Caring for Your Urostomy (Ileal Conduit)

Mar 21, 2021

Introduction

Welcome to the comprehensive guide on caring for your urostomy (ileal conduit) provided by Foley James D MD. Our experienced team understands the importance of proper urostomy care, and we aim to provide you with detailed information and practical tips to help you maintain a healthy and comfortable lifestyle with your urostomy.

What is a Urostomy?

A urostomy, specifically an ileal conduit, is a surgical procedure performed to redirect urine flow after the removal of the bladder due to various underlying conditions such as bladder cancer, birth defects, or urinary incontinence. During the surgery, a small segment of the small intestine, known as the ileum, is used to create a passage for urine to exit the body through a stoma.

Preparation for Urostomy Care

Prior to your urostomy surgery, it is essential to prepare yourself both physically and mentally. Discuss the procedure with your healthcare team, ask any questions you may have, and familiarize yourself with the post-operative care instructions. This preparation will enable you to feel confident and better equipped to handle the urostomy care process.

Post-Surgery Urostomy Care

After the surgery, your medical team will guide you through the initial stages of urostomy care. They will teach you how to clean and change your urostomy pouch, how to properly empty and measure the urine output, and how to maintain optimal skin health around the stoma area. It is crucial to follow their instructions closely and reach out to them if you have any concerns or questions.

Choosing the Right Urostomy Products

Ensuring the right urostomy products can greatly enhance your comfort and confidence. When selecting a urostomy pouch, consider factors such as size, shape, and material that best suit your needs. Additionally, explore various accessories, including skin barriers, adhesive removers, and deodorizing tablets, to further customize your urostomy care routine.

Daily Urostomy Care Techniques

Establishing a consistent daily care routine is essential for maintaining a healthy urostomy. Here are some techniques to consider:

Cleaning the Stoma

Gently clean the stoma and the surrounding skin with warm water and mild soap. Avoid using harsh cleansers or products containing alcohol as they can irritate the skin. Pat dry the area with a soft towel and ensure it is completely dry before applying a new pouch.

Emptying and Changing the Pouch

Regularly empty the pouch when it is about one-third to one-half full to prevent leakage. Dispose of the urine into the toilet and clean the spout thoroughly with warm water. When changing the pouch, carefully remove the old one, clean the peristomal skin, and apply a new pouch with a secure seal.

Monitoring the Stoma and Skin

Inspect the stoma regularly for any signs of infection, irritation, or unusual discharge. Ensure that the peristomal skin remains intact and free from redness, rashes, or sores. If you notice any abnormalities, contact your healthcare team for further evaluation.

Diet and Hydration

Maintaining a healthy diet and staying hydrated are vital for overall urostomy care. Consume a well-balanced diet rich in fiber, fruits, and vegetables to prevent constipation. Drink plenty of water throughout the day to keep your urine diluted and reduce the risk of urinary tract infections.

Managing Challenges

Living with a urostomy may present certain challenges, but with proper care and support, you can overcome them:

Odor Control

Dealing with odor can be a concern for some individuals with a urostomy. Using deodorizing tablets, avoiding certain foods and beverages, and practicing good hygiene can help minimize and manage any potential odor.

Traveling with a Urostomy

With careful planning and preparation, traveling with a urostomy should not limit your experiences. Pack enough urostomy supplies, including pouches and accessories, for the duration of your trip. Research local medical facilities at your destination, and carry necessary documentation for security checks at airports.

Social and Emotional Support

Living with a urostomy can have an impact on your emotional well-being. Seek support from urostomy support groups, online communities, or counseling services to connect with others who understand your experiences and provide emotional support.

Conclusion

Proper care for your urostomy (ileal conduit) is crucial to maintaining a healthy and fulfilling life. By following the guidelines provided in this comprehensive guide, you can confidently manage your urostomy care routine. Remember to consult your healthcare team for personalized advice and to address any concerns you may have along your urostomy journey. Foley James D MD is committed to supporting your urostomy care needs, providing expert guidance, and ensuring your well-being every step of the way.