How often should a patient with a urostomy empty their pouch?

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For a patient with a urostomy, it is recommended to empty the pouch every 2 to 4 hours. This frequency is important for maintaining skin integrity, preventing leaks, and managing odor. Urostomy pouches can fill up more quickly than other types of ostomy pouches due to urine production, which can vary based on fluid intake and other factors.

Emptying the pouch within this time frame helps to reduce the risk of skin irritation caused by prolonged exposure to effluent and also ensures that the pouch does not become too heavy or stretch excessively, which could lead to issues with the sealing mechanism of the pouch. Additionally, regular emptying promotes comfort and can help the patient maintain a more active lifestyle without the fear of accidental leaks or odor.

While some might think of emptying only when the pouch is full as sufficient, this can lead to over-distension and increased risk for leaks. Maintaining a regular routine aligns with the recommendations for optimal management of a urostomy.

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