Urinary pouch; Urinary appliance
Urostomy pouches are special bags that are used to collect urine after bladder surgery. The pouch attaches to the skin around your stoma, the hole that urine drains from. Another name for a pouch or bag is an appliance.
You will need to change your urostomy pouch often.
Most urostomy pouches need to be changed 1 to 2 times a week. It is important to follow a schedule for changing your pouch. Do not wait until it leaks because urine leaks can harm your skin.
You may need to change your pouch more often:
Always change your pouch if there are signs that it is leaking. Signs include:
Always have a clean pouch on hand. Using a clean pouch will help prevent infections in your urinary system.
You can decide whether it is easier to sit, stand, or lie down when you change your pouch. Choose a position that allows you to see your stoma well.
Urine may dribble from your open stoma when you change the pouch. You can stand over a toilet or use rolled up gauze or paper towels below your stoma to absorb the urine.
When you remove the old pouch, push down on your skin to loosen it. Do not pull the pouch off your skin. Before you put the new pouch in place:
When you put the new pouch in place:
Nettina SM. Renal and urinary disorders. In: Lippincott Manual of Nursing Practice. 9th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2010;chap 21.
Incontinent urostomy: community care, follow-up and complications. In: Geng V, Cobussen-Boekhorst H, Fillingham S, Holroyd S, Kiesbye B, Vahr S. Incontinent urostomy. Arnhem (The Netherlands): European Association of Urology Nurses (EAUN); 2009: 19-65.
Updated by: Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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