Hi members of the Realm.
Thought I would share with you all my method of attaching the one-piece pouch which I have found reduces, if not stops, the dreaded sore skin around our stomas. I had my operation six months ago, so I have been experimenting with things.
I use Coloplast supplies for my equipment, but I'm sure you can adjust the principle for your own supplier.
I used to just use a single pouch cut to my stoma size. I would clean it, peel off the backing, and then stick it on... job done. However, I found that my output would seep under the seal and start to irritate my skin. This is probably a standard issue with various solutions, but as you all know, it's a real pain.
Please see photos to show more clearly, but basically, it involves cutting and shaping a seal ring into a cone shape that is also a real snug fit around your stoma. Then, instead of cutting the hole in the senSura Mio pouch at the exact size of your stoma, this is cut larger to accommodate the raised seal ring around your stoma.
This builds a better overall seal, slightly proud of your skin, and gives a better barrier around the base of your stoma. This is the sore zone that needs the most protection.
Hope this makes sense, and maybe you all do something similar. I thought I would share anyway, and if you need further explanation, please just message me. I also change my pouch first thing in the morning after a pouch-free shower when output is minimal, if not zero.
Also, I cut and prepare the seal and bag beforehand in the bedroom and then leave them in the steamy bathroom for 10 minutes while showering, as this makes them tacky and warmer, so they adhere to the skin better.
Hope this helps.
Best wishes to each and everyone of you.