Evaluation of a new nonadhesive urine collection device for patients with ileal conduits

Patients with urinary diversions traditionally have relied upon adhesive appliances for urine collection. Recently, a new nonadhesive apron-style appliance has been introduced in an effort to improve upon the reliability, comfort and ease of maintenance of currently available urinary collection devices. To ascertain whether this new product offers any significant advantage over adhesive appliances, we contacted the first 30 patients who received the nonadhesive urostomy pouch after its introduction at our hospital in October 1981. All patients initially received an adhesive appliance postoperatively and were provided with the nonadhesive urostomy pouch at least 6 weeks later to allow the stoma site to mature. Of these 30 patients 15 (50 per cent) currently use the nonadhesive urostomy pouch and prefer it over an adhesive pouch because of comfort, ease of application and freedom from skin problems, while 13 (43 per cent) continue to use an adhesive appliance (6 because they were satisfied with it and did not wish to try the nonadhesive urostomy pouch). Only 7 patients (23 per cent) abandoned the nonadhesive urostomy pouch primarily because of nighttime leakage, tightness of the supporting belt and skin problems. Two patients died and could not be evaluated. Although not suited for every patient, we conclude that the new nonadhesive urostomy appliance is an important innovation for many patients with urinary diversions.