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shinecharity.org.uk
                                                   info@shinecharity.org.uk
                                                             42 Park Road
                                                             Peterborough
                                                                 PE1 2UQ
                                                            01733 555988




Colostomy, Ileostomy, Urostomy
and Vesicostomy
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           the usual type of bowel stoma seen
stoma allows access to the bowel          in neuropathic conditions such as
or bladder via an opening on to           spina bifida. A neuropathic bowel is
the abdomen. The contents of              one where the messages sent from
the bladder (wee) or bowel (poo)          the brain to the anal sphincter are
then empty into a special bag that        not received because the network
sticks on to the abdomen (tummy),         of nerves (the spinal cord) is
and fits around the stoma. This is        damaged. This can be a very good
emptied or changed regularly as           method for people to manage their
necessary. A stoma is one way of          bowels independently. Particularly
managing continence, but usually          if care issues pose a challenge.
other methods would be tried
first. Stomas may be temporary or         Ileostomy
permanent.
                                          An ileostomy is where a small part of
Colostomy                                 the ileum, or small bowel has been
                                          diverted on to the surface of the
A colostomy is where a small part         abdomen. An ileostomy will work
of the colon, or large bowel has          more regularly and the waste will
been surgically diverted onto the         be more fluid. This type of stoma
surface of the abdomen. The waste         is less common in neuropathic
passed is usually fairly solid. This is   conditions such as spina bifida.
Colostomy, Ileostomy, Urostomy
and Vesicostomy
				                                   and the consultant carrying out the
Urostomy                               operation.

A urostomy is where the ureters,       You should expect to be able to
the two small tubes that drain urine   discuss the surgery fully beforehand
from the kidneys to the bladder,       and ask any questions you may
are diverted onto the surface of the   have. You should be introduced to
abdomen. These tubes are so tiny       your specialist stoma nurse who will
that they have to be transplanted      be supporting you and will explain
into a small piece of bowel which      what will happen during the hospital
forms the stoma. The urine drains      stay. This nurse will teach you how
continuously into a special bag        to look after your stoma before you
(appliance) which is then emptied      go home, and will make sure you
regularly.                             know who to contact if you need
                                       help or advice after you go home.
Vesicostomy
                                       After surgery
A vesicostomy is where the
bladder is diverted through a small    Some food and drinks may cause
opening directly onto the surface      excess wind or looser motions. You
of the abdomen. This operation is      may need to experiment and find
only carried out in babies where       out what affects you. It is best to eat
the kidneys are under pressure         a normal diet if possible.
and at risk of damage. A bag is
not necessary because the urine        If you have an ileostomy, some foods
drains straight into the nappy. This   can cause a blockage if you don’t
is 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 pass
People undergoing surgery to form      into the bag unaltered. You can ask
a stoma will need some preparation     your stoma nurse for a diet advice
before the operation. This will        sheet.
depend on the type of surgery
If you had a urostomy, you must          You won’t have to pay prescription
make sure that you drink enough          charges for stoma products, but if
liquid. Drinking cranberry juice is      you are over 16 years old, or under 60
helpful in preventing infections.        years old, you will need to apply for
However, it is not recommended if        a Prescription Exemption Certificate.
you take blood thinning medications      You can get a form to apply for this
such as warfarin or coumadin. Some       from your doctor or chemist.
foods like beetroot may colour your
urine, but won’t cause any harm.         If you have a stoma or are considering
                                         surgery, you may find a local group
Looking after the stoma                  of other patients a useful source of
                                         information, advice, and support.
Whilst you are in hospital, the nurses
will teach you to look after your        Details of local groups can
stoma. They will teach you how to        be obtained from the national
empty and change the stoma bag           organizations who are also able to
and how to care for the skin around      give information and support.
the stoma. There are many different
stoma 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 4QL
of them.
                                       Telephone:				
You will be given some bags to take 0800 388 4257 (freephone)
home, and after that, further supplies
are available on prescription. You Email: 					
can then get the products from cass@colostomyassociation.org.uk
your local chemist; or you can use
a home delivery service if you find it 				
more convenient. This service won’t
cost you anything.                     						
                                       				                   PTO
ia - The Ileostomy and Internal
Pouch Support Group

Peverill House			
1-5 Mill Road, Ballyclare		
Co. Antrim BT39 9DR	

Telephone: 				
0800 018 4724 (helpline)

Email: info@iasupport.org		
	

Urostomy Association

National Secretary 		
Central Office				
18 Foxglove Avenue, Uttoxeter	
Staffs ST14 8UN

Telephone: 0845 241 2159

www.uagbi.org



Help us
Shine relies on people’s generosity and support so we can help our clients
who depend on us for help and advice - people with hydrocephalus, spina
bifida, their families and carers. To donate to Shine please visit
www.shinecharity.org.uk or call 01733 421329.
This information has been produced by Shine’s medical advisers and
approved by Shine’s Medical Advisory Committee of senior medical
professionals.
Shine - Registered charity no.249338
To see our full range of information sheets and to find out how to donate to
Shine please visit www.shinecharity.org.uk

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Colostomy ileostomy urostomy vesicostomy

  • 1. shinecharity.org.uk info@shinecharity.org.uk 42 Park Road Peterborough PE1 2UQ 01733 555988 Colostomy, Ileostomy, Urostomy and Vesicostomy 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 the usual type of bowel stoma seen stoma allows access to the bowel in neuropathic conditions such as or bladder via an opening on to spina bifida. A neuropathic bowel is the abdomen. The contents of one where the messages sent from the bladder (wee) or bowel (poo) the brain to the anal sphincter are then empty into a special bag that not received because the network sticks on to the abdomen (tummy), of nerves (the spinal cord) is and fits around the stoma. This is damaged. This can be a very good emptied or changed regularly as method for people to manage their necessary. A stoma is one way of bowels independently. Particularly managing continence, but usually if care issues pose a challenge. other methods would be tried first. Stomas may be temporary or Ileostomy permanent. An ileostomy is where a small part of Colostomy the ileum, or small bowel has been diverted on to the surface of the A colostomy is where a small part abdomen. An ileostomy will work of the colon, or large bowel has more regularly and the waste will been surgically diverted onto the be more fluid. This type of stoma surface of the abdomen. The waste is less common in neuropathic passed is usually fairly solid. This is conditions such as spina bifida.
  • 2. Colostomy, Ileostomy, Urostomy and Vesicostomy and the consultant carrying out the Urostomy operation. A urostomy is where the ureters, You should expect to be able to the two small tubes that drain urine discuss the surgery fully beforehand from the kidneys to the bladder, and ask any questions you may are diverted onto the surface of the have. You should be introduced to abdomen. These tubes are so tiny your specialist stoma nurse who will that they have to be transplanted be supporting you and will explain into a small piece of bowel which what will happen during the hospital forms the stoma. The urine drains stay. This nurse will teach you how continuously into a special bag to look after your stoma before you (appliance) which is then emptied go home, and will make sure you regularly. know who to contact if you need help or advice after you go home. Vesicostomy After surgery A vesicostomy is where the bladder is diverted through a small Some food and drinks may cause opening directly onto the surface excess wind or looser motions. You of the abdomen. This operation is may need to experiment and find only carried out in babies where out what affects you. It is best to eat the kidneys are under pressure a normal diet if possible. and at risk of damage. A bag is not necessary because the urine If you have an ileostomy, some foods drains straight into the nappy. This can cause a blockage if you don’t is 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 pass People undergoing surgery to form into the bag unaltered. You can ask a stoma will need some preparation your stoma nurse for a diet advice before the operation. This will sheet. depend on the type of surgery
  • 3. If you had a urostomy, you must You won’t have to pay prescription make sure that you drink enough charges for stoma products, but if liquid. Drinking cranberry juice is you are over 16 years old, or under 60 helpful in preventing infections. years old, you will need to apply for However, it is not recommended if a Prescription Exemption Certificate. you take blood thinning medications You can get a form to apply for this such as warfarin or coumadin. Some from your doctor or chemist. foods like beetroot may colour your urine, but won’t cause any harm. If you have a stoma or are considering surgery, you may find a local group Looking after the stoma of other patients a useful source of information, advice, and support. Whilst you are in hospital, the nurses will teach you to look after your Details of local groups can stoma. They will teach you how to be obtained from the national empty and change the stoma bag organizations who are also able to and how to care for the skin around give information and support. the stoma. There are many different stoma 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 4QL of them. Telephone: You will be given some bags to take 0800 388 4257 (freephone) home, and after that, further supplies are available on prescription. You Email: can then get the products from cass@colostomyassociation.org.uk your local chemist; or you can use a home delivery service if you find it more convenient. This service won’t cost you anything. PTO
  • 4. ia - The Ileostomy and Internal Pouch Support Group Peverill House 1-5 Mill Road, Ballyclare Co. Antrim BT39 9DR Telephone: 0800 018 4724 (helpline) Email: info@iasupport.org Urostomy Association National Secretary Central Office 18 Foxglove Avenue, Uttoxeter Staffs ST14 8UN Telephone: 0845 241 2159 www.uagbi.org Help us Shine relies on people’s generosity and support so we can help our clients who depend on us for help and advice - people with hydrocephalus, spina bifida, their families and carers. To donate to Shine please visit www.shinecharity.org.uk or call 01733 421329. This information has been produced by Shine’s medical advisers and approved by Shine’s Medical Advisory Committee of senior medical professionals. Shine - Registered charity no.249338 To see our full range of information sheets and to find out how to donate to Shine please visit www.shinecharity.org.uk