Hey. I used to wear Hollister 3238 appliances, but can no longer do that. Years ago I could get up to two full days out of one, but now, less than ten hours. I switched to another brand, and if I get 24 hours out of one without it leaking around the seal that's against the skin, I am thankful. They're Coloplast. I wear an 8" straight appliance. I have not had problems for 40 years like this, just in the last three years and it's getting very upsetting. I feel like I can't go the places and do the things I used to be able to do. I am very, very active. Not going to slow down. I need suggestions for appliances. My ostomy nurse says 'people get four days out of a single application' and that's ludicrous! Four days! I wish. Even if I am not that active one day, it still happens. I have switched to wearing suspenders thinking that no pressure on the seal would help, but no dice. I followed the ostomy nurse's instructions to the T, still no dice. Tom.
I am not familiar with exactly what Hollister 3238 appliances are. Are they flat or convex? If you are using a flat barrier, consider a convex. Are there any scars near the stoma? I use a convex barrier with a thin ring and have no problems getting 6 days and probably could get 7 but have not tried.
Do you have a peristomal hernia?
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I use Convatec and have for 23 years. I go 4-5 days. https://www.convatec.com
Check with a good colorectal surgeon.
Good luck!
Jeanne
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Hi Writerman, you don't say if you have an ileostomy or colostomy or what your routine is. Have you gained weight or lost? I have an ileo. and use Convatec 2pc. and change every 3 days, and change in the morning of the 4th. I could go longer, but I don't think my skin would like it.
I get 7 days with a light convex Coloplast products. I do add a piece of tape on the bottom where it dips just for my own security. I also cover the filter to prevent ballooning, etc. I use a 1-piece #16733 drainable 10-43mm with wide adhesive protective ring #1203727-57mm.
My stomach is flat, I have a six-pack. I am very active. I run, do martial arts, am a master carpenter, love to landscape the yard, and walk the dog. I can't imagine getting three days out of an appliance, but certainly would love to do that. Two days is the maximum I have ever done in 43 years.
I have a urostomy. The only 6-pack is in my fridge, but I'm pretty fit with a flat stomach. I'm also just past 8 weeks since I got my stoma. I use a 2-piece Coloplast Sensura Mio Click appliance. I change every 3 days. I could maybe stretch it to 4, but I'm comfortable at 3. I also wear a Stealth Belt almost all day. I think it helps with leaks (I've only had a leak on one occasion.) I take it off to sleep.