This topic is about dealing with some common issues that can arise with a urostomy pouch, specifically the vacuum effect and early leakage. The person experiencing these issues is still relatively new to having a urostomy, as they are only a few months post-surgery. Here are some helpful tips and insights to address these concerns:

1. If you suspect there is a fault with your urostomy pouch, report it to the manufacturer, such as Dansac or Hollister. They often replace or redesign products based on customer feedback.

2. When applying a new pouch, try leaving a small amount of air inside. This can prevent the bag from collapsing and clinging to the stoma.

3. If you are using a vented pouch, the vent might be letting all the gas escape, creating a vacuum effect. You can:
- Cover the vent with the supplied sticker to disable it.
- Switch to a non-vented pouch.

4. Make sure you are using products specifically designed for a urostomy. Problems like pancaking and ballooning are usually associated with colostomy output.

5. Using a Hollister pouch along with an ostomy belt can enhance security and help reduce leaks. Always check the boxes for any defects and contact Hollister immediately if you find any faulty appliances.