Omnigon Urostomy Guide

Your Guide
to
Urostomy
Skin Care, Tips & Hints, Products & Accessories.
Tips & Hints were kindly supplied by experienced Australian and
New Zealand STNs
Introduction
Your Stomal Therapy Nurse will show you a selection
of available urostomy pouches and accessories. There
are two general types of pouching systems available:
one piece and two piece.
The importance of a well fitting pouch
system.
A well fitting pouch will ensure good skin protection
and help prevent leakage. Most skin problems or
soreness are caused by a pouch with the wrong hole
size. Sore red skin is not normal.
This guide is designed to assist people with a urinary
stoma. We asked a number of experienced Stomal
Therapy Nurses from Australia and New Zealand to
provide answers to the most common questions.
In the back of the booklet you will find the largest
range of urinary appliances and accessories
available in Australia today. You may find them
helpful in the management of your urinary stoma.
On the following pages you will find their answers.
My skin is sometimes itchy, what causes this and what should I do?
4
What do I do if my stoma has narrowed?
5
In what circumstances should I call my Stomal Therapy Nurse?
5
How often should I empty my pouch?
5
What do I do if crystals form around the stoma?
6
Are there any restrictions on what physical activity I can participate in? (Comments on return to work, lifting, sport etc)
6
Are there any special dietary restrictions or advice for people with a urinary stoma?
7
What is a normal output from my urinary stoma? How do I ensure the output is good?
7
What application tips do you have for getting a leak free seal with my appliance?
7
What to do with blocked or kinked urostomy pouch at night?
7
How should I take care of the skin around my stoma and what should I clean my skin with?
8
All Urostomy pouches have a tap device to allow you
to empty the pouch contents as necessary throughout
the day. Your urinary pouch can be connected to a
night drainage bag which has a larger capacity to
allow you to get a good nights sleep.
Can diet or weather affect wear time of my pouch?
8
What if I see blood in my urine?
8
How do I collect a urine specimen for testing?
9
The skin barrier / baseplate and pouch features will
vary between brands so it may be necessary to
experiment once you are home to find the one that
best suits your skin type and your lifestyle.
Why do I have mucous in my urine?
9
How often should I change my appliance?
9
How do I avoid urinary tract infections? What are the signs & symptoms?
10
What routine checks should I be doing?
11
The urine flow from my stoma is constant. Are there any tips for changing my pouch to make it easier?
11
My stoma is below skin level, what should I do?
11
Omnicare 1 piece products
12
Omnicare 2 piece products
13
Omniwell 1 piece products
14
Omniwell 1 & 2 piece products
15
One Piece pouches
The adhesive skin barrier and pouch come as one
unit. You apply the pouch directly on to the abdomen.
It is very simple, just peel off the release paper and
stick directly to your skin. Generally the one piece
system is changed every 1- 2 days and is discarded
after use and replaced. The wear time will vary a little
from person to person.
Two Piece System
A two piece system has a separate baseplate or flange
(skin barrier) that stays in place for several days. The
pouch section attaches to the baseplate either by a
clip-on system, an adhesive system or a combination of
the two and is changed as required. Hence two pieces.
The baseplate is generally changed about twice per
week but this may vary.
Here are a few tips:
• Measure your stoma diameter regularly
to ensure the correct size hole for maximum skin
protection. This is especially important during the
first few weeks following surgery as your stoma
size may change quite a bit. Most appliance
manufacturers supply a measuring device.
• If your stoma is an irregular shape it may
be necessary to try a mouldable seal to protect
exposed skin from the urine.
• There are many different types of pouches for
different needs. Your body shape and stoma may
change slightly over time. It is important that you
are aware of these changes and if you experience
ongoing problems you should consult your Stomal
Therapy Nurse for advice.
Most manufacturers are happy to provide free
samples for you to try.
Back to contents
My skin is sometimes itchy, what causes this and what
should I do?
Each time you remove
the adhesive product fr
om your skin it will ca
skin to become red. Thi
use your
s is not a reaction to yo
ur
ad
hesive product, just the
normal response that oc
curs - just like removin
g a bandaid. To help pr
the redness occurring do
event
not forcefully pull or ri
p the adhesive away fr
your skin. Ideally on th
om
e day you are due to re
move the adhesive prod
so whilst showering us
uct, do
ing warm water and a
ph balanced soap. Oth
the use of commercially
erwise
available adhesive rem
ov
er
w
association can preven
ipes from your Ostomy
t the trauma from stri
pping.
If your skin becomes
inflamed and red then
you may have sensitiv
your adhesive pr oduct.
ity to
The use of a barrier
w
ip
e
or
fi
a barrier between your
lm will pr ovide
skin and the adhesive
and this may pr event
sensitivity fr om occurr
the
ing. Review by your S
tomal Therapy nurse
recommended to ensure
is
corr ect assessment and
tr eatment.
If your skin is inflam
ed, red, itchy and sore
then assessment by yo
Stomal Therapy nurs
ur
e and/or doctor is requ
ir
ed
.
B
e
attend this appointmen
pr epar ed when you
t to answer questions
that will assist in pr ov
the corr ect diagnosis an
iding
d tr eatment. Eg;
How long has your sk
in been inflamed, red,
itchy and sore?
Is the inflammation an
d itchiness localized or
has it spread out?
How long have you be
en wearing the curr en
t adhesive pr oduct?
Have you noticed or ha
d any leaking fr om ar
ound your stoma?
Nicole Walsh W
A
What do I do if my stoma has
‘narrowed’.
In what circumstances should I
call my Stomal Therapy Nurse?
If you notice any of the following: ...
The medical term for a narrowing of
A) If there is recurrent leakage from und
the stoma, or the actual opening on
erneath the
rectify as soon
base of the bag. This is important to
cause your skin to
as possible as the urine will quickly
break down.
become red and sore and eventually
the stoma is a stenosis.
If you have noticed that the size
of your stoma opening has become
smaller, or has narrowed, it is
B) If the skin becomes sore and red (this
advisable to see your stomal therapy
could be
bag or urine
due to irritation from the base of the
You may need to
coming into contact with the skin)
e in the pouch
measure your stoma, and cut the hol
from the base
base smaller. If the irritation is caused
nurse for assessment of the stoma.
This visit to the STN is important as
he or she can try to establish why the
narrowing has occurred, and also
stenosed urinary stoma be properly
re are many
of the bag then you will find that the
backing for
products on the market with a suitable
trying a few and
your skin. It may be just a matter of
finding the right one for you.
assessed and managed as a
C) If your appliance does not stick. This may
take the necessary steps to manage
the complication.
It is important that a narrowed,
g compatible with
to the backing of the pouch not bein
a few pouches
your skin. Again you may need to try
you may be
to find a suitable backing for you. Or
cleaning the skin
applying the bag incorrectly e.g. not
the next bag.
thoroughly enough before applying
narrowed urinary stoma can lead
to ongoing problems with a backlog
of urine flowing towards and
damaging the kidneys.
be due
Susan Dunne NSW
D) If the colour of the urine changes to clou
dy or if
od in your urine
there is an increase in mucous or blo
may have an
then you should see your GP as you
antibiotics.
infection which can be treated with
How often should I empty my
pouch?
E) If the colour of the stoma changes or
n
ld be emptied whe
ou
sh
h
uc
po
y
m
A urosto
e third or half full.
approximately on
to playing
to empty it prior
You may also wish
g and before sex.
sport or swimmin
nce is
ptying your applia
em
on
as
re
e
m
so
If for
attach the pouch
to
se
oo
ch
ay
m
u
.
difficult, yo
s greater capacity
ha
ch
hi
w
g
ba
g
le
to a
g is
increase if the ba
e
ag
ak
le
of
k
ris
The
allowed to fill.
changes dramatically or bleeds exc
the size
essively.
Sharmaine Peterson SA
C
VI
Wendy Sansom
P4
Back to contents
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Eakin Cohesive Seals for
better skin protection P5
What do I do if crystals
form around the stoma?
Are there any restrictions on
what physical activity I can
participate in?
tomy are
or around a uros
on
ls
ta
ys
cr
y
ar
rin
U
e. The
with alkaline urin
usually associated
arance
white, gritty appe
a
ve
ha
ill
w
a
ls
ta
crys
a irritation or stom
om
st
to
e
ut
rib
nt
and may co
bleeding.
ning
ic, thorough clea
id
ac
e
in
ur
e
th
Keeping
g in
suring the openin
en
d
an
a
om
st
e
of th
tly thus
the stoma correc
to
the appliance fits
mal skin, will help
to
ris
pe
e
th
g
tin
protec
urinary crystals.
ce
du
re
or
t
en
ev
pr
ral methods
acidified by seve
be
n
ca
e
in
s
ur
The
least 6 to 8 glasse
at
ng
ki
in
dr
e:
ud
which incl
berry juice.
d/or having cran
an
y
da
r
pe
er
at
of w
hing with
inary stoma, was
ur
e
th
ng
ni
ea
cl
When
4 parts
rt white vinegar to
pa
1
of
n
tio
lu
so
n. If the
a
t crystal formatio
en
ev
pr
lp
he
ay
water m
e compress
y present, a gauz
ad
re
al
e
ar
ls
ta
crys
ual parts
tion made from eq
soaked in a solu
ied
water can be appl
d
an
r
ga
ne
vi
te
of whi
hen the
r a few minutes w
fo
a
om
st
e
th
er
ov
ged.
appliance is chan
a
e stoma to have
th
e
us
ca
ay
m
r
The vinega
ance
ful, white appear
rm
ha
n
no
,
ry
ra
tempo
uis NSW
am & Kristine Lo
Lesley Everingh
Driving
If you drive a car it is important to
know that you
must be fully fit and able to drive bef
ore getting
behind the wheel again. You must be
able to
concentrate on and react to road con
ditions and
you must be able to stop in an emerg
ency. Your
operation must not restrict your dri
ving in any
way. If you were to be involved in
an accident
you could not use the excuse “I’ve
just had an
operation”. You may find your insura
nce company
will not cover you in this situation.
Back to Work
The doctor will usually tell you wh
en you can go
back to work. This varies with each
individual
and each occupation – generally one
month is the
timeframe.
If your job entails lifting you should
not return to
work for at least 6 weeks.
Activity
You can slowly get back to nor mal
activity. You
will feel a little weak and tired when
you first
go home. Take it easy. Have a short
nap in the
afternoon if you feel you need to. Do
not take to
your bed for long periods during the
day because
you will not be able to sleep at night.
Walking is
good. Slowly increase your activity
to what you
were doing prior to needing surger
y.
Lifting
Avoid physical activity which causes
increased
abdominal pressure for the first 6 wee
ks. Do not
lift anything heavier than 5 kilogra
m. (No lifting
the grandchildren!) Too much intr
a-abdominal
pressure may cause a her nia around
the stoma
(parastomal her nia).
Sport
You can return to nor mal sporting
activities in
4 to 6 weeks. Extremely rough con
tact sport
or heavy lifting should be avoided.
Yes you can
swim. You may need to replace you
r pouch after
spending a long time in the water.
P6
Petra Prokop QLD
Are there any special dietary
restrictions or advice for people
with a urinary stoma?
Things which had an effect on the urine prior to
surgery will continue to have the same effect eg.
eating asparagus or seafood may cause an odour &
some people find eating beetroot causes the urine
to appear pink.
This is temporary and no cause for concern.
Dorothy Ferguson NZ
What application tips do you have
for getting a leak free seal with
my appliance?
•Best time is to change the applian
ce in the
morning before eating and drinking
.
•If using a 2 piece system ensure the
bag is clipped
onto the base plate all the way aro
und.
•If there is a fold or a crease in the
skin near the
urostomy consider using a bag with
convexity, Eakin
seal and or belt.
•Ensure the surrounding skin from
the stoma is
dry.
•Empty the appliance when a third
full.
•If you are still having trouble, plea
se seek advice
from your stomal therapist.
Loreto Pinnuck VIC
What is a normal output from my
urinary stoma? How do I ensure
the output is good?
is regulated by fluid
Output is different for each person and
volume consumption.
3 litres a day ( if on a
You will need to drink approximately
This ensures you keep
fluid restriction consult your doctor).
helps prevent urinary
your kidneys functioning properly and
.
tract infections by flushing out bacteria
cts so water is best
Tea & coffee can have dehydrating effe
What to do with blocked or
kinked urostomy pouch at
night?
BLOCKED
connecting
Do not empty your appliance before
imately
to your overnight bag. Leave approx
create a
100mls to flow down the tubing and
vacuum "flow on effect"
rnight
Leaving a small amount of air in the ove
uce your
bag may also help, however this can red
draining volume.
crystals or
Make sure that there isn't a build up of
mucous in the tubing.
h morning.
Follow your cleaning instructions eac
7 days.
Change your night bag at least every
in place of
Try using a bottle/container system
an overnight bag.
KINKED
position.
Everyone has their stoma in a unique
Right lower
Most but not all will have it on their
abdomen.
of trial and
Wherever it may be it is often a case
error to find what works best.
given to
These are some ideas that have been
me by ostomates in the past.
place.
Use a leg strap to keep the tubing in
in and
Place the tubing BETWEEN your gro
/ R sided
UNDER your leg i.e. L side stoma L leg
of the
stoma R leg and sleep on the same side
not twist
bed as your stoma. This way it does
when you roll either side.
e the
Use a two piece appliance. You can hav
to the side
pouch facing down during the day and
at night.
t rolling
Use a pillow behind your back to preven
too far.
Dorothy Ferguson NZ
Welland Accessories
Back to contents
Del Tennant WA
Back to contents
P7
How should I take care of the
skin around my stoma and what
should I clean my skin with?
Can diet or weather affect wear
time of my pouch?
Diet is unlikely to
affect the wear tim
e,
although some cl
ients state that dr
inking large
amounts of highly
acid fruit juice ca
n cause
the wafer to erod
e quickly.
Most wafers thes
e days are strong
enough to
deal with acidic ur
ine.
Eating foods that
make the urine m
h wash your skin
uc
po
ur
yo
ing
ov
alodorous,
m
re
ly
eg
.
ft
as
so
pa
a
•After gent
or
ra
s
gu
pe
s or fish, can prom
t Chux, wi
we
p/
m
da
a
th
wi
pt
a
m
cl
ients to
and sto
change the pouc
h to get rid of the
wash cloth.
od
our.
Li
kewise some food
to remove your poucllh
le
s
ab
m
vis
ak
ad
e
is
th
it
,
e
sh
ur
wi
in
u
e change
•If yo
colour, beetroot
bath or shower. Waterquwi
can make the ur
t
en
before getting into tha,ebu
fre
o
in
to
r
e
be
dark pink
em
if
m
eaten in large qu
t re
antities and carrot
not harm your stom cause skin irritation.
s / carrot
juice can cause
pouch changes may
orange discoloura
ly
gh
ou
or
th
t
bu
tio
ly
n.
nt
ge
Neither
af
ed
fect the wafer de
sh
terioration.
•The skin should beofwa
.
ce
an
pli
ap
old
e
th
Weather can caus
removing all traces
e significant chan
e
siv
he
ad
n
or
bb
ges
stu
e
to
ov
th
m
re
e
to
am
sh
ou
wi
u
nt
of time that wafer
mmend
•Should yo
co
re
ay
m
rse
Nu
y
ad
ap
er
he
sion
provides. Very ho
marks, your Stomal Th
t humid condition
er.
ov
m
re
e
s
siv
te
he
nd
to
ad
cause increased
an
out as
perspiration unde
ng
wi
flo
ep
ke
ll
wi
ine
ur
r the
wafer and, althou
•Be aware that the a. Why not place a small piece
gh most wafers de
m
sto
ur
yo
al
an
with
cle
e
a
u
th
lim
yo
ited amount of m
l over the mouth of
oisture, the length
of gauze or paper toewe
adhesion may be
of
ine.
considerably redu
stoma to absorb th ur
h
ce
uc
d.
po
cl
Some
ie
an
nts are very pron
ly before applying cle
e
to
de
ve
lo
ay
m
pi
•Dry skin thoroughpo
d
ng
an
folliculitis
(irritated hair folli
h will not stick
cle) in the hot wea
- if skin is wet your uc
th
er and
so
n.
me will then deve
cause skin irritatio
lop opportunistic
h.
uc
po
w
“Thrush”
infection of the sk
apply your ne
in under the wafer
•You are now ready to
. This is
easily resolved w
ith daily treatmen
t to the
Remember:
area, which may
d
te
en
re
sc
qu
or
cs
ire
pti
se
m
nti
or
/a
e
nt
fre
quent wafer
change.
e
•Do not use disinfecta
ur skin. These may casuscan
yo
ing
an
cle
en
wh
s
pe
wi
Cold weather may
ur stoma. Chux wipe ts.
extend the wear
ke
skin reactions around yo
ar
rm
pe
time
su
al
us
loc
e
ua
th
lly
m
fro
ex
ply
pe
ea
rie
ch
nced - but all of th
be bought
e
ab
ove
depends on the
g to your skin unlessrse.
particular clients
•Do not apply anythin
Nu
y
ch
ap
er
oi
Th
ce
al
po
of
om
uc
St
h, their skin cond
recommended by your
ition and the early
assessment of pr
oblems by a STN
if:
Please contact your STN
t
ou
th
wi
s
anges colour, bleed
•Your stoma swells, ch
stopping.
Val Wright QLD
or weepy.
en
ok
br
,
ing
ed
ble
,
red
•Your skin is
rns and is painful.
•Your skin is itchy, it bu
and
e to care for your stoma
You are now responsibl
uch at
po
ur
mber to change yo
the skin around it. Reme
l skin
is may prevent potentia
th
as
ly,
ek
we
ice
tw
st
lea
problems.
How do I collect a urine
specimen for testing?
If you have access
to your Stomal Th
erapy
Nurse they can ta
ke a specimen for
you.
Otherwise remove
your pouch and cl
ean your
stoma. Then you
should hold the sp
ecimen
container under yo
ur stoma so that th
e urine
drops straight into
it. Never take a sp
ecimen
from the pouch be
cause it will not be
a clean
sample.
Generally the test
would be for an in
fection so it
would be of most
importance that th
e specimen
is not contaminated
.
Julia Kittscha NS
W
How often should I change my
appliance?
Why do I have mucous in
my urine?
al.
is perfectly norm
e
in
ur
r
ou
y
in
s
Mucou
oduced and will
It will always be pr
and stringy.
appear clear, thin
el
ed from your bow
uc
od
pr
is
s
ou
uc
M
s
embrane) that ha
tissue (mucous m
your stoma.
been used to form
mucous it helps
g
in
uc
od
pr
y
d
bo
By your
and
our stoma clean
y
of
g
in
lin
he
t
keep
healthy.
Naomi Houston
NSW
This depends on whether you are wea
ring a one or two piece system.
If you are wearing a one piece app
liance you may change the pouch
every one to three days, it is
personal choice.
When you are changing the pouch
it is a good idea to remove it and
have a shower with the
pouch off, however all appliances
are waterproof and may be worn
in the shower.
If you are wearing a 2 piece applian
ce the wafer should be changed 2
times per week. The pouch
may be changed at this time or else
you can change it daily or second dai
ly. It is personal choice
when you change the pouch, howeve
r the wafer should only be changed
twice per week.
Any pouch should be changed ear
lier if there is any leakage or skin irrit
ation
Wendy Sansom VIC
Bernie Hadfield VIC
What if I see blood in my urine?
It is not uncommon to see blood at es
on the wipe
when cleaning the stoma. Be gentletim
when cleaning.
But if you see blood in your urine
need to see you
local Doctor as soon as possible asyou
you
may have a
urinary tract infection.
Prior to visiting the Doctor remove the com
plete
appliance, clean the stoma and re-appl
y
a
new
flange/
pouch.
The 1st lot of urine that comes into
pouch after this
is suitable for the Doctor to use as athe
urine specimen to
P8
send off to pathology. The urine needs to
be clean and
fresh.
If you are taking anti coagulants se may
also
cause blood to appear in the urine.the
You
r
loca
needs to keep a close eye on your blood leve l Doctor
ls for these
medications.
Drink plenty of water to flush out your
system.
Remember to wash your hands pre and pos
t emptying
the appliance.
Back to contents
Wendy Humphreys SA
Back to contents
P9
What routine checks should I
be doing?
How do I avoid urinary tract infections? What are
the signs & symptoms?
o have
oval of urine. Patients wh
m
re
r
fo
m
ste
sy
ing
er
body ’s filt
) have an open
The urinary tract is the
lso known as a urostomy
(a
uit
nd
co
al
ile
an
e
at
ased.
ct infection (UTI) is incre
undergone surgery to cre
tra
ry
ina
ur
of
k
ris
e
th
ct and
and shortened urinary tra
e of UTIs.
the most common caus
far
by
e
ar
l
we
bo
e
th
m
y,
E. coli bacteria fro
UTIs including; pregnanc
ing
lop
ve
de
of
k
ris
e
th
e
increas
child, having past
Other factors may also
bladder infections as a
or
ns
tio
ec
inf
ct
tra
ry
having history of urina
s.
mple in
menopause, and diabete
blood cells in a urine sa
ite
wh
d
an
ria
cte
ba
of
r
numbe
Your GP can assess the
I.
order to diagnose a UT
. However, some
treated with antibiotics
ely
tiv
ec
eff
y
all
rm
no
it can be a
e
These infections ar
an others and for them
th
ns
tio
ec
inf
ed
at
pe
re
e to
people seem more pron
frustrating battle.
follow the steps
urinary tract infections
ing
lop
ve
de
of
k
ris
e
th
In order to reduce
below;
g the pouch.
ur hands prior to changin
yo
sh
wa
sly
lou
cu
eti
M
1.
e pouch.
nds prior to emptying th
ha
ur
yo
sh
wa
sly
lou
sh your
cu
2. Meti
of water a day to help flu iction).
s)
re
lit
.8
(1
es
ss
gla
ht
ely eig
id restr
3. Drinking approximat your doctor if you have been placed on a flu
th
wi
k
ec
urinary tract (ch
the size of the
cessary adjustments in breaks the closed
ne
y
an
e
ak
m
d
an
a
m
ge
sto
leakage – leaka
4. Re-measure the
sure a good seal and noat can cause UTIs.
en
to
r
fe
wa
e
th
in
ing
open
e entry of the bacteria th
tion of UTIs
system and may allow th
C can assist in the preven
in
m
ta
Vi
g
kin
ta
at
th
e
nc
5. There is some evide ria from accumulating in the urine.
cte
ba
g
sin
au
and odour-c
ain at least two
ry juice (or tablets) cont e bacteria most
er
nb
cra
at
th
s
ow
sh
ch
ility of E. coli (th
6. Recent resear
ich interfere with the abns) to stick to the urinary tract lining.
wh
ds
un
po
m
co
te
ra
pa
se
th urinary tract infectio
to prevent UTIs
frequently associated wisses of cranberry juice per day may be enough
Drinking two 120ml gla an infection does develop.
hesive wafer;
or to speed recovery if
hair growth under the adsable razor.
dy
bo
to
e
du
be
lly
na
7. Infection may occasiomore than twice per week) using a clean dispo
air dry (use
wet shave carefully (not
solution and hang up to ocedure.
ar
eg
vin
ite
wh
a
th
wi
is pr
bags
8. Flush night drainageto 3 parts of water). A funnel may assist with th
ar
eg
vin
lactic
1 part of white
nt UTIs is to start prophyoption can be
rre
cu
re
th
wi
s
nt
tie
pa
r
9. Another option fo cs to reduce the risk of future infection. This
(preventative) antibioti neral Practitioner (GP).
discussed with your Ge
infections?
mptoms of urinary tract
sy
d
an
ns
sig
e
th
e
ar
t
Wha
pouch
1. Blood tinged urine in
2. Cloudy urine
urine
3. Offensive odour from
minal pain or both
4. Back pain, lower abdo
5. Chills, fever
6. Nausea and vomiting
7. Drowsiness 8. Confusion
infection.
may have a urinary tract
u
yo
k
in
th
u
yo
if
r
cto
See your do
P10
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•Regularly check
stoma size: Until
oedema has subsid
ed (which can take
up
to 6 weeks post-o
peratively), remea
suring
at frequent interv
als is recommende
d to
avoid skin problem
s. Measuring guid
es
are available and
are a convenient
and accurate devi
ce to get an exact
measurement of yo
ur stoma size.
•Skin irritation:
The skin around
your stoma should
be intact, without
erosion, rashes or
other abnormaliti
es.
It is important to
treat the peristom
al
skin gently, protec
t it from urine
and chemicals (soa
ps, perfumes &
deodorants). The
best skin protection
is
a well-fitted and co
mfortable pouching
system.
•Assessment of ur
ine output: Offen
sive,
concentrated urin
e, fever or pain m
ay
indicate a urinary
tract infection. Se
ek
medical advice an
d a course of antibi
otics
may be prescribed
. Mucous strands
may
give urine a cloudy
appearance and w
ill
always be present
in a limited amou
nt.
Note, some medic
ations may discolou
r
urine.
The urine flow from my stoma is
constant. Are there any tips for
changing my pouch to make it
easier?
ning
rst thing in the mor
You may find that fiything to eat or drink is
before you have an ange your pouch, as your
the best time to ch as active due to not
urostomy may not benight.
,
drinking during the
oma is quite active
st
ur
yo
at
th
nd
fi
ill
ying
If you st
normal, but when dryour
as
a
om
st
ur
yo
n
ea
cl
n dr y wipe beneath
your skin hold a clea ine passed is absorbed by
stoma so that any urt wet your skin.
the wipe and will no
as
d prepare as much
You can also tr y an g the sticky backing from
possible, by removin positioning ever ything that
your new pouch and
you need close by.
C
line Harrison VI
Caro
My stoma is below skin level,
what should I do?
There are a n
umber of rea
sons that ma
cause your st
y
oma to do th
is. Weight ga
post surgery is
in
the most com
mon reason.
Losing weigh
t may help, in
the mean tim
you may need
e
to see a Stom
al Therapy
Nurse and tr
y a convex po
uch in order
flatten and ev
to
en out the pe
ristomal skin
This will help
.
achieve a fla
t
su
rf
a
ce
leak free fit. T
and a
here are man
y types of con
pouches avail
vex
able, there w
ill be one to su
your needs.
it
A belt may als
o help to hold
the pouch
securely
Drink at least 2 Litr
es a day to help
prevent infections
(Check with your
Doctor if you have
been placed on a
fluid
restriction).
Carol Stott NSW
Sheryl Waye QL
D
Ian Whiteley
ne
An Marie Lyons
NSW
Back to contents
P11
Urostomy Range
One Piece
omnicare
™
Urostomy Range
Two Piece
Pelican Urostomy
Flexima® Urosilk
Almarys® Twin+ Urostomy: 50mm
• Eakin Pelican base plate is gentle on skin
• Tan fabric with split cover allows you to view the stoma
when necessary, especially when applying the pouch
• Soft tap can be connected directly to overnight connector
• Soft belt lugs
• A new generation of comfortable convex pouches
•
•
•
•
• 2 piece urostomy with double thickness skin barrier for better wear time
• New no drip tap, no residue after closing
• Clear open & closed position
• 1 overnight connector per pouch
Convex
Cut to Fit
Mini: 12mm - 40mm
Std: 12mm - 40mm
Maxi: 12mm - 40mm
Flat
Cut to Fit
Mini: 15mm - 65mm
Std: 15mm - 65mm
Maxi: 15mm - 65mm
P12
Convex
Pre Cut
20 mm
22.5 mm
25 mm
27.5 mm
30 mm
32.5 mm
35 mm
37.5 mm
40 mm
Convex
Cut to Fit
12mm - 25 mm
12mm - 35 mm
•
•
•
•
Convex
Cut to Fit
Convex
Pre Cut
Convex
Cut to Fit
17mm - 30mm
25 mm
30 mm
Flexible skin barrier that moulds to the body
New no drip tap, no residue after closing
Clear open & closed position
1 overnight connector per pouch
12mm-25mm
12mm-35mm
12mm-45mm
Convex
Pre Cut
25mm
30mm
35mm
40mm
Split cover
allows you
to view the
stoma.
Flat
Pre Cut
20 mm
25 mm
27.5 mm
30 mm
32.5 mm
35 mm
37.5 mm
40 mm
45 mm
50 mm
55 mm
New no drip tap, no residue after closing
Easy to identify “open & closed” position on tap
1 overnight connector per pouch
Flexible convexity
Flexima Key Urostomy:40, 50 &
60mm
Flat
Cut to Fit
Flat
Cut to Fit
12mm - 55 mm
Over night bag now
available:28300
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15mm - 45mm
Over night bag now
available:28300
Flat
Pre Cut
Flat
Cut to Fit
25 mm
30 mm
35 mm
15mm-35mm
15mm-45mm
15mm-55mm
Over night bag now
available:28300
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Flat
Pre Cut
20mm
25mm
30mm
35mm
Over night bag now
available:28300
P13
Urostomy Range
One Piece
omniwell
™
Urostomy Range
One Piece
Urostomy Range
Two Piece
Flair Active Curvex® Urostomy
Flair Active Convex Urostomy
Flair Active Urostomy
Flair 2 Urostomy
•
•
•
•
•
•
•
•
•
•
•
•
• Tan fabric with split cover allows you to view the stoma
when necessary, especially when applying the pouch
• Tap can be tucked away for more discretion
• Water repellant fabric
• Easy to read cutting lines
• Soft tap can be connected directly to overnight connector
•
•
•
•
•
Base plate moulds perfectly into curves, dips & creases
Ideal for parastomal hernias and bulges
Anti kink device to prevent overnight drainage blocking off
Soft tap can be connected directly to overnight connector
Split backing for easy monitoring of stoma
Belt lugs to attach welland belt to base plate for extra
security
Curvex
Cut to Fit
13mm - 25mm
13mm - 32mm
13mm - 43mm
P14
Flexible base plate that is comfortable and secure
Extra adhesion at 3 and 9 o’clock positions
Anti kink device to prevent overnight drainage blocking off
Soft tap can be connected directly to overnight connector
Split backing for easy monitoring of stoma
Belt lugs to attach welland belt to base plate for extra
security
Convex
Cut to Fit
Curvex
Pre Cut
13 - 25mm
13 - 32mm
13 - 43mm
25 mm
32 mm
35 mm
38 mm
Over night bag now
available:28300
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Convex
Pre Cut
19 mm
22 mm
25 mm
29 mm
32 mm
35 mm
38 mm
Flat
Cut to Fit
13mm - 60mm
Over night bag now
available:28300
Flat
Cut to Fit
Flat
Pre Cut
19mm
22mm
25mm
29mm
32mm
38mm
Base plate moulds perfectly into curves, dips & creases
Ideal for parastomal hernias and bulges
Anti kink device to prevent overnight drainage blocking off
Soft tap can be connected directly to overnight connector
Tan fabric with split cover allows you to view the stoma
when necessary, especially when applying the pouch
13mm - 40mm
13mm - 50mm
Over night bag now
available:28300
Back to contents
Flat
Pre Cut
25mm
29mm
32mm
35mm
38mm
Over night bag now
available:28300
P15
o
omnic
® Registered Trademark
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L-OMUG-1212
For free samples please contact your local representative or Omnigon
Customer Service on: 1800 819 274 (AUS) or 0800 440 027 (NZ)