Abstract
We had a patient who suffered from continuous bladder bleeding due to invasive prostatic cancer. Though he was managed with bilateral ureterocutaneostomy,percutaneous cystostomy and continuous saline irrigation,obstruction by blood clots caused a marked leakage around the cystostomy catheter. The patient complained of discomfort,anxiety,insomnia and coniact dermatitis around the cystostomy. We applied a "Nipple pouch",a stoma pouch combined with a nipple around the cystostomy catheter. It proved useful and could catch all the leakage around the catheter and provide relief from his problems including the skin trouble.