Question: Concerns About Blackening in Ureterostomy Drainage Tube and Bottle

I’ve been using a ureterostomy night collection system for 2 1/2 years and have observed that the tube connecting the collection bag to the night bottle starts turning black within a short period, becoming quite dark after 3-4 months. Attempts to clean it with vinegar haven’t been successful, leading me to replace the tube periodically. Additionally, the drainage spout’s tip also begins to darken around day 4-5. I’m uncertain about the cause of this blackening, its potential risks, and whether there are better cleaning methods or if replacement is the only option. Can you provide guidance on who to contact for answers?

Response: Addressing Discoloration in Night Drainage Equipment for Ureterostomy

The blackening you’re noticing in your ureterostomy night drainage system is a concern that needs proper attention. It’s advisable to consult the manufacturer of your equipment for specialized advice. They can offer insights into:

• Proper maintenance specific to their equipment.
• Preventative measures to avoid blackening of the night bottles and tubing.
• Understanding potential health risks associated with the discoloration.

Generally, manufacturers recommend replacing drainage bags, bottles, or tubing when they exhibit clouding, odor, or discoloration. Here are additional tips and information for managing your night drainage system:

Setting Up the System:

• Night drainage systems come in various types. Some are one-piece, while others are two-piece systems.
• For two-piece systems, connect one end of the tubing to the container lid and keep it connected until replacement.
• Connect the other tubing end to your pouch nightly, possibly using an adapter.
• Replace the container if it becomes cloudy or changes color.

Night Routine:

• Before bed, ensure the pouch is about a quarter full to facilitate urine flow into the tubing.
• Secure the tubing to your thigh with a leg strap to prevent twisting.
• Keep the night drainage container in a basin or small trash can beside your bed to avoid tipping.

Morning Routine:

• Close the pouch drain before detaching the tubing to prevent leakage.
• Empty and rinse the container and tubing with cool water.

Cleaning the System:

• Clean the system every 2-3 days using white vinegar and cool water.
• Allow the mixture to sit in the container and tubing for at least an hour before rinsing.
• Air dry the components after rinsing.

Considerations for Replacement:

• Regularly inspect the system for any signs of wear or discoloration.
• Follow the manufacturer’s guidelines for the frequency of replacement.
• Contact healthcare professionals or the manufacturer for advice if the problem persists.

Your vigilance in monitoring the condition of your equipment is commendable. Staying informed about the best practices for care and maintenance of your ureterostomy equipment is crucial for your health and comfort.

Jo-Ann L. Tremblay
THE OSTOMY FACTOR Blog – joannltremblay.wordpress.com
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TWITTER @joanntremblay Author of “The Self-Coaching Toolbox”, “Better With A Bag Than In A Bag”, “Another BAG Another DAY”, “BAGs Around the World”, “Why Buttercup Wears a BAG!”, “The Sibs Gang Cave of the Golden Heart” amazon.com, amazon.ca, amazon.co.uk
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