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
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
- Preparation: Gather all supplies including the ostomy pouch, adhesive remover, skin barrier wipes, and a fitting guide.
- Cleaning: Carefully clean the stoma and surrounding skin, dry thoroughly.
- Measuring: Measure the stoma and cut the barrier opening accordingly.
- Application: Remove the protective backing and apply the pouch over the stoma, ensuring the convexity fits snugly.
- 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.