Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each
HCPCS code
Name of the Procedure:
- Common Name(s): Urinary Ostomy Pouch
- Technical/Medical Term: Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each (HCPCS Code: A4432)
Summary
An ostomy pouch for urinary applications is a medical device used to collect urine for patients who have undergone urostomy surgery. This particular type features a faucet-type tap with a valve and fits onto a barrier with a non-locking flange.
Purpose
- Medical Conditions: Used for patients with a urostomy, typically due to bladder cancer, birth defects, severe incontinence, or other conditions requiring the diversion of urine.
- Goals/Expected Outcomes: To provide a reliable and hygienic method of urine collection, ensuring patient comfort and reducing the risk of skin irritation and infection.
Indications
- Symptoms/Conditions: Indicated for patients with a urostomy who need a secure collection system.
- Patient Criteria: Suitable for patients requiring a two-piece ostomy system with a non-locking flange for ease of use and those needing a faucet-type tap for controlled drainage.
Preparation
- No specific fasting or medication adjustments are required.
- Patients may undergo a fitting session with an ostomy care nurse to ensure proper application and usage.
Procedure Description
- Stoma and Skin Preparation: Clean the stoma and surrounding skin with mild soap and water, then pat dry.
- Barrier Application: Apply the adhesive barrier to the skin around the stoma.
- Pouch Attachment: Attach the ostomy pouch to the barrier by aligning the non-locking flange.
- Securing the Pouch: Ensure the pouch is securely attached and positioned for maximum comfort.
- Using the Tap: When ready to empty, open the faucet-type tap with valve to drain urine into a suitable receptacle.
- Tools/Equipment: Ostomy pouch, adhesive barrier, faucet-type tap with valve.
- Anesthesia or Sedation: Not applicable.
Duration
The fitting and attachment process typically takes 15-30 minutes.
Setting
- Usually performed in an outpatient setting or at home under the guidance of an ostomy care nurse.
Personnel
- Healthcare Professionals Involved: Ostomy care nurse, patient.
Risks and Complications
- Common Risks: Skin irritation, leakage, difficulty in attaching the pouch.
- Rare Risks: Infection, severe allergic reactions to adhesive materials.
- Management: Regular monitoring and proper hygiene, use of barrier creams or protective seals if needed.
Benefits
- Expected Benefits: Improved quality of life due to reliable urine collection, reduced skin irritation.
- Timeframe for Benefits: Immediate upon proper fitting and continuous with regular use.
Recovery
- Post-Procedure Care: Maintaining the cleanliness of the stoma and changing the pouch as recommended.
- Recovery Time: No significant recovery period; adjustments may be necessary during the initial stages.
- Restrictions/Follow-up: Follow up with healthcare provider as advised, typically every few months for stoma evaluation.
Alternatives
- Other Treatment Options: One-piece ostomy systems, different types of urinary diversion techniques.
- Pros and Cons:
- One-piece System: Easier application but less flexibility in management.
- Alternative Diversions: May not be suitable for all patients and require additional surgical procedures.
Patient Experience
- During the Procedure: Patients may feel a bit of discomfort during the fitting process.
- Post-Procedure: Initially, there may be a period of adjustment; the comfort level improves over time as they become accustomed.
- Pain Management and Comfort Measures: Over-the-counter pain relief for minor discomfort, regular follow-ups to address any comfort issues.