Name of the Procedure:

Ostomy Pouch, Urinary, with Extended Wear Barrier Attached, with Built-In Convexity, with Faucet-Type Tap with Valve (1 piece) Common name(s): Urinary ostomy pouch, urostomy pouch with convexity and faucet-type tap
Technical/medical term: A4430

Summary

This procedure involves the use of a specialized urinary ostomy pouch designed to manage urine output for patients with urostomies. The pouch has an extended wear barrier, built-in convexity to ensure a proper fit, and a faucet-type tap with a valve for easier draining.

Purpose

Medical Conditions/Problems Addressed

• Urostomies due to bladder cancer, trauma, bladder dysfunction, or severe urinary incontinence.

Goals/Expected Outcomes

• Secure and leak-proof urine collection.
• Minimized skin irritation and infection.
• Convenient and easy urine drainage management.

Indications

Specific Symptoms/Conditions

• Patients with a urostomy needing a secure and durable urine collection system.
• Frequent leakage or skin irritation with other types of pouches.

Patient Criteria

• Individuals with a stoma requiring a convex fitting due to retracted or flush stoma.
• Patients seeking an extended wear option due to high urine output or activity level.

Preparation

Pre-Procedure Instructions

• Clean and dry the stoma area thoroughly.
• Ensure the skin is free from oils, soaps, or lotions that may affect the adhesive barrier.
• Review the usage instructions provided by healthcare professionals or product manual.

Diagnostic Tests/Assessments

• Occasional assessment by a stoma care nurse to ensure proper use and fit.

Procedure Description

Step-by-Step Explanation

1. Clean the stoma area: Use water and mild soap, then dry completely.
2. Prepare the pouch: Cut the opening of the pouch to fit the stoma size.
3. Apply the pouch: Center the opening over the stoma and press the barrier onto the skin.
4. Secure the convexity: Make sure the convex barrier fits snugly around the stoma.
5. Drain urine: Use the faucet-type tap with valve for easy and hygienic urine drainage.

Tools/Equipment Used

• One-piece urinary ostomy pouch with extended wear barrier and built-in convexity.
• Faucet-type tap with valve for drainage.

Anesthesia/Sedation Details

Not required.

Duration

The procedure for applying and managing the ostomy pouch typically takes a few minutes.

Setting

This procedure is usually performed at the patient's home or in an outpatient clinic.

Personnel

• Ostomy Care Nurse or Specialist (for initial training and periodic assessment).

Risks and Complications

Common Risks

• Skin irritation or breakdown around the stoma.
• Leakage and odor issues.

Rare Risks

• Urinary tract infections.
• Allergic reactions to the adhesive barrier.

Benefits

Expected Benefits

• Enhanced security and confidence with a leak-proof system.
• Reduced skin irritation due to the extended wear barrier.
• Ease of draining urine with the faucet-type tap.

Realization Timeline

Benefits are immediate upon proper application of the pouch.

Recovery

Post-Procedure Care

• Regular cleaning and maintenance of the stoma and surrounding skin.
• Monitor for any signs of infection or irritation.
• Routine assessment by a healthcare provider.

Recovery Time

• Continuous use with periodic replacement as advised (usually every few days to a week).

Restrictions/Follow-Up Appointments

• No specific restrictions, but regular follow-ups with an ostomy nurse or healthcare provider may be necessary.

Alternatives

Other Treatment Options

• Two-piece systems where the barrier and pouch are separate.
• Flat barriers without convexity for those who do not require convex fittings.

Pros and Cons of Alternatives

• Two-piece systems: Easier pouch changes but may require more frequent barrier changes.
• Flat barriers: Suitable for patients without retracted stomas but may not provide the same secure fit.

Patient Experience

During the Procedure

• Minimal discomfort during pouch application.
• Adjustments may require patience and practice.

After the Procedure

• Improved confidence in daily activities due to leak security.
• Occasional skin care and monitoring.

Pain Management and Comfort Measures

• Use of stoma powder or barrier rings to enhance comfort and fit.
• Regular consultation with a stoma care nurse for personalized advice.