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Updated: Oct 10, 2025

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Perception of leakage: data from the Ostomy Life Study 2019
Gillian Down1, Martin Vestergaard2, Teresa Adeltoft Ajslev3
1previously Nurse Consultant Stoma Care, Bristol; North Somerset and South Gloucestershire Clinical Commissioning Group, UK.
Background:
Leakage is a common problem for people with a stoma.
Aim:
To investigate how people with a stoma and stoma care nurses perceive different patterns of effluent under the baseplate.
Methods:
The Ostomy Life Study 2019 included a user survey and a nurse survey covering experiences of leakage and the perception of leakage.
Findings:
Most people with a stoma perceived effluent reaching outside the baseplate as leakage (88-90%), whereas effluent close to the stoma only was not perceived as leakage by the majority (81-91%). Effluent covering major parts of the baseplate was perceived as leakage by most respondents with a colostomy or ileostomy (83%), whereas fewer respondents with a urostomy perceived this as leakage (57%). Most of the nurses (70%) did not perceive effluent close to the stoma as leakage.
Conclusion:
This study revealed that effluent confined to the area next to the stoma is generally not perceived as leakage.
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