This topic is about managing seals for someone who has both a colostomy and a urostomy. After a major surgery, the person is finding it challenging to handle both stomas at the same time, especially since they had previously established a stable routine with just the colostomy. Here are some insights and advice that might help:

1. Frequent leaks can occur when focusing on one stoma, causing issues with the other. This can be very stressful and frustrating.
2. It can be difficult to achieve a reliable seal on both wafers or rings, leading to repeated breakages despite taking medication for stress and pain.
3. Check the skin around the stomas for any scar tissue from recent surgeries. Wafers or barrier rings might not stick well to scarred skin.
4. Consider reaching out to others who have experience with dual stomas. They might have useful tips and shared experiences that could help in managing two appliances at once.