Name of the Procedure:

Ostomy Pouch, Urinary, with Extended Wear Barrier Attached, with Built-in Convexity (1 Piece)

• Common Name: Urinary Ostomy Pouch
• Technical/Medical Term: A4393

Summary

An ostomy pouch designed for urinary diversion, featuring an extended wear barrier with built-in convexity. This one-piece system helps collect urine from a stoma, ensuring comfort and protection.

Purpose

This pouch is used to manage urinary diversion for patients with urostomies. It aims to provide a secure and comfortable way to collect urine, improving quality of life by preventing leaks and skin irritation.

Indications

• Patients with urostomies due to conditions like bladder cancer, neurogenic bladder, or congenital abnormalities.
• Individuals experiencing frequent leaks or skin irritation with other pouching systems.

Preparation

• Clean the stoma area properly.
• Ensure the skin is dry and intact.
• No specific fasting or medication adjustments are typically required.
• Pre-fitting assessments by a stoma care nurse may be necessary.

Procedure Description

1. Preparation: Gather all supplies including the ostomy pouch, adhesive remover, skin barrier wipes, and a fitting guide.
2. Cleaning: Carefully clean the stoma and surrounding skin, dry thoroughly.
3. Measuring: Measure the stoma and cut the barrier opening accordingly.
4. Application: Remove the protective backing and apply the pouch over the stoma, ensuring the convexity fits snugly.
5. Sealing: Press the adhesive barrier firmly to ensure a secure fit.

The initial fitting may be performed under the guidance of a stoma care nurse.

Duration

The fitting and application process typically takes about 15-30 minutes.

Setting

This procedure can be performed at home, in a hospital, outpatient clinic, or under the guidance of a stoma care nurse.

Personnel

• Stoma care nurse (for the initial fitting and education)
• Patient or caregiver

Risks and Complications

• Skin irritation or infection.
• Leakage around the stoma.
• Discomfort or improper fit requiring multiple adjustments.

Benefits

• Effective containment of urine.
• Minimized risk of leakage and skin complications.
• Enhanced comfort and longer wear time, improving the patient’s lifestyle.

Recovery

• Patients can resume normal activities immediately following application.
• Follow-up with a stoma care nurse for ongoing support and adjustments.

Alternatives

• Two-piece ostomy systems.
• Traditional flat barriers.
• Each alternative has its own pros and cons, such as ease of use versus cost, and may be less secure or comfortable.

Patient Experience

• Patients may initially feel discomfort during the application.
• Proper education on fitting and care can minimize discomfort.
• Most patients report improved confidence and comfort with the extended wear barrier and built-in convexity.