🌸 What Are Stomal Granulomas?

Stomal granulomas are common stoma complications that appear as small, red, friable lumps or papules on or around the stoma. They may bleed easily, cause discomfort, and interfere with appliance adhesion, often leading to leaks and reduced wear time.

Granulomas can develop at:

• The mucocutaneous junction (where the stoma meets the skin)

• The stomal mucosa itself (mucosal granulomas on the spout)

Both require specialist assessment and tailored treatment.

🌸 Why Does Granuloma Treatment Matter?

Granulomas are common, but not all granulomas are the same — and not all require the same treatment. They can significantly impact your stoma care routine and cause multiple other complications, such as bleeding, pain, and appliance/stoma bag leaks.

Granuloma treatment requires careful monitoring to ensure healing and prevent recurrence.

🌸 Causes of Granulomas

Granulomas may form due to:

• Reactive granulation around sutures

• Chronic friction from the appliance opening or belts

• Irritation from faecal or urine exposure

• Allergic reactions to stoma products

• Many medications may also contribute to granuloma formation

Understanding the cause helps us tailor treatment and prevent recurrence.

🌸 Who Is Suitable for Granuloma Treatment?

Most patients with granulomas are suitable for treatment in our clinic. We assess:

✔️ Suitable for Treatment

• Granulomas at the mucocutaneous junction

• Mucosal granulomas on the stoma

• Recurrent granulomas

• Granulomas causing bleeding, discomfort, or leaks

• Granulomas affecting appliance adhesion

❌ May Require Escalation

Some conditions require referral to dermatology or surgery, including:

• Suspicion of precancerous or cancerous growths

• Extensive pseudoverrucous lesions

• Severe peristomal disease

Our specialist nurses will always ensure safe triage and escalation when needed.

🌸 Why Choose Our Granuloma Clinic?

• Specialist stoma nurses with advanced procedural skills

• Evidence‑based treatments aligned with national and international guidelines

• Expertise in managing both junctional and mucosal granulomas

• Avoidance of unnecessary surgical interventions

• Improved appliance wear time and reduced leaks

• Enhanced comfort, confidence, and quality of life

• Compassionate, patient‑centred care