Abstract
Recently the study of ostomy care has developed rapidly and its achievements have become a center of attraction. However,majority of the study have been improvement of some conventional methods of stoma care. Reports of pathological study on the skin around the urinary stoma have apparently not been published to date. We have pathologically studied the skin around the urinary stoma. The urinary
stomas were composed from 8 urinary stomas after ileocoecal conduit,whose follow-up period were from 4 to 82 months and 8 urinary stomas after ureterocutaneostomy,follow-up period were from 1 to 85 months. In both of urinary stomas after ileocoecal conduit and urinary stomas after ureterocutaneostomy,reaction of the skin around the urinary stomas were summarized as findings of subacute and/or chronic contact dermatitis,that is,there were hyperkeratosis,acanthosis,elongation of the rate ridges and elongation and broadening of the paillae and the dermis showed a chronic inflammatory infiltrate and fibrosis. It is suggested that these reaction of the skin were occured by continuous irritation of urine to the skin. It may be concluded that the principle of urinary stoma care is keeping urine away from the skin.
