Help with Overnight Bag Issue

Posted by bill404 @bill404, Sep 16, 2025

I just got my cystectomy with ileal conduit creation about three weeks ago. Now I’m in the learning phase, and I have experienced an issue with the overnight bag (Bard Urinary Drainage Bag) that I seek feedback on. When I’m hooked up to the night bag, sometimes urine builds up a little in the day bag and then suddenly flushes into the night bag creating negative pressure on the day bag. The suction effect results in the day bag collapsing on itself and plastering against the stoma. I fear the stoma will not emit the urine when this happens, although I don’t know for sure. I’ve been getting out of bed and unhooking the night bag and opening the day bag which relieves the negative pressure thus eliminating the plastering effect. Then I put it back together and go back to bed. Any advice on how to prevent this plastering effect?

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What you are describing is totally normal and not to be worried about. The stoma will continue to produce.
Think of it as a slow leak in your landscape irrigation, water finds its way. The same with urine, it finds its way to the overnight bag. No need for you to de-pressurize it during the night. Think of it as a benefit of having a urostomy, once you hook up to the overnight bag, sweet dreams, never having to get up at night to pee again(smile)

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This is a totally normal. The bag collapses but does not seal. As with any liquid, it will find an opening to drain into. The stoma will continue to release urine regardless of the bag condition.

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Profile picture for cromme50 @cromme50

What you are describing is totally normal and not to be worried about. The stoma will continue to produce.
Think of it as a slow leak in your landscape irrigation, water finds its way. The same with urine, it finds its way to the overnight bag. No need for you to de-pressurize it during the night. Think of it as a benefit of having a urostomy, once you hook up to the overnight bag, sweet dreams, never having to get up at night to pee again(smile)

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haha and thanks.

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Profile picture for cromme50 @cromme50

What you are describing is totally normal and not to be worried about. The stoma will continue to produce.
Think of it as a slow leak in your landscape irrigation, water finds its way. The same with urine, it finds its way to the overnight bag. No need for you to de-pressurize it during the night. Think of it as a benefit of having a urostomy, once you hook up to the overnight bag, sweet dreams, never having to get up at night to pee again(smile)

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@cromme50 always empty your day bag before bed time and hook up night bag .
My Coloplast night bag holds 2 ltr of urine. More than enough to get you through the night without getting up. Before my bladder removal I was getting up 4-5 times a night to pee. What a relief it is to me now. Hope this helps. Foss

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I have been sleeping on the recliner for four weeks since my surgery, For some reason, I wake up every 2-3 hours at night, stand up, feel it drain into the night bag, then lie back down to sleep. So far this routine has not bothered me.

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Profile picture for marysews @marysews

I have been sleeping on the recliner for four weeks since my surgery, For some reason, I wake up every 2-3 hours at night, stand up, feel it drain into the night bag, then lie back down to sleep. So far this routine has not bothered me.

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@marysews, I'm glad you still getting the sleep you need and you're able to fall back asleep. How are things now that a couple more weeks have passed since surgery?

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Profile picture for Colleen Young, Connect Director @colleenyoung

@marysews, I'm glad you still getting the sleep you need and you're able to fall back asleep. How are things now that a couple more weeks have passed since surgery?

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@colleenyoung I am still sleeping on the recliner and have been using melatonin since I got home from the hospital, which has helped my sleep. They gave it to me at the hospital, and it helped, so I continued it.
My guest bed, where I will transition to for sleep, is in my home office. That bed is covered with supplies that I plan to donate, since the home health agency has not replied that they will accept these supplies. Someone on FB mentioned some sites that accept ostomy supplies, and I'm still looking for the one I think I want to donate to.
I found this: https://www.fowusa.org/donate-supplies/

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I was told to always have about a 1/3 of the day bag full before I hooked up the night bag to get the flow started (to break the vacuum or something). If I change the day bag just before bedtime, I put some water in it before I attach it. I always have something in it to get the flow started. Works for me!

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