You will need to use a disposable pouch to manage your urine evacuations after urostomy surgery. This pouch sticks to the peristomal skin, which is the skin around the stoma. The pouch remains in place, thanks to the skin barrier, which is a part of the urostomy pouch. The side of this barrier that has to go against the peristomal skin is laden with an adhesive, which adheres to the abdominal skin.
Types of ostomy pouches
There are many different types of ostomy pouches, with each one suitable for different ostomy types. Your ostomy care nurse will help you select the right type of pouch that will keep your peristomal skin safe from the contact of the stomal output and resultant infections. The most crucial prerequisite in this regard is the ability of the skin barrier to form a proper seal with the peristomal skin.
One-piece ostomy pouch with a drain
- A one-piece ostomy pouch combines the skin barrier and the pouch to form a single ostomy pouching unit. Using this pouch means that you are going to have to remove the skin barrier of you have to detach the pouch for any reason.
- The bottom of this pouch has a valve, which allows you to empty the bag of its waste content. The drain closure is an easy-to-use mechanism, which closes tightly after emptying the pouch. The style of the drain may differ, depending on the type of pouch you have selected.
Two-piece ostomy pouch with a drain
- This urostomy pouch comes with a skin barrier and bag as two different elements. The skin barrier adheres to the skin separately, allowing you to attach the bag element whenever you want. A significant advantage of using this pouch is that you can apply the skin barrier without having to handle a large bag.
- This pouching system also has a drain at the bottom of the bag. You can open and close the bag whenever needed. The style of closure may vary across different types of ostomy bags.
Sizing the stoma
If you have a regular-sized stoma, you will want to use a precut ostomy bag, which comes with an already-created opening that fits over your stoma. You will indeed have to measure your stoma before choosing a precut ostomy pouch to make sure that you are making the right choice. If your stoma is not a regular-sized one, you may want to use a cut-to-fit ostomy bag, which allows you to create an opening in the flange according to your requirements. These ostomy pouches have markings on the flange to allow you to create an opening of the accurate size and shape of your stoma.
A general rule of thumb that you will have to keep in mind is that the opening of the ostomy pouch’s flange must be 1/8-inch larger than that of your stoma. It will prevent the stoma from developing an injury.
If you have any questions related to the ostomy pouch that you need to use to manage your urostomy, you may contact your ostomy care nurse or doctor.