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Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each

HCPCS code

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


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.


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.


  • 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.


  • 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.


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


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


  • 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.


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


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


  • 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.

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