Adjusting to life with a urostomy brings changes to your daily routine, but bathing, showering and swimming can all remain a normal part of life. Water will not harm your stoma. The key is finding what feels comfortable, manageable and safe for you.
In the early days following surgery
If you have recently had your operation, your stoma care nurse or surgeon may advise you to avoid long baths until your wounds have healed. During this time, showers or shallow baths are usually recommended.
If you are unsure, it is always best to follow the advice of your own clinical team.
Bathing or showering with your bag on
Many people with a urostomy prefer to keep their bag on while showering or bathing. As urine is produced continuously, this often feels easier and more reassuring.
Urostomy bags and baseplates are designed to be water-resistant, so bathing and showering with your appliance on is absolutely fine.
A few simple tips may help:
- empty your bag beforehand
- check that the seal feels secure
- avoid oily soaps or products that leave a residue on the skin
- gently pat the bag and surrounding area dry afterwards
Showering or bathing with your bag off
Some people prefer to shower without their bag on and enjoy the feeling of water directly on their skin. This is also fine – there is no right or wrong choice.
If you do bathe or shower without your bag on:
- have your new appliance ready beforehand
- be aware that some urine flow is normal
- avoid very hot water if your skin is sensitive
- wash gently with warm water rather than scrubbing
- dry the skin carefully before applying a fresh bag
Can I swim with a urostomy?
Yes – in most cases, people with a urostomy can swim. However, it is recommended that you keep your bag on when swimming, as urine is produced continuously and your appliance is designed to manage this safely.
Swimming with your bag on is usually the most practical and comfortable approach, helping you feel secure and confident in the water.
Before swimming, it may help to:
- empty your bag first
- check that the seal is secure
- choose swimwear that helps you feel supported and confident
If you are considering starting swimming or any new form of exercise, it is important to speak with your stoma care nurse first, particularly in the early stages after surgery. They can provide advice based on your individual situation.
A note on the sea and open water
If you are swimming in the sea or open water, it is not recommended to remove your bag. Keeping your bag on helps to manage ongoing urine output and maintain good hygiene.
Wearing your appliance also provides reassurance and supports a more controlled and comfortable experience, particularly in environments where conditions can be less predictable.
When to ask for help
Most people don’t have any problems with bathing, showering or swimming. If you do find things aren’t working as expected – such as leakage, sore skin or your appliance not sticking well – your stoma care nurse can help, and small adjustments can often make a big difference.
“Don’t be afraid of trying new things with your urostomy, like swimming. It’s a fantastic way to get out, exercise and meet new people. As for showering and bathing, doing what feels right for you is the most important thing. If you do have questions about bathing or showering, please speak to your stoma nurse – we’re always more than happy to provide help, guidance and support.”
Paul Russell-Roberts, Stoma Care Nurse Specialist
