What referral criteria should I use for patients experiencing significant complications related to their stoma?

The provided UK guidelines offer limited direct and general referral criteria specifically for patients experiencing significant complications related to an existing stoma. However, some guidance can be inferred from related contexts.

For women who present with bowel complications directly related to mesh placement, such as erosion, stricture, or fistula, treatment should be discussed with a regional Multi-Disciplinary Team (MDT) that possesses expertise in complex pelvic floor dysfunction and mesh-related problems ². This discussion is crucial for formulating an individualised treatment plan ². It is also noted that a temporary or permanent stoma might be required after mesh removal in such cases ².

More broadly, individuals assessed as possible candidates for a stoma are referred to a stoma care service ¹. While this refers to initial assessment for stoma creation, stoma care services are the primary specialists for ongoing stoma management and would typically be involved in addressing complications.