This topic is about finding practical solutions to prevent a urostomy pouch from being pinched by belts or waistbands, which can cause urine to back up around the stoma. The person experiencing this issue has tried some solutions but is still looking for more effective remedies. Here are some suggestions and insights that might help:

1. Consider using a waistband expander by leaving pants unbuttoned for partial relief, though it may not completely solve the problem.

2. Explore the option of a "Stoma Dome" or similar products that might offer better results.

3. If you have already tried a stoma guard and found it insufficient, note that some guards can be quite expensive and may not prevent flow blockage when sitting due to clothing pressure.

4. Search online for terms like "stoma cover," "protector," "shield," or "guard" to find a variety of commercial options. These might be more effective when used with proper belt positioning.

5. If commercial products don't work, consider making a custom guard. You can bend 1/8- or 3/16-inch aluminum into a curved shield and use Velcro to secure it, keeping clothing away from the pouch inlet.

6. Don't hesitate to experiment with DIY solutions. Some users have created devices like a "PeePipe" to maintain an open channel. Just make sure any materials used are safe for skin contact and have smooth edges to avoid irritation.