Adapting daily routines is necessary when managing an ostomy, and a common question is how to manage personal hygiene, particularly showering. The stoma is a surgically created opening that diverts waste into an external pouching system. Understanding the stoma’s nature and appropriate hygiene techniques is fundamental to maintaining skin health and confidence. This guidance aims to demystify the process of showering for individuals managing an ostomy.
Yes, You Can Shower Without Your Ostomy Pouch
You can absolutely shower without your ostomy pouching system securely in place. The stoma, which is the pink or red tissue visible on your abdomen, is a mucous membrane, much like the lining inside your nose or mouth, and is not a raw wound. Water and mild soap will not harm the stoma, and water will not flow into the abdomen through the opening.
Showering without the appliance allows for a thorough cleaning of the skin around the stoma, known as the peristomal skin. Many people find taking a “naked shower” to be a liberating part of their routine. Showering with the pouch on is also acceptable, as modern appliances are water-resistant. If you have concerns, especially right after surgery or if skin is irritated, consult with a Wound, Ostomy, and Continence (WOC) nurse.
Preparation and Output Management
Successful pouch-free showering depends on timing your shower when the stoma is least active. For many, the quietest time is first thing in the morning before eating or drinking, or several hours after the last meal. Showering at a predictable time minimizes the likelihood of unexpected output during your hygiene routine.
Output Expectations
Output management varies depending on the type of stoma. A colostomy, which typically passes more formed stool, is often the most predictable and may only produce a small amount of drainage. In contrast, an ileostomy produces a continuous, liquid output, and a urostomy constantly drains urine, so you should expect some activity.
Cleaning Products and Tools
For all stoma types, have a small hand towel or toilet paper nearby to gently catch any unexpected output. A handheld shower head can be useful for quickly rinsing away any drainage that occurs. You should use only mild, oil-free soap on the skin, as oil-based or moisturizing products can leave a residue that prevents the new appliance from sticking properly.
Drying the Skin and Applying a New Appliance
The most important step after a pouch-free shower is ensuring the peristomal skin is completely dry before applying a new skin barrier. Adhesives cannot form a proper, secure seal on wet or moist skin. Begin by gently patting the skin around the stoma dry with a clean, soft towel.
Following towel-drying, allow the area to air dry for a few minutes to ensure all moisture has evaporated. You can expedite this process by using a hairdryer set to a low or cool setting, held a safe distance from the skin. Inspecting the peristomal skin for any signs of redness or irritation is a good practice during this time. Apply the new wafer or barrier only once the skin is completely dry to ensure a secure wear time.