ensure safe urinary drainage until definitive treatment can be performed.

Procedure Name Vesicostomy (Urinary Diversion Surgery)
Type of Surgery Urinary diversion procedure creating a bladder stoma
Anesthesia General anesthesia
Duration 30–60 minutes
Recovery 1–2 weeks

Specialist Doctors

Dr. Mallikarjuna Reddy N

MBBS, MS, MCh, DNB (Urology), Fellow European Board of Urology

Sr. Consultant Urology & Robotic Surgery
Clinical Director

English, Hindi, Telugu, Marathi, Tamil, Kannada, Punjabi
31 Yrs
Hitec City
4.9 ★★★★★ (189 reviews)

Dr. Gutta Srinivas

MBBS, MS (Gen Surgery), DNB (Urology)

Sr. Consultant Urologist & Transplant Surgeon, Clinical Director-Department of Urology

English, Hindi, Telugu
25 Yrs
Hitec City
5 ★★★★★ (41 reviews)

Dr. Surya Prakash B

MS, MCh (Urology)

Consultant Urologist, Andrologist & Transplant Surgeon

English, Hindi, Telugu
41 Yrs
Malakpet
4.9 ★★★★★ (36 reviews)

Dr. D. Kashinatham

MS, MCh (Urology)

Consultant Urologist, Andrologist & Transplant Surgeon

English, Hindi, Telugu
20 Yrs
Malakpet

Dr. T. Yashaswi Reddy

MBBS(OSM), MS, MCh(Urology, PGI Chandigarh)

Consultant Urologist, Andrologist, Uroncologist, Robotic & Renal Transplant Surgeon

English, Hindi, Telugu, Kannada, Punjabi
7 Yrs
Malakpet

Dr. Suri Babu

MS, MCh (Urology)

Clinical Director, Consultant Urologist, Andrologist, Laparoscopic, Robotic & Renal Transplant Surgeon

English, Hindi, Telugu
22 Yrs
Secunderabad
4.6 ★★★★★ (147 reviews)

Dr. Nand Kumar Madhekar

MS(General Surgery), MCh (Genitourinary Surgery)

Sr. Consultant Urologist, Andrologist, Robotic & Renal Transplant Surgeon

English, Marathi, Telugu, Kannada, Hindi, Urdu
21 Yrs
Secunderabad
4.9 ★★★★★ (16 reviews)

Dr. P.V.G.S. Prasad

MS(Osmania), MCh Urology (NIMS)

Sr. Consultant Urologist, Andrologist Robotic & Renal Transplant Surgeon

Telugu, Hindi & English
15 Yrs
Secunderabad

Dr. Deepak Ranjan

MS General Surgery (AIIMS), MCh Urology (PGIMER)

Associate Consultant Urologist & Renal Transplant Surgeon

English, Hindi, Telugu
9 Yrs
Secunderabad

Dr. M. Gopichand

M.S. (Mumbai), D.N.B (Uro), M.Ch. (Mumbai) Fellow SIU (Society International Urology), Robotic Training, Atlanta, Georgio, USA

Sr. Consultant Urologist, Minimally Invasive Urologist Oncologist, Laser, Laparoscopic & Robotic Urologist

English, Hindi, Telugu
26 Yrs
Somajiguda
4.8 ★★★★★ (104 reviews)

Dr. Koushik Amancharla

MBBS, MS (Indian Navy Hospital, Mumbai) Mch Urology (NIMS-Hyd) Davinci Intuitive (USA) Certified Robotic Surgeon

Sr Consultant Urologist & Robotic Uro-Oncologist, Advanced Laser Stone & Prostate Specialist

English, Telugu, Hindi
14 Yrs
Somajiguda
5 ★★★★★ (495 reviews)

Dr. G. Madhusudhan Reddy

MBBS (OSMANIA) MS (PGI, CHD), MCh (NIMS)

Sr Consultant, Renal Transplant Surgeon

Telugu, English, Hindi
11 Yrs
Somajiguda
Vesicostomy (Urinary Diversion Surgery): Pre-Op & Post-Op Care

Effective vesicostomy outcomes rely on proper care before, during, and after surgery. Each stage helps ensure safe urine drainage, prevent complications, and support healing and long-term urinary health.

Pre-operative Care

Preparation for vesicostomy involves a thorough evaluation of the child’s urinary health and overall condition. This includes imaging tests such as ultrasound, along with blood and urine investigations to assess kidney and bladder function and detect infections. Any urinary tract infection is treated before surgery. In some cases, bladder function tests may be required. Parents are counselled about the procedure, stoma care, and expected outcomes. Fasting guidelines, medication review, and anaesthesia assessment are completed to ensure a safe and successful surgery.

Intra-operative Care

The surgery is carried out under general anaesthesia in a fully sterile operating environment. Throughout the procedure, the child’s vital parameters such as heart rate, oxygen levels, and blood pressure are continuously monitored. The surgeon makes a small, carefully planned incision in the lower abdomen to access the bladder. A portion of the bladder wall is brought to the surface and sutured to the skin to create a functional stoma that allows continuous urine drainage. Special attention is given to creating an opening that is wide enough for proper drainage but small enough to maintain control and reduce complications. Gentle surgical techniques are used to minimise tissue injury, reduce bleeding, and ensure proper healing conditions.

Post-operative Care

After surgery, the child is monitored closely for stability, adequate urine drainage, and early signs of complications. Pain is managed with appropriate medications, and antibiotics may be given to prevent infection. One of the most important aspects of recovery is stoma care—caregivers are taught how to keep the area clean, prevent skin irritation, and recognise warning signs such as redness, swelling, or reduced urine flow. Frequent diaper changes or use of collection methods help maintain hygiene. Follow-up visits are essential to monitor kidney function, bladder condition, and overall growth. Over time, as the underlying issue improves or is definitively treated, the vesicostomy can often be reversed, allowing the child to regain normal urinary function.

Benefits of Vesicostomy (Urinary Diversion Surgery) at Yashoda Hospitals

Vesicostomy offers several important benefits, especially for infants and children with urinary obstruction or bladder dysfunction:

  • Protects kidney function by reducing high bladder pressure and preventing backflow of urine
  • Ensures continuous urine drainage, avoiding urinary retention
  • Reduces risk of urinary tract infections (UTIs)
  • Relieves bladder pressure and discomfort
  • Prevents long-term complications such as kidney damage and bladder dysfunction
  • Simple and effective temporary solution until definitive treatment is possible
  • Improves overall urinary health and quality of life
  • Vesicostomy is a safe and reliable procedure that helps stabilise the urinary system and supports healthy growth and development in children.

Testimonials

Discover what patients have to say about their experience with Coronary Angiography at Yashoda Hospitals.

 

Pallavi Jha

“I underwent Coronary Angiography at Yashoda Hospitals, and I couldn't be happier with the care I received. The medical team was highly skilled and made me feel comfortable throughout the procedure.”

 

Pallavi Jha 2

“I underwent Coronary Angiography at Yashoda Hospitals, and I couldn't be happier with the care I received. The medical team was highly skilled and made me feel comfortable throughout the procedure.”

 

Pallavi Jha 3

“I underwent Coronary Angiography at Yashoda Hospitals, and I couldn't be happier with the care I received. The medical team was highly skilled and made me feel comfortable throughout the procedure.”

 

Insurance Assistance for Vesicostomy (Urinary Diversion Surgery)

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Free Second Opinion for Vesicostomy (Urinary Diversion Surgery)

Seeking a free second opinion for Vesicostomy (Urinary Diversion Surgery) can help parents and caregivers make well-informed decisions about their child’s treatment. It provides an opportunity to have medical reports, imaging studies, and the diagnosis reviewed by experienced pediatric urology specialists, ensuring that the recommended procedure is necessary and appropriate.
A second opinion can offer clarity on the condition, confirm the treatment plan, and explore alternative approaches if available. It also helps in understanding the expected outcomes, risks, and long-term care involved. This additional guidance builds confidence, reduces uncertainty, and ensures that the child receives the most suitable and safe treatment plan.

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Related Surgeries

Why Choose Yashoda Hospitals for Vesicostomy (Urinary Diversion Surgery)?

Expertise in Pediatric Urology & Surgical Care

Yashoda Hospitals has a team of highly experienced pediatric urologists, surgeons, and specialists skilled in performing vesicostomy with precision, safety, and excellent clinical outcomes, ensuring optimal urinary function and kidney protection.

Comprehensive Consultation & Evaluation

A detailed pre-surgical assessment, including imaging studies, bladder function evaluation, and overall health review, helps determine the most suitable and personalised treatment plan for each child.

Advanced Surgical Infrastructure

The hospital is equipped with modern operation theatres, advanced diagnostic imaging, and specialised paediatric care facilities, ensuring accurate procedures with enhanced safety and effective results.

Access to Skilled Multidisciplinary Specialists

Patients receive coordinated care from paediatric urologists, nephrologists, anaesthesiologists, and post-operative care teams, ensuring safe surgery, smooth recovery, and continuous long-term monitoring of urinary and kidney health.

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Vesicostomy (Urinary Diversion Surgery) Treatment

 

Our Locations

  • Malakpet Location

    Malakpet

  • Somajiguda Location

    Somajiguda

  • Secunderabad Location

    Secunderabad

  • Hitec City Location

    Hitec City

FAQ's

A vesicostomy is a surgical procedure in which a small opening (stoma) is created in the bladder through the lower abdomen to allow urine to drain continuously outside the body.

No, it is usually temporary. It is performed to protect the kidneys and bladder until the underlying condition improves or is treated, after which it can often be closed.

It is most commonly performed in infants and young children, especially those with congenital urinary problems or bladder dysfunction.

Yes, a vesicostomy creates a stoma, which is an opening on the abdomen that allows urine to drain directly from the bladder.

The three main types of stoma are: Colostomy (from the large intestine) Ileostomy (from the small intestine) Urostomy (for urine diversion, including vesicostomy)

The procedure itself is done under anaesthesia, so there is no pain during surgery. Afterwards, mild discomfort may occur but is usually well-managed with medications.

It is also referred to as a cutaneous vesicostomy or bladder stoma.

Yes, in many cases, it can be surgically reversed once the child’s condition improves or definitive treatment is completed.

Vesicostomy is generally a safe and reliable procedure with a high success rate. Complications are uncommon but may include stoma narrowing, infection, or skin irritation, which can usually be managed with proper care.

In many cases, it helps by allowing the bladder to rest and may support better function over time.
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