Types of Ostomy
An ostomy is a surgical process in which an opening in the abdominal wall is created for the purpose of passing waste from the bowel or urinary tract. There are three types of ostomy procedures, they are:
This procedure involves creating an opening in the abdomen for the purpose of pulling through a portion of the large intestine. The abdominal opening is referred to as a ‘Stoma’ and allows stool to exit the body while avoiding the diseased or damaged part of the colon.
An ileostomy is similar to a colostomy with the difference being the small intestine is pulled through the abdominal opening. This procedure is performed under general anesthesia.
A urostomy, commonly referred to as urinary diversion, is performed when the urinary tract has been damaged or is diseased. This procedure is usually performed after the removal of the bladder. Similar to ileostomy, the procedure is performed under general anesthesia and involves creating an opening in the abdomen.
Regardless of the type of ostomy performed, they all share a common piece of medical equipment called an Ostomy Pouching System. After the procedure has been completed, users are provided with a pouching system brand that is chosen by the hospital. Many people leave the hospital and are satisfied with the pouching system provided, but there are many manufacturer options available such as Premier Urostomy Pouches.
Premier Urostomy Pouch product enhancements and benefits of are outlined below.
The Ostomy Pouching System consists of two main parts, both of which have a different and very important function.
Collection Pouch – This is the plastic bag that the bodily waste is stored in once passed through the stoma. Pouch design and features continue to be improved with enhancements such as barrier options for best fit, multi-chamber design, and flow-control tap.
Additional product enhancements include odour-barrier pouch film to increase comfort for patients and a variety in pouch color – transparent, ultra-clear, and beige.
Flange/Wafer/Baseplate – This is the mounting plate that connects the collection pouch to the body. The purpose of it is to ensure the successful transfer of bodily waste from the intestine to the collection pouch. The flange, wafer, or baseplate can be attached either mechanically, or with an airtight seal adhesive.
There are many other ostomy pouch accessories that are available to users. These accessories are meant to provide greater comfort and control ensuring a seamless daily experience. The most common accessories are:
Ostomy Belts – Ostomy belts are used as an alternate to adhesive as sometimes skin problems can develop. The belt is wrapped around the abdomen, attaching to the loops on certain pouches.
Skin Barrier Liquid/Wipes/Powder – To help protect against irritation and skin discomfort sometimes caused by the adhesive, powders and wipes are available to users. Wipes and powders are also useful in aiding in the adhesive process.
Skin Barrier Paste – To provide ultimate comfort and protection, skin barrier paste can be used to fill crevices or inconsistent surfaces of the abdominal wall behind the wafer. This creates a stronger seal and better overall experience.
Adhesive Remover – To ensure the cleanliness and effectiveness of the wafer adhesive remover can be used to eliminate any residual material left behind after using an adhesive.
Pouch Covers – Pouch covers are available in a cotton or cotton hybrid that easily fits over the pouch to provide comfort for the user’s skin.
Ostomy General Care
Upon completion of the ostomy procedure there are many questions a user may have, specifically around general care in the areas of changing manufacturers, how often to change the pouch, skin care, controlling odor, and any additional resources that can help in the early and long term stages.
Changing Systems – As previously stated, after the initial procedure you will likely leave the hospital with a pouching system that is made by a manufacturer chosen by the hospital. This is not to say that the pouching system provided by the hospital is not sufficient, but users will begin to understand what best suits them as they start to educate themselves and explore alternative options.
If a user is looking to change their manufacturer it is recommended that they discuss it with their current manufacturer and ostomy nurse to help determine what product is best for their situation.
Pouch Changing – Changing the pouch requires a series of steps that may seem like a lot in the beginning but over time will become a standard process. The process for changing the pouch includes:
- Emptying the pouch
- Thorough washing of hands
- Removing the pouch from abdomen
- Skin inspection and cleaning of stoma (Skin barrier liquid/wipes/powder can be used for this)
- Preparing and securing new pouch (using Premier Urostomy Pouch odor –barrier pouch film)
Skin Care – This is a very important aspect of ostomy general care. As mentioned earlier, there are many products that can be used to ensure proper skin care, but the general process of maintaining healthy skin surrounding the stoma is to wash with warm water and soap followed by gently drying the surrounding area with a wash cloth.
Controlling Odor – For the most part, ostomy pouches are designed to not allow any odor to be expelled but sometimes it does happen. To avoid this happening there are preventative accessories such as pouch deodorant that can be used. Pouch deodorant can come in different forms such as liquid, droplets, or sprays and is commonly used by many people with a colostomy.