Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
HCPCS code
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
- Clean the stoma and surrounding skin using prescribed antiseptic solutions.
- Measure the stoma size and cut the barrier opening accordingly.
- Remove the adhesive backing from the pouch.
- Apply the pouch over the stoma, ensuring that the built-in convexity makes secure contact with the skin.
- Press gently around the adhesive border to secure it in place.
- Ensure the faucet-type tap is closed.
- 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.