leakages from ostomy appliance

If you're still having problems with leakage, I use a Hollister one piece bag with an Eakin seal. The bags come in various sizes - I use an 8483 as my stoma is 7/8" and a 48 mm eakin seal which can be molded to fit around the stoma before putting on the bag.

I think the option of the elastic belt that adheres to either side of your bag is a good option..I am very picky about how mine fits, I have had only 2 leaks in 10 months, the hollister bag I mentioned in my previous post may work for him, with the belt I use, it holds it in place, I am never without it. If he would like to talk I would be glad to discuss it openly, can give you my cell number anytime,,,,,Gene

Thank you Gene. I am having some difficulty getting my husband to sit down and read all the good responses.
He had a complete bladder cancer cystectomy, 3/4/08; using, as I have mentioned ostomy bag appliance. He is 61 years old, went back to work full time, and came through the 4 month recovery, relatively well. Surgery was at Sloane Kettering, in NY.He has gone to the ostomy RN at Sloane several times for consult.He has tried several different companies and bag styles, and has still not hit the right bag for him. He has resorted to now, wearing the belt around the waist to hold the bag in.At times, several more than ever expected,the bag leaks; he is beginning to feel great frustration and despair. That is why I am screaming out for HELP.If you can think of any suggestions, please contact me

sydelle,

I would be glad to help you with your problem with your bag leakages, I think its just that your husband isn't getting it dry enough or may be using the wrong bag..I would have seen your post sooner if you had posted it in INVASIVE rather than Men and bladder cancer. A common thing, whERE TO POST YOUR QUESTION,,,? I would be glad to talk to him, we are all friends here, and have the same problems,,,Gene

This is a first for me. I've been reading everything for quite some time and I feel that I must respond to your problem.
My husband had a cystoprostatectomy with an ileo conduit Oct. 22, 2007. We had many problems with leakage after the removal of the drain from the conduit. It would leak just hours after a new appliance and always in the middle of the night. We had many stoma nurses visit intially and seemed to take a little from each one to come up with what worked best for us. Following is our procedure and we're getting an easy 5 - 6 days without a leak:

1) My husband removes the wafer and pouch in the shower. We are using the
ConvaTec Sur-Fit Natura Somahesive Flexible Wafer. He can now use a precut
5/8" or 3/4" size. He showers using Dial soap and doesn't let the water
directly hit the stoma area. The wafer and pouch (ConvaTec Sur-Fit Natura
Urostomy Pouch - 1 3/4" for our size wafer) come off last. He soaps up the
area surrounding the wafer very well and works it away from the skin.
After it is removed he uses very little adhesive removal to clean up any
residue from the paste. (not on stoma) Remember less is best when it comes
to chemicals on the skin.

2) He dries off well & uses a soft paper towel that I have rolled and made a
knot to keep over the stoma. I'm the nurse when it comes to putting on
the new wafer and bag. He lies down on the bed and I use a hairdryer on
lo to make sure that the skin is very dry.

3) I then sprinkle the Ostomy Protective Powder around the stoma area. I then
take a tissue and lightly wisk it off. If there is any adhesive remaining
I use my nail to pick it off gently rather than adhesive remover. Be sure
you wash you hands well and under nails with antibacterial soap. I also
change the knotted soft paper towel over the stoma.

4) Have the Stomahesive Paste sitting in a sink with hot water so it spreads
easily.

5) Take the wafer and secure it to the pouch and be sure you hear it click
all around the edge. Press it tightly around again. Peel back a little
edge at the top where you'll start to attach when on. Set aside.

6) Get the paste and have it ready....now take a skin prep and wipe it
around the outside area where the wafer will be attached. I always use
2 skin prep wipes. While this is drying....

7) Peel off the back of the wafer and spread a small amount of stomahesive
paste close to the opening of the wafer. Let this set for a good minute.

8) Now time for the patient to remove the paper towel knot from over the stoma
and you place the opening of the wafer (pouch attached) from the bottom of
the stoma and up ....sort of grab it from below. It seems to go right on
center this way. Take your finger and rub it around the rim of the
wafer. Now peel back the outer paper of the wafer slowly beginning at the
top and smooth it onto the skin. When this is done, one more procedure to
finish it off.

9) Order Mefix 1" (11 yards) of tape. Medicare doesn't cover it but I order
2 rolls at a time and it's around $13.00...well worth it. It's fabric
and holds beautifully on the skin. Paper tape is a total waste. You use
this to border the wafer.

It sounds like a big procedure but I lay everything out while he's in the
shower and it takes about 20 mins from start to finish. When my husband was in the hospital for a biopsy recently the nursing staff was very impressed with
the looks of his urostomy system. I was a frightened gal for awhile, but now
feel very comfortable helping my hubby out with this. I can't imagine someone doing this on their own, especially standing up.

Good like...
Bobbe

I use a Convatec 9 " bag with flat skin barrier. I have a somewhat rounded abdomen. I had a lot of problems in first few weeks until I started this method:

1. Remove old bag and skin barrier.

2. Wash area with warm cloth.

3. Staunch stoma lightly with 2 tampons to prevent leaking. Let skin totally dry.

4. Apply Convatec Stomahesive protective powder lightly, and do not smooth out, leave it a little lumpy.

5. Apply skin barrier, put on bag.

6. Place slightly warm heating pad on for 60 seconds. This seals the adhesives.

I rarely leak now and change bag every 3 days.

Hope this helps.

Jeff