A stoma is an opening on the abdominal wall to divert feces or urine out of your body. It is a pinkish and circular piece of flesh that adheres to the abdominal skin using sutures. Generally, it protrudes out of the skin by a few centimeters, but it may also lie flat based on the type of ostomy. You are going to have to wear a pouch over the stoma to collect your bodily waste. You should feel no pain in the stoma since it has no nerve ending.
Why would you need a stoma?
Several health complications can result in you needing a stoma. Some of those health conditions include bowel cancer, bladder cancer, inflammatory bowel disease, diverticulitis, and obstruction to the bladder or bowel. Depending on the case, a stoma can be permanent or temporary.
That said, it would be worth talking about the types of ostomy.
A colostomy involves the surgeon pulling out a part of the colon through an incision made in the abdominal wall, forming a stoma. There are two types of colostomy. One is the end colostomy, and the second is the loop colostomy. An end colostomy is when the end of the colon is pulled through the abdominal wall and then sutured to the abdominal skin.
A loop colostomy is when the surgeon pulls a looped portion of the colon through the abdominal wall. The incision made in the loop appears on the surface of the abdomen, creating a stoma. Generally, this type of colostomy is temporary.
A surgeon creates an ileostomy by putting a part of the small intestine (the ileum) through an incision made in the abdominal wall to form a stoma. There are two types of ileostomy: the end ileostomy and a loop ileostomy.
The surgeon creates an end ileostomy by pulling the ileum through the abdomen and suturing it to the abdominal skin. The remaining part of the bowel is then removed or left to heal.
To create a loop ileostomy, the doctor pulls an ileum loop and creates an opening on it. This opening is pulled through the abdominal wall to create a stoma. Pretty much like a loop colostomy, a loop ileostomy is generally temporary.
Your doctor might choose to remove your bladder due to diseases such as bladder cancer. This surgery involves the pulling out of a part of the small intestine through an incision made in the abdominal wall to form a stoma. Ureters are detached from the bladder and connected to the part of the ileum that has the stoma on the abdominal side.
It is worth mentioning that your ostomy, no matter what type it is, it doesn’t restrict you from your routine activities. You can live a healthy and active life even if you have to carry an ostomy bag the entire time.