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Prog Urol. 2021 Jun 18; doi: 10.1016/j.purol.2021.04.004. Epub 2021 Jun 18.

[How do patients manage their urostomy in everyday life? A questionnaire survey].

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie

[Article in French]
W Bertherat, R Pelette, F Beaujouan, M Chicaud, V Ducos, S Rousseau, V Lescure, X Plainard, A Descazeaud

Affiliations

  1. Service de chirurgie urologique et andrologique, CHU de Limoges, 2 avenue Martin-Luther-King, 87000 Limoges, France. Electronic address: [email protected].
  2. Service de chirurgie urologique et andrologique, CHU de Limoges, 2 avenue Martin-Luther-King, 87000 Limoges, France.

PMID: 34154959 DOI: 10.1016/j.purol.2021.04.004

Abstract

INTRODUCTION: The complications of stoma and peristomal are encountered by nearly 80% of patients within two years of surgery. The objective of this study was to evaluate the practical modalities of daily management of stoma and possible skin complications in a series of patients with non-continent urinary stoma.

METHODS: Monocentric study by questionnaires including all patients with non-continent urinary stoma between 2007 and 2019 in a French university center. The STOMA-QOL and a self-report questionnaire with 15 specific questions were used.

RESULTS: Among the 87 patients included in the analysis whose median age was 71 years, 57.5% used a 2-piece system, 69% used leg or thigh pockets, 74.7% were self-sufficient in emptying their stoma pockets. Autonomy on cutaneous support change was 38%. 62.1% of patients reported a peristomal skin event and 74.7% reported leaking stoma. In multivariate analysis, BMI>30, the presence of leaks and physical activity were significantly associated with the onset of peristomal skin events.

CONCLUSION: This study sheds light on the practical modalities of management of urinary stoma and the occurrence of skin complications related to stoma in terms of frequency and predisposing factors. The results obtained are likely to guide practitioners in the information of future operations and in the management of complications of urinary stoma.

LEVEL OF EVIDENCE: III.

Copyright © 2021 Elsevier Masson SAS. All rights reserved.

Keywords: Bricker; Dérivation urinaire; Stoma; Stomie; Stomie urinaire; Urinary diversion; Urinary stoma; Urostomie; Urostomy

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