Topic Explanation
The forum topic is about seeking advice on using Nystop powder around a stoma to prevent leaks. The user is experiencing issues with the barrier not staying stuck and frequent leaks, despite using skin prep. They are looking for tips and advice from others who have experience with using Nystop powder on a urostomy.

Advice and Insights
- Some users found success with applying Nystop powder by sprinkling it on, rubbing it into the skin, letting it sit, brushing off excess, and then applying skin protector and letting it dry before sticking the barrier on.
- Consider using a convex wafer or convex ring for added security and longer pouch wear.
- Request samples of adhesive squares from companies like Hollister, Coloplast, or Convatec for added security and longer wear time.
- If the area around the stoma is puffy or raised, consider using a convex wafer to solve leakage issues.
- If the powder is causing more problems, it may be best to stop using it, especially if the barrier lasts longer without it.
- Consider asking the doctor about oral medications to clear up systemic yeast infections and adding a yeast-preventing probiotic to the daily vitamin intake.
- Contact another ostomy nurse or WOCN for advice if the current nurse is not able to provide effective solutions.
- Try using a warmed heating pad over the abdomen after applying a new appliance to help with sealing.
- Consider using a 50-50 mixture of distilled water and white vinegar on the yeast-infected skin to help protect and heal the skin.
- Some users found success with Kenalog spray on top of the powder to prevent barrier leaking.

Conclusion
The forum discussion provided various insights and advice on using Nystop powder on a urostomy, including alternative products, techniques for application, and additional measures to prevent leaks and protect the skin.