Tips and Tricks for Preventing and Managing Urinary Stoma Complications in the Neurogenic Bladder Population

Incontinent and continent stomas can improve urinary quality of life for people with a neurogenic bladder. However, outcomes and satisfaction of the procedures can be impacted by complications such as stomal retraction and stenosis. This manuscript presents recommendations and observations for reducing morbidity in incontinent and continent stomas for the neurogenic bladder population.

Literature review was performed using key words urostomy, urinary stoma, continent stoma, and complications. Relevant studies were included in this review article. The author's 20+ years of surgical experience in neurogenic bladder surgery was used as the basis for recommendations.

Surgical techniques to prevent intraabdominal tension on stomas can reduce risk of stomal retraction. Stomal stenosis can be treated with dilation or reconstructive surgical options. Preventing complications requires knowledge of anatomy and adaptive products which patients can use after surgery.