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Peristomal Skin Complications in the First 12 Weeks Post-discharge Following Urinary/Fecal Stoma Formation Surgery
Tania Louise Norman1, Leanne Monterosso2,3, Keryln Carville4
1WA Ostomy Association, Perth, Western Australia.
Advances in Skin & Wound Care
|April 27, 2026
Summary
All ostomates experienced peristomal skin complications (PSCs) within 12 weeks of discharge. Irritant dermatitis from leaking appliances was the most common cause, highlighting the need for regular stomal therapy nurse follow-up.
Area of Science:
- Medical and Health Sciences
- Nursing
- Dermatology
Background:
- Peristomal skin complications (PSCs) are common issues for ostomates, potentially hindering recovery.
- Understanding the incidence, types, and causes of PSCs is crucial for effective patient management.
Purpose of the Study:
- To determine the number, type, and etiology of peristomal skin complications (PSCs) in ostomates during the first 12 weeks postdischarge.
- To identify risk factors and inform prevention strategies for PSCs.
Main Methods:
- A cohort of 19 new ostomates were recruited from two hospitals in Western Australia.
- Weekly and fortnightly follow-up assessments, including photographic documentation, were conducted for 12 weeks postdischarge.
Main Results:
- 100% of ostomates developed at least one PSC.
- Irritant dermatitis (74%) caused by leaking appliances and bruising (53%) were the most frequent PSCs.
- No severe PSCs were reported, and many ostomates were unaware of their complications.
Conclusions:
- The findings are consistent with international literature on PSCs.
- Regular postoperative stomal therapy nurse (STN) follow-up is essential, particularly in the early period.
- Identifying key contributing factors can guide targeted prevention strategies for high-risk ostomates.
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