Urinary diversion surgery is a life-changing procedure that can significantly improve the quality of life for individuals with certain medical conditions. After undergoing this surgery, patients often have to adapt to a new routine, including stoma care. Learning how to prepare for your first stoma change can be crucial for ensuring comfort and maintaining skin integrity. This guide will help you understand the important steps and tips for an effective stoma change.

Understanding Your Stoma

A stoma is an opening created surgically to allow urine to exit the body after urinary diversion surgery. It may appear red and moist and can vary in size and shape. Understanding what your stoma looks like and how it functions is essential for effective management.

Gather Your Supplies

Before beginning the stoma change process, it’s important to gather all the necessary supplies. Make sure you have:

• Stoma pouch
• Skin barrier or adhesive
• Scissors (for cutting the barrier to size)
• Clean gauze or wipes
• Hand sanitizer or soap and water
• Disposal bag for used supplies

Timing Your Change

Choose a time when you are calm and relaxed for your first stoma change. Avoid rushing, as this can lead to mistakes. Many patients find it convenient to change their pouch in the morning before meals when the stoma is least active.

Washing Your Hands

Before handling any stoma supplies, wash your hands thoroughly with soap and water or use hand sanitizer. This step is essential for preventing infections and ensuring a clean environment.

Removing the Old Pouch

Start by gently peeling back the old stoma pouch. If it’s stuck, you can use a little adhesive remover or warm water to help loosen it. Take your time and avoid pulling too hard to prevent skin irritation.

Cleaning the Stoma

Once the old pouch is removed, clean the area around the stoma with warm water and gauze or wipes. Pat the skin dry gently, being careful not to rub too hard around the stoma itself.

Measuring the Stoma

Before applying the new pouch, you need to measure the stoma to cut the new skin barrier correctly. Your stoma care nurse can provide you with a template for this. The barrier should be cut to about 1/8 inch larger than the stoma to prevent irritation.

Applying the New Skin Barrier

Apply the skin barrier adhesive to the skin around your stoma. Ensure there are no wrinkles and it fits snugly against the skin. Then, attach the new stoma pouch by pressing it firmly against the skin barrier. Ensure there are no gaps where urine can leak.

Disposing of Used Supplies

Dispose of the old pouch and any used supplies safely in a disposal bag. Do not flush them down the toilet, as this can cause blockages.

Monitoring for Complications

After changing your stoma pouch, keep an eye on the area for any signs of skin irritation, redness, or unusual discharge. If you experience any discomfort or complications, contact your healthcare provider for advice.

Conclusion

Becoming comfortable with stoma changes takes practice and patience. Each individual’s needs are unique, so it’s essential to maintain communication with your healthcare team for personalized advice. With time, managing your stoma will become a routine part of your daily life, leading to improved health and well-being.