An ostomy pouch is a medical device worn on the abdomen to collect waste after a surgical procedure that reroutes the digestive or urinary tract. This pouch attaches securely over the stoma, the surgically created opening where bodily waste exits the body. Because the stoma does not have a muscle to control output, the pouch serves as a reservoir for stool or urine. Regular emptying is necessary for comfort, hygiene, and also to maintain the integrity of the appliance and the skin surrounding the stoma. Allowing the pouch to become too full places stress on the adhesive seal, which can lead to leakage, skin irritation, and premature appliance changes.
Essential Supplies and Preparation
Before starting the emptying process, gather the necessary materials for a smooth and sanitary routine. You will need toilet paper or soft, dry wipes, and flushable moist wipes for cleaning the spout. Disposable gloves are optional, and a clean, flat surface nearby is helpful for temporarily setting down the closure clip or cap.
The recommended time to empty the pouch is when it is about one-third to one-half full. This prevents the weight of the contents from pulling on the skin barrier. Secure privacy in the restroom and ensure all supplies are within easy reach before starting. If output tracking is required, a measuring container can be used to collect the contents before disposal.
Step-by-Step Emptying Procedure
Finding a comfortable position is the first step; many people choose to sit on the toilet facing forward or stand in front of it. To prevent splashing, place a piece of toilet paper in the toilet bowl water before draining the pouch. Gently pull the bottom of the pouch away from the body and prepare to open the drainage spout or tail.
The closure mechanism, typically a clamp or a fold-up system, should be carefully opened and set aside on a clean surface. Once the spout is unrolled, direct the opening into the toilet bowl, aiming below the water line to lessen splashing. The contents will drain out, often assisted by lightly smoothing the pouch from top to bottom to ensure complete emptying.
After the pouch is empty, thoroughly clean the inside and outside of the tail or spout. Use toilet paper to wipe away residual waste, then follow up with a moist wipe for cleaning the closure area. Re-secure the closure by rolling up the tail and fastening the clamp or folding the strips until a secure seal is achieved.
Odor and Maintenance Tips
Modern ostomy pouches are constructed with odor-barrier film; noticeable smell usually only occurs during the emptying process or if a leak develops. To manage odor, specialized liquid deodorizer drops or gels can be added directly into the pouch after it is emptied. These products chemically neutralize the odor-causing compounds as the pouch begins to fill again.
Some people choose to rinse the inside of the drainable pouch with a small amount of water from a squeeze bottle after emptying to remove clinging residue. This optional step is done before re-securing the closure and helps keep the pouch film cleaner. It is also important to routinely check the exterior surface of the pouch and the skin barrier for signs of wear, tears, or residue that could compromise the system’s seal.