Colostomy ileostomy urostomy vesicostomy


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This information sheet is an introduction to having an ostomy, and should be used as a brief guide to having a stoma, or ostomy.

“Stoma” simply means opening. A stoma allows access to the bowel or bladder via an opening on to the abdomen. The contents of the bladder (wee) or bowel (poo) then empty into a special bag that sticks on to the abdomen (tummy), and fits around the stoma. This is emptied or changed regularly as necessary. A stoma is one way of managing continence, but usually other methods would be tried first. Stomas may be temporary or permanent.

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Colostomy ileostomy urostomy vesicostomy

  1. 1. 42 Park Road Peterborough PE1 2UQ 01733 555988Colostomy, Ileostomy, Urostomyand VesicostomyThis information sheet is an introduction to having an ostomy,and should be used as a brief guide to having a stoma, orostomy.“Stoma” simply means opening. A the usual type of bowel stoma seenstoma allows access to the bowel in neuropathic conditions such asor bladder via an opening on to spina bifida. A neuropathic bowel isthe abdomen. The contents of one where the messages sent fromthe bladder (wee) or bowel (poo) the brain to the anal sphincter arethen empty into a special bag that not received because the networksticks on to the abdomen (tummy), of nerves (the spinal cord) isand fits around the stoma. This is damaged. This can be a very goodemptied or changed regularly as method for people to manage theirnecessary. A stoma is one way of bowels independently. Particularlymanaging continence, but usually if care issues pose a challenge.other methods would be triedfirst. Stomas may be temporary or Ileostomypermanent. An ileostomy is where a small part ofColostomy the ileum, or small bowel has been diverted on to the surface of theA colostomy is where a small part abdomen. An ileostomy will workof the colon, or large bowel has more regularly and the waste willbeen surgically diverted onto the be more fluid. This type of stomasurface of the abdomen. The waste is less common in neuropathicpassed is usually fairly solid. This is conditions such as spina bifida.
  2. 2. Colostomy, Ileostomy, Urostomyand Vesicostomy and the consultant carrying out theUrostomy operation.A urostomy is where the ureters, You should expect to be able tothe two small tubes that drain urine discuss the surgery fully beforehandfrom the kidneys to the bladder, and ask any questions you mayare diverted onto the surface of the have. You should be introduced toabdomen. These tubes are so tiny your specialist stoma nurse who willthat they have to be transplanted be supporting you and will explaininto a small piece of bowel which what will happen during the hospitalforms the stoma. The urine drains stay. This nurse will teach you howcontinuously into a special bag to look after your stoma before you(appliance) which is then emptied go home, and will make sure youregularly. know who to contact if you need help or advice after you go home.Vesicostomy After surgeryA vesicostomy is where thebladder is diverted through a small Some food and drinks may causeopening directly onto the surface excess wind or looser motions. Youof the abdomen. This operation is may need to experiment and findonly carried out in babies where out what affects you. It is best to eatthe kidneys are under pressure a normal diet if possible.and at risk of damage. A bag isnot necessary because the urine If you have an ileostomy, some foodsdrains straight into the nappy. This can cause a blockage if you don’tis always a temporary stoma. chew them well. You may need to avoid pulses, dried fruit, nuts,Preparation for surgery coconut, and popcorn. Some foods like tomato skins and pips may passPeople undergoing surgery to form into the bag unaltered. You can aska stoma will need some preparation your stoma nurse for a diet advicebefore the operation. This will sheet.depend on the type of surgery
  3. 3. If you had a urostomy, you must You won’t have to pay prescriptionmake sure that you drink enough charges for stoma products, but ifliquid. Drinking cranberry juice is you are over 16 years old, or under 60helpful in preventing infections. years old, you will need to apply forHowever, it is not recommended if a Prescription Exemption take blood thinning medications You can get a form to apply for thissuch as warfarin or coumadin. Some from your doctor or chemist.foods like beetroot may colour yoururine, but won’t cause any harm. If you have a stoma or are considering surgery, you may find a local groupLooking after the stoma of other patients a useful source of information, advice, and support.Whilst you are in hospital, the nurseswill teach you to look after your Details of local groups canstoma. They will teach you how to be obtained from the nationalempty and change the stoma bag organizations who are also able toand how to care for the skin around give information and support.the stoma. There are many differentstoma bags, and your stoma nurse The Colostomy Association will help you to find the one that is 2 London Court best for you. Your nurse will also East Street explain how to store your stoma Reading bags at home, and how to dispose RG1 4QLof them. Telephone: You will be given some bags to take 0800 388 4257 (freephone)home, and after that, further suppliesare available on prescription. You Email: can then get the products from local chemist; or you can usea home delivery service if you find it more convenient. This service won’tcost you anything. PTO
  4. 4. ia - The Ileostomy and InternalPouch Support GroupPeverill House 1-5 Mill Road, Ballyclare Co. Antrim BT39 9DR Telephone: 0800 018 4724 (helpline)Email: Urostomy AssociationNational Secretary Central Office 18 Foxglove Avenue, Uttoxeter Staffs ST14 8UNTelephone: 0845 241 2159www.uagbi.orgHelp usShine relies on people’s generosity and support so we can help our clientswho depend on us for help and advice - people with hydrocephalus, spinabifida, their families and carers. To donate to Shine please or call 01733 421329.This information has been produced by Shine’s medical advisers andapproved by Shine’s Medical Advisory Committee of senior medicalprofessionals.Shine - Registered charity no.249338To see our full range of information sheets and to find out how to donate toShine please visit