Correction of a Leaking Stoma: Using Silicone Block Insertion.

BACKGROUND

Changes in abdominal contour, including peristomal indentations, can cause leakage of stoma effluent and other complications.

PURPOSE: To describe the case of a 39-year-old patient with a urostomy who experienced very frequent urine leakage as a result of a peristomal indentation.

CASE STUDY: The patient presented with a history of cystectomy and urostomy surgery for chronic interstitial cystitis and dysfunction of the bladder due to a neurogenic problem, and very frequent appliance changes due to urine leakage. Modest improvement occurred following fasciocutaneous V-Y advancement flap surgery. After 7 months, a silicone block was inserted in the peristomal indentation. After 1 year of follow-up, the outcome remained satisfactory and no additional procedures were needed.

CONCLUSION

In this case, silicone block insertion was an effective and minimally invasive alternative to manage stomal leakage refractory to other procedures.