Topic Explanation
The forum topic is about a person's frustration with leaking and pouching after a stoma revision surgery. They share their disappointment with the surgery outcome and seek advice and suggestions from the forum members on how to deal with the leaking and pouching issues.

Advice and Insights
- A member suggests using a silicone funnel to bring the output up and over skin level into the bag without touching any side skin along the way.
- Another member recommends using silicone tube with a single flanged end or exploring scientific or plumbing supplies for suitable materials.
- A member shares their experience with making shaped baseplates out of flat plastic obtained from containers and using Siligum moulding paste to make silicone castes for shaping and protecting the stoma surround.
- Members discuss using silicone mold release in a spray can or Vaseline as a release agent for making molds.
- A member suggests using replacement nipples for formula bottles or pacifiers as a cheap alternative for experimentation.
- Members discuss using adapt rings to create a seal around the silicone nipple contraption and explore the use of deep convexity barriers from ostomy product manufacturers.
- A member advises seeking professional help from a prosthetics clinic to have a custom-made "funnel" fabricated to perfectly fit around the stoma.
- Members share their experiences with making molds and silicone castes for shaping and protecting the stoma surround, highlighting the challenges and potential solutions.

Outcome
The member scheduled a revision of the revision surgery to address the stoma issues and expressed hope for a better outcome.