Ostomy care - urostomy; Urinary diversion - urostomy stoma; Cystectomy - urostomy stoma; Ileal conduit
Urostomy pouches are special bags that are used to collect urine after some types of bladder surgery.
Instead of going to your bladder, urine will go outside of your abdomen. The part that sticks outside your abdomen is called the stoma.
After a urostomy, your urine will go through your stoma into a special bag called a urostomy pouch.
Caring for your stoma and the skin around it is very important to prevent infection of your skin and kidneys.
Your stoma is made from the part of your small intestine called the ileum. Your ureters are attached to the end of a small piece of your ileum. The other end becomes the stoma and is pulled through the skin of your abdomen.
A stoma is very delicate. A healthy stoma is pinkish-red and moist. Your stoma should stick out slightly from your skin. It is normal to see a little mucus. Spots of blood or a small amount of bleeding from your stoma is also normal.
You should never stick anything into your stoma, unless your health care provider tells you to.
Your stoma has no nerve endings, so you will not be able to feel when something touches it. You also will not feel if it is cut or scraped. But you will see a yellow or white line on the stoma if it is scraped.
After surgery, the skin around your stoma should look like it did before surgery. The best way to protect your skin is by:
To care for you skin in this area:
Be sure to treat any skin redness or skin changes right away, when the problem is minor. Do not allow the problem area to become larger or more irritated before asking your provider about it.
The skin around your stoma can become sensitive to the supplies you use, such as the skin barrier, tape, adhesive, or the pouch itself. This could happen slowly over time and not occur for weeks, months, or even years after using a product.
If you have hair on your skin around your stoma, removing it may help the pouch to more securely stay in place.
Call your provider if you notice any of these changes in your stoma or the skin around it.
If your stoma:
If the skin around your stoma:
Also call if you:
American Cancer Society website. Urostomy guide. www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/ostomies/urostomy.html. Updated October 16, 2019. Accessed August 23, 2022.
DeCastro GJ, McKiernan JM, Benson MC. Cutaneous continent urinary diversion. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 140.
Lyon CC. Stoma care. In: Lebwohl MG, Heymann WR, Coulson IH, Murrell DF, eds. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 6th ed. Philadelphia, PA: Elsevier; 2022:chap 232.BACK TO TOP
Review Date: 4/10/2022
Reviewed By: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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