A urostomy is a surgically created opening that allows urine to flow out
of the body and drain into a pouch or bag. A urostomy is also known as a
urinary diversion. Urine may drain through an ileal conduit or
vesicostomy or ureterostomy. A urostomy is usually permanent, but may be
temporary.
Your urostomy (ileal conduit/ileal loop, nephrostomy, vesicostomy) is
NOT sterile! Wash the stoma and surrounding skin with soap and water
then dry with toilet paper.
You can bath or shower with your pouch (bag) ON or OFF. The water cannot
get inside your stoma. You may notice a little blood on touching the
stoma whilst cleaning - this is NORMAL.
MEN - keep hair around the stoma trimmed or shaved. Hold toilet paper over the
stoma whilst shaving to protect it.
The best time to change your pouch is in the morning prior to taking in fluids.
Empty your pouch when it approximately one-third full.
Certain foods are known to give urine an odour. ASPARAGUS is the worst
culprit! Garlic, onions or fish may have the same effect but you can
still eat and enjoy them as they do not harm you.
Drink plenty of fluid, especially in hot weather (at least 6 - 8
glasses.) Urine should always be pale yellow in colour. Threads of
MUCOUS in your urine are NORMAL.
Concentrated urine is usually dark yellow/orange in colour and has a
strong, unpleasant odour. Infection may be present if the PH is
ALKALINE. Painful white crystals may develop around the stoma and
surrounding skin. If this situation occurs, contact your stomaltherapist
or urologist who will take a urine specimen for testing. You may
require an antibiotic. If unable to see a specialist, drink CRANBERRY
JUICE, or ask your chemist for Vitamin C 250 mg. tablets to be taken
three times a day until the crystals clear. Ensure you drink at least
6 - 8 glasses of fluid per day. Soak pieces of cottonwool in white
vinegar diluted with a small amount of water and place over the stoma to
dissolve the crystals. Repeat as often as necessary. Vinegar may be
placed inside the pouch and "washed" over the stoma.
TRAVELLING - your stomaltherapist will give you a TRAVELLING
OSTOMY CARD noting your surgical/medical history and product used. Body
searches are routine at many airports and ostomy card requests that a
doctor be present should security staff feel your pouch and wish to
search you further. Choose an aisle seat on the plane. Carry your ostomy
supplies in your HAND LUGGAGE as your suitcase in the hold may go
astray. Take more pouches than you would normally use in case you run
out.
It is recommended that you visit your stomaltherapist every six months.
Don't be afraid to ask your stomaltherapist questions! You are a special
individual and answers pertaining to your return to work, sport and
sexuality will be tailor-made to suit you and your situation. FREE
INFORMATION BOOKLETS ARE AVAILABLE.
Urostomy