This topic is about a person with a urostomy who is having trouble keeping their Hollister skin barrier in place when using Nystop antifungal powder to treat a yeast infection. Without the powder, their barrier stays on for several days, even when swimming. However, when they use the powder, the barrier lifts, causing leaks and requiring frequent changes. They are seeking advice on how to keep the barrier secure while using the powder.

Here are some helpful tips and insights:

1. When using the "crusting" technique, apply a light dusting of Nystop powder. Wait a minute, then gently wipe off any excess with dry gauze or a paper towel. Spray 3M Cavilon and let it dry completely before attaching the wafer.

2. Make sure the skin is completely dry before applying the barrier. You can use toilet paper, a warm hair-dryer, or simply wait a bit longer to ensure dryness.

3. If the powder continues to cause adhesion issues, consult your doctor about possibly switching to an oral antifungal medication or adding a probiotic to reduce the need for powder on the skin.

4. Consider using a convex wafer or adding convex rings if there are any dips or puffiness around the stoma. Many people have found that leaks stopped once they switched to convexity.

5. Try "picture-framing" the wafer by cutting Hollister Hollihesive squares or Coloplast Brava elastic strips into 1-inch strips and placing them on all four sides. This allows the wafer to stick to the Hollihesive instead of the skin, providing extra security and water resistance.

6. After applying the appliance, warm it with a heating pad for about 20 minutes, periodically pressing around the flange to improve adhesion.

7. Order free samples from different brands like Hollister, Coloplast, and Convatec to test various wafers, rings, strips, and adhesives until you find a combination that works for you.

8. Some users have found success using Kenalog (triamcinolone) spray over the antifungal powder to prevent leaks. This requires a prescription.

9. For recurrent yeast infections, some dermatologists suggest wiping the area with a mixture of 50% white vinegar and 50% distilled water during changes, then letting it air-dry before applying the appliance. Be sure to confirm this approach with your physician first.

10. Consider minimizing the number of products used. Some long-term urostomates have reported better wear time when they stopped using all powders and barrier wipes once their skin healed.