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What's the best way of telling someone you have an ostomy?

Hi there, I need some advice please...I've been going to my local nightclub for 5 years, I guy who's also gone there all that time (and longer apparently) is suddenly showing an interest in me. He's very shy, quiet and hardly talks to anyone but his close mate, they're both bachelors, it was my new 'hairdo' (my wig since hair loss due to low dose chemo for my crohn's) that did it, they were lightheartedly arguing whether it was me or not! I started chatting to the quiet guy, I've only ever said ...

Views: 1129 Replies: 12

Ostomy diet

Is there such a thing as an ostomy diet? I am barely getting any output from my colostomy in at least a month, and I have absolutely no appetite. Last year I was in hospital with what they thought was a partial small bowel obstruction. My "diet" has been small amount of baby oatmeal and some coffee at breakfast: maybe cup of soup for lunch. Small amount of yogurt, jars of baby fruit. I tried to eat small amounts of well-cooked green beans with the carrots today. I've tried to dri...

Views: 512 Replies: 10

Is it possible to be regular with an ostomy?

Hello Everyone! Is it possible to become regular with an ostomy? My dr told me to drink Citrucel everynight to become regular. I find its all day long, Is it possible to train your colon?

Views: 727 Replies: 11

Recycling ostomy bags???

Has anyone ever heard of cleaning ostomy bags after use? I am all for recycling, but I am also concerned about the health risks.

Views: 904 Replies: 15

Disposing of an ostomy bag at a friend's house

I have an ileostomy and i like to use closed end pouches and change them twice a day. I can carry an Ostaway Bag (black, thick, zip-lock) with me and keep a fresh closed end ostomy bag with me in my pocket. Often when I am at someone's house i need to dispose of one bag and put on a fresh one. I really prefer using the closed-ended pouches and i know there isn't any smell if they are put inside the black, thick, Ostaway Zip-Lock Bag. My question is; do you think it is o.k. to throw this in s...

Views: 1273 Replies: 9

Naming my ostomy

I never thought of naming my stoma. I guess by now I would have to call it "old timer" as I have had it for 40 years now.....

Views: 575 Replies: 6

Collection of tips from people with an Ostomy >>


For more information and questions about Urostomy see:

A Urostomy is a surgical procedure which diverts urine away from a diseased or defective bladder. The ileal or cecal conduit procedures are the most common urostomies. Either a section at the end of the small bowel (ileum) or at the beginning of the large intestine (cecum) is surgically removed and relocated as a passageway (conduit) for urine to pass from the kidneys to the outside of the body through a stoma. It may include removal of the diseased bladder. Variations of Urostomy:

  • Continent Urostomy
    There are two main continent procedure alternatives to the ileal or cecal conduit (others exist). In both the Indiana and Kock Pouch versions, a reservoir or pouch is created inside the abdomen with a portion of either the small or large bowel. A valve is constructed in the pouch and a stoma is brought through the abdominal wall. A catheter or tube is inserted several times daily to drain urine from the reservoir.
  • Indiana Pouch
    The ileocecal valve that is normally between the large and small intestines is relocated and used to provide continence for the pouch which is made from the large bowel. With a Kock Pouch version, which is similar to that used as an ileostomy alternative, the pouch and a special "nipple" valve are both made from the small bowel. In both procedures, the valve is located at the pouch outlet to hold the urine until the catheter is inserted.

Urostomy Care

Helpful hints

  • Drink at least six to eight glasses of water daily. This helps keep your urine at its proper acid level, reduces salt formation, and helps prevent the growth of bacteria.
  • Foods like asparagus, garlic, onions, and fish produce odor. Although your pouch is odor-proof, if you eat these foods, you may notice a stronger odor when emptying your pouch. If this is a concern, you may want to limit these foods in your diet.
  • To reduce odor, rinse your urostomy pouch daily (if you are wearing a two-piece system). Rinse your drainage bag after emptying it.  Once a week, wash out your night drainage urostomy bag using a few drops of liquid dish soap and warm water. Rinse the bag thoroughly with warm water. Then rinse with equal parts of white vinegar (1/2-cup) and water (1/2-cup). You may leave the bag soaking in this solution during the day.  This will help deodorize the bag and kill bacteria. Use a funnel to help rinse the bag.
  • Empty your urostomy pouch every three to four hours or when it is one-third full. When your pouch is over one-third full, the weight of the pouch may loosen the seal.  Emptying your pouch frequently will help protect the seal.
  • Normally, your urine contains some mucus shreds. If mucus clogs the drain spout of your pouch, drink more fluids to help unclog it. You may also purchase Marlen Muco-Sperse to dissolve clogged mucus. Your enterostomal therapy (ET)/ostomy nurse can tell you how to order this product.
  • The best time to change your urostomy pouch is in the morning before eating or drinking or two to three hours after you have had fluids.
  • If your doctor orders a urine sample, it should be taken directly from the stoma with a catheter by a trained health care professional.


Applying the Urostomy pouching system

To apply your pouch, follow these steps:

1.   Place all your equipment close at hand before removing your pouch.

2.   Wash your hands.

3.   Stand or sit in front of a mirror. Use the position that works best for you.  Remember that you must keep the skin around the stoma wrinkle-free for a good seal.

4.   Gently remove the used pouch (one-piece system) or the pouch and old wafer (two-piece system). Empty the pouch into the toilet.

5.   Wash the stoma itself and the skin around the stoma. Your stoma may bleed a little when being washed. This is normal.  Rinse and pat dry. You may use a wash cloth or soft paper towels (like Bounty), mild soap (like Dial, Safeguard, or Ivory), and water. Avoid soaps that contain perfumes or lotions.

6.   For a new pouch (one-piece system) or a new wafer (two-piece system), measure your stoma using the stoma guide provided in each box of supplies.

7.   Trace the shape of your stoma onto the back of the new pouch or the back of the new wafer (Fig. 2). Cut out the opening (Fig. 3). Remove the paper backing and set it aside.

8.   Optional: Apply a skin barrier powder to the surrounding skin if it is irritated (bare or weeping), and dust off the excess.

9.   Optional: Apply a skin-prep wipe (such as Skin Prep or All-Kare) to the skin around the stoma, and let it dry. Do not apply this solution if the skin is irritated (red, tender, or broken) or if you have shaved around the stoma.

10. Hold the pouch (one-piece system) or wafer (two-piece system) with the sticky side toward your body. Make sure the skin around the stoma is wrinkle-free.  Center the opening on the stoma, then press firmly to your abdomen (Fig. 4).  Look in the mirror to check if you are placing the pouch, or wafer, in the right position. For a two-piece system, snap the pouch onto the wafer. Make sure it snaps into place securely.

11. Place your hand over the stoma and the pouch or wafer for about 30 seconds.  The heat from your hand can help the pouch or wafer stick to your skin better.

12. Add deodorant (such as Super Banish or Nullo) to your pouch. Other options include food extracts such as vanilla oil, peppermint extract, etc. Add approximately 10 drops of the deodorant to the pouch. Note:
Do not use toxic chemicals or commercial cleaning agents in your pouch. These substances may harm the stoma.

13. Optional: For extra seal, apply tape to all four sides around the pouch or wafer, as if you were framing a picture. You may use any brand of medical adhesive tape.

14. Change your pouch every five to seven days. Change it immediately if leakage occurs.

15. Wash your hands.
If you are wearing a two-piece system, you may use two new pouches per week and alternate them. Rinse the pouch with mild soap and warm water and hang it to dry for the next day. Apply the fresh pouch. Alternate the two pouches like this for a week.  After a week, change the wafer and begin with two new pouches. Place the old pouches in a plastic bag, and put them in the trash.

Applying your Urostomy pouch

  • You may stand or sit to apply your pouch.
  • Keep the skin where you apply the pouch wrinkle-free. If the skin around the pouch is wrinkled, the seal may break when your skin stretches.
  • If hair grows close to your stoma, you may trim off the hair with scissors, an electric razor, or a safety razor.
  • Always have a mirror nearby so you can get a better view of your stoma.




Disclaimer: The text presented on these pages is for your information only. It is not a substitute for professional medical advice. Please consult your healthcare provider if you have any questions or concerns.


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