This topic is about managing the challenges of having two stomas—a colostomy and an ileal-conduit (urostomy)—along with multiple hernias that require specialized surgical repair. Here are some helpful insights and advice shared by others who have faced similar situations:

1. Positioning and Infection Risk
- It's generally recommended that a urostomy be placed above a colostomy to minimize the risk of fecal contamination of the urinary stoma.
- Consider discussing with your consultant whether one or both stomas can be repositioned during the upcoming surgery to reduce the risk of kidney infections.

2. Choosing the Right Surgeon
- It's reassuring to know that being referred to a surgeon who specializes in complex abdominal reconstructions is the right step for handling large hernias and multiple stomas.

3. Understanding Hernias After Multiple Surgeries
- Having multiple surgeries increases the likelihood of developing incisional and parastomal hernias. Many people have shared similar experiences, such as having several hernias repaired.
- Be aware that hernias can recur, and surgical mesh or advanced reconstruction techniques might be necessary.

4. Stoma Care Precautions While Waiting for Surgery
- Be extra careful with hygiene around the urostomy to prevent urinary tract or kidney infections, especially since it is positioned below the colostomy.
- Keep an eye out for early signs of infection and report them promptly.

5. Emotional and Peer Support
- It's important to stay positive and seek support from others. Sharing updates and receiving encouragement can be very helpful. Many people find that maintaining resilience is just as crucial as the physical treatment.