Name of the Procedure:

Common Name: Urinary Ostomy Pouch with Faucet-Type Tap
Technical Term: Ostomy Pouch, Urinary, with Barrier Attached, with Built-in Convexity, with Faucet-Type Tap with Valve (HCPCS Code: A4429)

Summary

A urinary ostomy pouch with a built-in convex barrier and faucet-type tap is a specialized medical device used for collecting urine from a stoma, which is an artificial opening created surgically on the body surface. The convexity of the barrier helps to ensure a secure fit, while the faucet-type tap with a valve allows easy emptying of the pouch.

Purpose

This device addresses issues with urine collection in individuals who have undergone a urostomy or other urinary diversion procedures. The main goals are to ensure leak-proof urine collection, convenience in emptying the pouch, and maintaining skin integrity around the stoma.

Indications

• Patients with urinary stomas due to bladder cancer, birth defects, severe bladder disease or trauma, and interstitial cystitis.
• Criteria include having a surgically created stoma that requires a secure and convenient method for urine collection.

Preparation

• Patients are advised to have clean, dry skin around the stoma area before applying the pouch.
• No specific diagnostic tests are required specifically for this device, but regular monitoring of stoma health is recommended.

Procedure Description

1. Clean the stoma and surrounding skin using prescribed antiseptic solutions.
2. Measure the stoma size and cut the barrier opening accordingly.
3. Remove the adhesive backing from the pouch.
4. Apply the pouch over the stoma, ensuring that the built-in convexity makes secure contact with the skin.
5. Press gently around the adhesive border to secure it in place.
6. Ensure the faucet-type tap is closed.
7. The pouch can be emptied by opening the faucet-type tap and draining the collected urine.

Duration

The application of the ostomy pouch typically takes around 10-15 minutes.

Setting

This procedure can be performed at home, in outpatient settings, or in a hospital.

Personnel

Primarily, the patient or a caregiver performs the pouch application. Initial guidance and training by a stoma care nurse or healthcare provider are essential.

Risks and Complications

• Skin irritation or breakdown around the stoma site.
• Leakage if not properly applied.
• Infection if the stoma or surrounding skin is not kept clean.
• Rare risks might include allergic reactions to the adhesive material.

Benefits

• Secure and leak-proof urine collection.
• Convenience in emptying the pouch with the faucet-type tap.
• Improved quality of life and confidence in daily activities.
• Benefits can usually be realized immediately after the correct application.

Recovery

• Post-procedure care focuses on maintaining skin integrity and hygiene.
• The patient should monitor for any signs of irritation or infection.
• Regular replacement of the pouch as per the healthcare provider’s instructions (usually every 3-7 days).

Alternatives

• Flat barrier ostomy pouches without convexity.
• Pouches with clip-type closures instead of faucet-type taps.
• Each alternative has pros and cons: some may offer more flexibility while others might provide different levels of security or ease of use.

Patient Experience

• During application, the patient might feel slight pressure but no pain.
• After application, the patient should feel secure and comfortable with the pouch.
• Pain management is typically not required, but any discomfort can be managed by consulting a healthcare provider.