Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy

Abstract

Objective: We attempt to explore the effect of improved urostomy pouch on collecting the seepage from the entry of the nephrostomy tube after percutaneous nephrolithotomy. Methods: We selected 106 patients who underwent percutaneous nephrolithotomy and had indwelling nephrostomy tube with abnormal increase in seepage from the nephrostomy tube entry. Random number table was used to averagely divide them into observation group (53) and control group (53). For the observation group, we used improved urostomy pouches to collect seepage from the nephrostomy tube entry while for the control group, we dealt with the seepage through changing dressings following surgical routine. After that, we compared occurrence of dermatitis around the stoma, discomfort of stoma, stoma care cost, medical staff’s satisfaction with collection of seepage, frequency of changing dressings for stoma and material expenditure, etc. between the two groups. Results: occurrence of dermatitis around the stoma, discomfort of stoma and stoma care cost in observation group were lower than those in control group with a significant difference (P=0.000). Besides, medical staff’s satisfaction with collection of seepage in observation group was higher than that in control group with a significant difference (P=0.000). Frequency of caring for the stoma expenditure of dressings in the observation group were lower than those in the control group also with a significant difference (P=0.000). Conclusions: Improved urostomy pouches in collection of seepage from the stoma after PCNL can not only ensure the leakproofness of the urinary system and the function of nephrostomy tube but also reduce the occurrence of stoma infection to improve comfort of patients and accuracy of measurement of seepage, and reduce workload of medical staff. What’s more, the improved urostomy pouches help reduce the cost of changing dressings for patients and cost of materials of the department, and thus is worth application in collection of seepage from other drainage tubes.