Stomal stenosis is defined as impairment of effluent drainage due to narrowing or contraction of the stomal tissue at the level of the skin or fascia.2 Stenosis may be attributable to surgical construction techniques, excessive scar formation, irradiation of the bowel segment, peristomal sepsis, or trauma owing to an ill-fitting pouching system.8 The patient may exhibit explosive or narrow stools with loud flatus. In the urostomy, flank pain, decreased output, or a projectile urinary stream from high residuals of urine may be present.17 A gloved, lubricated finger can explore the dimension and flexibility of the skin and fascial rings.15 When unable to perform a digital examination, a small rubber catheter can be used to complete a retrograde contrast study.11
Management of Complications
Stomal stenosis is defined as impairment of effluent drainage due to narrowing or contraction of the stomal tissue at the level of the skin or fascia.2 Stenosis may be attributable to surgical construction techniques, excessive scar formation, irradiation of the bowel segment, peristomal sepsis, or trauma owing to an ill-fitting pouching system.8 The patient may exhibit explosive or narrow stools with loud flatus. In the urostomy, flank pain, decreased output, or a projectile urinary stream from high residuals of urine may be present.17 A gloved, lubricated finger can explore the dimension and flexibility of the skin and fascial rings.15 When unable to perform a digital examination, a small rubber catheter can be used to complete a retrograde contrast study.11Management of Complications
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