The 3 Types of Ostomies

Explore the distinctions between the three most common types of ostomies or stomas.

Gain knowledge about the three types of ostomies. Different ostomies exist, with the most prevalent ones being colostomy, ileostomy, and urostomy. Each ostomy procedure serves a different purpose. While these three ostomies share similarities, there are also significant differences.

Colostomy

A colostomy involves creating a surgical opening in the abdomen that connects to the colon (large intestine). Its purpose is to divert stool away from a diseased or damaged part of the colon. The output from a colostomy can consist of liquid, formed stool, or a combination of both, as well as gas and odor.

Here are a few additional details:

  • A colostomy can be created at various points along the colon.
  • The specific location of the colostomy depends on the medical condition and is often determined by the affected segment of the colon.
  • There are four different types of colostomies, and a colostomy can be temporary or permanent.

Ileostomy

An ileostomy involves creating a surgical opening in the abdomen that connects to the small intestine. With an ileostomy, a portion of both the small intestine and the large intestine (colon) is either removed or bypassed. Initially, the output from an ileostomy after surgery is typically a continuous liquid drainage. However, over time, the stool becomes thicker and more paste-like.

Here are some additional details:

  • An ileostomy is typically located on the lower right-hand side of the abdomen.
  • The digestive enzymes present in the stoma's output can be highly corrosive, making protection of the peristomal skin (skin around the stoma) crucial.
  • An ileostomy can be temporary or permanent.

Urostomy

A urostomy involves creating a surgical opening to facilitate urine drainage. It allows urine to exit the body after the removal or bypassing of the bladder. The output from a urostomy is urine, possibly accompanied by some mucus.

Here are a few additional details:

  • A urostomy is usually located on the lower right-hand side of the abdomen.
  • The most common type of urostomy is an ileal conduit, which involves using a short segment of the small intestine (ileum) as a conduit for urine to exit the body.
  • Another less common type of urinary diversion is a colonic conduit, which follows the same principle as an ileal conduit, but utilizes the large intestine as the conduit.
  • A urostomy is typically a permanent ostomy.

What you need to know about your specific ostomy type

As you collaborate with your healthcare team, you will learn more about living with your particular type of stoma. This includes establishing a skincare routine, adopting a healthy diet, engaging in exercise, traveling, and other essential lifestyle tips.

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