Abstract
A wet colostomy is a relatively ‘old’ operation, first performed in 1948. Over the years, it has been updated and the technique improved, with patients having better outcomes. A double-barrelled wet colostomy (DBWC) is a simultaneous urinary and faecal diversion surgery, performed as an alternative to creating two separate stomas in a patient. Instead of an ileal conduit, which would typically be in the right iliac fossa (RIF), and a colostomy, typically in the left iliac fossa (LIF), there is a single abdominal stoma brought out through the abdominal wall in the LIF. This article gives an overview of the surgical procedure and includes a case study of a patient and his wife as they adapt to a life following the formation of a DBWC. It also describes the stoma care nurse's experience in caring for this patient and the appliances used.
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