Struggling with Stoma Leakages and Skin Irritation - Need Advice

Hi all
As some of you are aware im having alot of problems with leakages etc.
The skin around my stoma is constantly red raw as my urine is constantly sat in "a well". My stoma nurse has tried everything on the market to ease this but to no avail.....was just wondering if anyone could come up with any suggestions for me as im now in pain everytime i urinate and as you all can imagine its getting me down

Many thanks

tine....xx

tine, I dont know what Country you are in and I should of looked, no one should be going through this.  I do know you need to keep that area dry and I am not sure but it sound like you need to get a Urologist to give you some kind of antibiotic for your skin while it is healing up.  I am probably no help, but I didnt want leakage so I found my own way for that not to happen, I really take off my waffer and pouch and I shower with Dial Gold and wash my skin very well every day.  I do my hair first so no conditioner gets near wear my waffer will be when I get out of the shower.  I just know what works for me, I dry that area very well when I get out and I put stoma powder around my stoma and wipe it with my fingers as I was taught to do by my own stoma Nurse, I then use a barrier wipe to pat it until the powder you can no longer see.  I do this two more times and when my last barrier is used and I use two of them instead of one as this is what works for me.  I make sure you see no stoma powder on my skin, I then have my waffer with stoma paste that I left there for a full minute to go on the dry skin around my stoma.  I push it on gently and use my finger tip to circle it until it feels like it is on good.  I know some people use a blow dryer, I use a hospital glove and put in hot water and tie it and hold it on my newly put on pouch for five minutes.  I have a Colostomy and it is probably not even close, but I know urine is not good to sit on the skin for any length of time and it hurts just thinking someone is in that kind of pain.  I also want you to know, I dont bend or sit for 30 minutes after I do this as I dont want that seal broke.  I have had no problem with leakage the way I am doing it, I wish this would help you but I do know you have to get your skin to heal up as soon as you can before you do to much of anything.  God Bless You and I wish you the best, Jenny
PS.  I would really call my Doctor and not a Nurse if this was happening to me.

Hi Tine... I can only say to you that the following works well for me... stomach curvature may have some bearing on how well the seal makes up and holds. I use a regular wafer, not a curved one...but my tummy isn't flat either... those days are well past lol. Hope this helps. However, I agree, do see your doctor to get your skin healthy.
Changing a wafer...
Thought it might be helpful to explain how I approach changing a wafer as it seems much simpler than many I have read about or had discussions with... Mine is an ileostomy...lots of liquid with the usual stomach acids so if it gets to the skin it can be pretty irritating...as it is I have had an ileostomy for 11 months with no stoma skin-related problems. I will qualify it and say though, that it can itch at times especially around the outside of the wafer and it is hard to resist scratching... also by the 5th to 7th day it usually itches under the wafer...i.e. time to change it.

General Overview: 2 piece Coloplast, Stoma 1.5 inches below the belt line, wear braces no stoma belt, use Coloplast shaving powder, baby wipes, toilet paper, Coloplast strip paste 2655, Cavilon Barrier Film (Spray). 3M 1 in. Transpore tape.
Result: good fit, occasional leakage but hardly any and no skin irritation.

Procedure:
1. Take a shower – don't worry about the wafer getting wet, remove if you wish prior to shower
2. Prepare wafer – cut (size) stoma hole to within 1 MM of the stoma size
3. Take 5 to 6 CM of paste, roll between hands to about 10 CM in length. The shape is important to proper sealing?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /o:p/o:p
4. Run the rolled paste strip around the inside hole of the wafer...close as possible. The paste MUST fill any small voids between the stoma and edge of the wafer as well as create a 5 to 6 MM seal between the skin and wafer
5. Remove wafer and bago:p/o:p
6. Clean stoma and area thoroughly with toilet paper or wet facecloth and baby wipes
7. Apply shaving powder, shave, remove thoroughly any residual powder, and snip away any remaining hairs close to stoma (BE CAREFUL)
8. Wipe with baby wipes and dry with face cloth or toilet paper
9. Spray area with barrier film, or use a barrier film wipeo:p/o:p
10. Attach prepared wafer around stoma and with little finger compress the area around the stoma to set the paste i.e. To drive it between stoma and edge of wafer. Attach bag
11. Pull on pants so that the pressure of the pants, and body heat, on the new wafer & bag will help spread the paste and ensure the seal.
12. If the edges of the wafer is or becomes loose from the skin, apply the 3M tape.
13. Always tape the top and sides of the wafer before a shower (if not changing wafer), remove after a shower and dry surrounding surface.
Process takes about 15 minutes...and has worked so well that I seriously am considering not having a reversal!!!! If you have any questions feel free to ask.
🔒 Login to see image

o:p /o:p