There are three major types of ostomies. These include colostomies, ileostomies, and urostomies. Each ostomy is named for the portion of the intestine used to create it.
- Colostomies are created using the large intestine and are commonly placed on the left lower abdomen. Colostomies will produce mushy to semi-formed stool.
- Ileostomies are created using the ileum or small intestine and are commonly placed on the right lower abdomen. Ileostomies will produce watery to mushy stool.
- Ileal Conduits are created by connecting the ureters to a small piece of ileum (small intestine) and bringing the conduit to the skin. Ileal conduits will produce urine and mucous.Ostomy Care Guidelines
Patients with new ostomies (up to 6 weeks after surgery):
The ostomy appliance change should be done twice weekly. Generally, you are able to select a day or days that work best for you and your life’s demands. The best time for an appliance change is in the morning prior to eating breakfast. However, appliance changes can be done at any time you deem appropriate; keeping in mind that after you eat the stoma will function. This may make your appliance change more difficult.
After about 6 weeks and under the direction of your physician, the appliance changes can be done once weekly for patients with colostomies.
All Ostomates:
Patients with ostomies should always carry supplies for a complete appliance change. This should include your pouch, a skin cleansing product, and accessories (adhesives, adhesive removers, scissors, etc. as needed).
Ostomy Tools:
- Colostomy/Ileostomy Differentiation Education Video
- Colostomy/Ileostomy: Appliance Change Video
- Colostomy/Ileostomy: Emptying Video
- Urostomy: Education Video
- Urostomy: Appliance Change Video
- Urostomy: Emptying Video
Ostomy Appliance Suppliers
Help for the Uninsured or Underinsured
Convenience Items: (undergarments, covers, belts, etc.)
Durable Medical Equipment Companies
Ostomate Resources
- United Ostomy Association of America (UOAA): Support Groups
- Wound, Ostomy, Continence Nurse Society (WOCN): Find A Nurse
- American College of Surgeons: Find A Surgeon
- American Society of Colon & Rectal Surgeons: Find A Surgeon
Ostomy Support Resources/Groups
- The Colon Club
- Crohn’s and Colitis Patient Advocate Program
- Girls With Guts
- Ostomy Association of the Americas
- Quality Life Association, Inc.
This information is for educational purposes, only. It is not intended to replace the advice of a doctor. The iWOC Nursing Foundation disclaims any liability for any decisions made based on this information.