Procedure for Obtaining a Urine Sample From a Urostomy, Ileal Conduit, and Colon Conduit

Abstract

The purpose of this document was to define the correct technique for obtaining a urine sample from a urostomy, ileal, or colon conduit. While healthcare providers do not commonly encounter patients with a urostomy, knowledge of the correct procedure to obtain a urine specimen is essential. Urine samples obtained incorrectly from a urostomy can lead to inaccurate cultures, resulting in an improper diagnosis and treatment, which can endanger the life of a patient. This column presents patient preparation, the procedure to obtain a specimen with and without a catheter, and aftercare of the patient and specimen. This best practice guideline has been developed by a panel of certified ostomy nurses serving on the Wound, Ostomy and Continence Nurses (WOCN) Society's Clinical Practice Ostomy Committee. The guideline has undergone content validation through a consensus-building process by the WOCN Society, which was managed by the Center for Clinical Investigation.

Looking Back

“…The fi ndings of both studies have exerted a lasting impact on WOC nursing practice that is refl ected in a best practice document focusing on a procedure for obtaining a urine sample from a urostomy, ileal, and colon conduits. 12 Watt 13 went on to publish an article that independently tested claims made by multiple urinary pouch manufacturers. One of the claims was that antirefl ux valves may help to prevent urinary tract infection by preventing urine from pooling around the stoma.…”

Wanderungsgeschwindigkeit von uropathogenen Erregern

“…Dieses Ileumconduit ist in Deutschland mit 33-63 % und weltweit die derzeit häufigste Form der Harnableitung nach operativer Entfernung der Harnblase. In den Fällen, in denen die Anlage eines Ileumconduit nicht durchgeführt werden kann, erfolgt in den meisten Fällen die Ableitung des Harns über die Ureterhautfistel [9]. Für 10-14 Tage wird nach diesen Operationen in der Heilungsphase der Harn über Splintkatheter in einen Urinbeutel abgeführt.…”