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Nov 08, 2020

Managing Urostomy Bags with Peristomal Hernias

This topic is about finding ways to manage peristomal hernias while preventing leaks from a urostomy bag. The person sharing their experience had bladder and prostate removal surgery two years ago and is now dealing with two growing hernias around their urostomy. The position of the stoma at the trouser waistline is causing issues, as any pressure from waistbands can bend or pinch the appliance, leading to leaks.

Here are some insights and advice shared:

1. Using a special belt with an external pouch to keep the urostomy pouch outside the trousers has provided some relief, but leaks still happen.

2. Trying Supportex high-waist hernia support pants and a hernia belt has offered good support for the hernias, but unfortunately, they compress the pouch and cause leaks.

3. The person plans to discuss the issue with their surgeon in December, suspecting that the stoma might have been placed in the wrong position.

4. It might be helpful to consult with the original surgeon or an ostomy specialist about the possibility of relocating the stoma to a higher position, above the trouser waistband. One person shared their experience of having their stoma moved up an inch at the Cleveland Clinic, describing the procedure as simple and quick.
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