The flush versus the protruding urinary stoma

All too often arbitrary or theoretical considerations are the determinants of the external stomal dimensions at the time of ureterointestinal diversion. To the patient this facet of the operation becomes one of immediate, lasting and paramount importance. A comparative analysis of the experiences of 125 stoma patients suggests that there are distinct advantages to the protruding nipple insofar as the patient is concerned. Management and clinical problems of the flush and the protruding urinary stoma are discussed.