Abstract
Twenty-six cases of patients in whom synchronous creation of both intestinal and urological stomas have been done（hereafter in short as double stoma patient）were reviewed and evaluated from view point of stoma care. Evaluation were made by scoring to five components as follows; 1）stoma site,2）stomal and peristomal condition,3）distance between two stomas,4）status of scar on midline incision,and 5）complication of stoma. In highly scored patients（excellentg roup）,stoma marking were done in 100％ and in modarately scored patients （fair group）marking rate was 60.7％. On the other hand,marked cases was took 16.7％ of low scored patients（poor group）. Skin irritation by leakage occured highly in poor group,while low in excellent group.
This analysis led to the conclusion that preoperative stoma site marking was important management in stoma care.
