Which statement describes why Cutaneous Urostomy has been limited?

Which statement describes why Cutaneous Urostomy has been limited?

• A. Procedure has been limited because it provides a pathway for pathogens in skin to directly enter kidney
• B. This surgery reroutes the ureter(s) directly to the surface of the abdomen, forming a small stoma
• C. Urine drains into a stoma bag
• D. It is the most common urinary diversion

Answer: (A)

The main idea is that a cutaneous urostomy creates a direct connection between the urinary tract and the skin, so urine exits through a stoma on the abdomen. This setup provides a pathway for skin bacteria and environmental pathogens to enter the urinary system, which can lead to infections that ascend to the kidney. That elevated infection risk and the associated skin and stoma-care challenges limit how widely this procedure is used. Other statements describe how the diversion works (urine draining into a stoma bag or routing the ureters to the abdominal surface) or incorrectly claim it’s the most common diversion; they don’t explain why the procedure isn’t favored due to infection risk.

The main idea is that a cutaneous urostomy creates a direct connection between the urinary tract and the skin, so urine exits through a stoma on the abdomen. This setup provides a pathway for skin bacteria and environmental pathogens to enter the urinary system, which can lead to infections that ascend to the kidney. That elevated infection risk and the associated skin and stoma-care challenges limit how widely this procedure is used. Other statements describe how the diversion works (urine draining into a stoma bag or routing the ureters to the abdominal surface) or incorrectly claim it’s the most common diversion; they don’t explain why the procedure isn’t favored due to infection risk.