Correction of a Leaking Stoma: Using Silicone Block Insertion

BACKGROUND: Changes in abdominal contour, including peristomal indentations, can cause leakage of stoma effluent and other complications. PURPOSE: To describe the case of a 39-year-old patient with a urostomy who experienced very frequent urine leakage as a result of a peristomal indentation. CASE STUDY: The patient presented with a history of cystectomy and urostomy surgery for chronic interstitial cystitis and dysfunction of the bladder due to a neurogenic problem, and very frequent appliance changes due to urine leakage. Modest improvement occurred following fasciocutaneous V-Y advancement flap surgery. After 7 months, a silicone block was inserted in the peristomal indentation, After 1 year of follow-up, the outcome remained satisfactory and no additional procedures were needed. CONCLUSION: In this case, silicone block insertion was an effective and minimally invasive alternative to manage stomal leakage refractory to other procedures.