A hand tool and related method is provided for cleaning the discharge opening of an ostomy pouch. The hand tool includes a handle with a handgrip, a swab holder, and a bore extending through the handle; and a swab plunger having a telescoping shaft with proximal and distal ends extending though the bore, a gripping member attached to the proximal end of the shaft, and a swab engagement cap attached to the distal end of the shaft, the plunger having retracted and extended positions. A closed-end tubular swab is inserted over the distal end of the swab holder to wipe waste material from the ostomy pouch discharge opening. The plunger is then extended and pushed forward to detach the swab from the hand tool.