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For parents of children with urostomies

If your child has a urostomy, you probably have many questions and concerns. When the surgeon said your child needed this surgery, your first reaction may have been, "Is this the only choice?" Your doctor no doubt assured you that the urostomy was needed to save your child's life. You may have felt shock. You may have asked yourself, "Why did this happen to us?"

It helps to talk to a good friend, the doctor, clergy, an ostomy nurse, or the parents of a child who has a urostomy. This will prepare you to help your child adjust to the urostomy. Deal with your own feelings first, then you will be more able to give your child the emotional support he or she needs.

You may be feeling guilty or responsible for your child's illness and surgery. These are normal feelings. You may think that your dreams have been shattered and may wonder if your child will be able to do the things that others do. Most parents worry about their child's life span, ability to work, adjustment to living with a urostomy, and in later years, marriage and family. These are normal concerns of all parents facing major changes in their child's life.

When your child is in the hospital, be there as often as possible. Being in the hospital and having surgery are frightening at any age. Your child may feel very helpless and scared at this time and needs the love and comfort you can give. You being there makes him or her feel safe.

Be prepared for how you will feel when you see an opening on your child's abdomen with urine running into a pouch. The first reaction your child sees from you is vitally important and must be as positive and casual as possible.

If your child has a fever or other symptoms, don't panic. He or she will have all the aches and pains that other children have. When in doubt, call the doctor.

Psychosocial issues

As your child begins to recover from urostomy surgery, there are many ways you can be a source of strength and support.

Your son or daughter may be afraid that young friends and relatives will not want to be around them. Your acceptance is key. Encourage your child to talk to you about these feelings. If you are open and natural about the urostomy, he or she will be, too.

Try to understand how your child feels. Your child needs to feel that you understand what it is like to have a urostomy. Still, too much sympathy is not good and can take away a sense of independence. Listen, try to understand feelings, be encouraging, and be tactful. It is hard not to overprotect and pamper a child who is recovering from major surgery.

Very young children will probably accept the urostomy more easily than you. Children who grow up with it often find that it becomes a natural part of them. For a teenager who is facing all the problems that come with puberty and adolescence, this surgery comes at an especially difficult time. The changes in body image caused by the urostomy may make the stresses of adolescence worse. Your teenager may feel unattractive, rejected, and different because of the urostomy.

You may notice short-term changes in your child's behavior. Your acceptance and support are very important. Try to understand the feelings and listen to the complaints. Give encouragement and try to help your child find realistic solutions to his or her problems.

Your child's urostomy care

Take an interest in your child's urostomy care. If he or she is old enough, you will need to help your child learn to take care of the ostomy and pouching system on his or her own. Your child may need some help and support at first. He or she may be unsure about how to use the new supplies, feel physically weak, and tire easily.

A very young child can be taught to empty the pouch. An older child can get supplies together and learn the steps of changing the pouch, until the whole process can be done alone. You may want to use a teaching process that begins with your child helping you. Later on you can help them; then over time, stand by to help only if you are needed.

It is very important that your child have an ostomy nurse help out at this time. This is a person who has special training in ostomy management and the emotional needs that may come at this time of change. To find an ostomy nurse in your area, call the Wound, Ostomy and Continence Nurses Society at 1-888-224-9626 or visit their Web site at www.wocn.org.

Be prepared for trial and error in caring for, or helping to care for, your child's urostomy. There are some changes that will happen in the beginning that will not happen later. There may be skin or pouching system problems. The important thing to remember is that all of these changes will become more comfortable over time. A sense of humor and a positive attitude will help you and your family through this time.

Going back to school and everyday living

Be flexible as your child adjusts to school and everyday living. Have a plan in place in case there are problems. Maybe the pouch will leak at school. If that happens, your child can go to the school nurse. Or you might pick up your child for a pouching system change at home; then he or she can return to school. One youngster tells this story: he noticed that his pouch was leaking and had wet his pants. Instead of rushing out of the class as everyone else did, he calmly waited until everyone had left the room. In this way, he very wisely avoided embarrassment and then called home so that his mother could pick him up. You may want to visit the principal, the classroom teacher, the physical education teacher, and the nurse to explain your child's needs.

You will find that your child can take part in most sports, go on overnight trips, camp, and, in fact, still enjoy the same activities as before. At first, it may be hard to let your child go away on his or her own. Talk about what can be done if any problems come up while your child is away from home. If you can help your child know how to best handle any problems that may come up, he or she will not need any "special" treatment or seem different from any other children.

Talk with your child about how they will talk about the surgery to others. He or she may want to tell close friends and loved ones. Naturally, people will be curious. Once the surgery is explained, chances are your child will be accepted as before. Your child will likely repeat what you say. If you talk about the surgery in a natural way with others, your child will, too.

Remind your child to think about others, too. For example, cleaning up the bathroom after urostomy care is important. You and your child are facing a new situation in your lives. If it is approached with openness, firmness, and a sense of humor, you will find that a urostomy will not stop your child from taking part in life's everyday activities. Parents find that a healthy child with a urostomy can once again be a happy child.

Being around other kids with ostomies can also be a great help. Each summer, a camp for young people ages 11 to 17, with ostomies or any other bowel or bladder changes, is held at a college campus. This camp is called The Youth Rally. Planned learning sessions on self esteem, body image, hygiene, and ostomy issues, plus discussion sessions, craft projects, tours, and sports are offered. Visit www.rally4youth.org for more information.

Last Medical Review: 03/17/2011
Last Revised: 03/17/2011