Which of the following is NOT a listed complication of stomal prolapse?

• A. Irritation of stoma length
• B. Difficulty with concealment of pouching system and stoma
• C. Bleeding from stomal mucosa
• D. Possible necrosis or death of stoma

Answer: (C)

Stomal prolapse mainly creates problems related to the physical changes in the stoma as it protrudes. When the bowel slides out, the stoma length appears longer and the new contour can rub against clothing or the skin, making the pouching system harder to seal and increasing skin irritation around the stoma. This is a direct consequence of the prolapsed tissue altering the stoma’s surface that contacts the skin.

Another major concern is the risk to the blood supply of the prolapsed segment. If the tissue bossing outward becomes compressed or stretched, it can lead to edema and, in severe cases, ischemia or necrosis of the stoma tissue. That possibility is a recognized serious complication of prolapse and requires prompt assessment.

Bleeding from stomal mucosa, while it can occur for various reasons, is not typically listed as a complication specifically attributed to stomal prolapse. It may occur with irritation or other stomal problems, but it isn’t a standard prolapse-associated complication in most guidelines.