Managing Frequent Stoma Bleeding and Surgical Options

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570
bernardg
Nov 19, 2022 2:25 am

In 1994, I was diagnosed with bladder cancer and underwent a radical cystoprostatectomy with ileal conduit—I lost my bladder. During most of my 28 ½ years as an ostomate, I have had only minuscule and temporary stoma bleeding, or spotting, and only at the time I change my 2-piece urostomy wafer/pouch. However, beginning in 2019, the bleeding became more frequent and my urologist suggested the permanent remedy of using a Silver Nitrate stick to cauterize the stoma. Earlier this year, this same urologist said that with my history of stroke and regular use of a blood thinner, a stoma “revision” or repeat of my 1994 surgery could prove fatal.

Today, I have a new urologist who did perform a stoma revision. However, as a result of this procedure this past October, I am still bleeding and urine now exits from the stoma like a waterfall! Whereas I used to change my wafer/pouch every 5-6 days, it is now every 1-1 ½ days.

My surgeon said he can try the revision again fairly soon or wait until early 2023 to redo the original 1994 surgery, which would give me a new stoma. Of course, until a successful procedure is performed, I risk bleeding and possible clotting that has sent me to an emergency room 10 times in 2022.

I am desperately looking for advice, referrals, etc. Thank you.

Morning glory
Nov 20, 2022 1:02 am

Hi, I don't have any advice; I just want to say I am sorry you're having so many problems. Hopefully, you can get some answers soon.

Sasquatch

MeetAnOstoMate is an awesome group of people, going through similar issues. There is always someone who has information to contribute. I've been a basic member for years, just now decided to bump up to premium. Huge wealth of knowledge and support here, these people are great.

Cmoore
Jan 22, 2023 4:03 am

Are you taking any NSAIDs or aspirin on a regular basis?

A lot of people, including myself, have sensitivities to these medications which cause GI bleeds. It's not so noticeable unless part of your ileum is on the outside. I get terrible bleeds from my stoma from these medications and from steroids I have to take for my CT contrast allergy when I get CT urograms.