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Jun 16, 2010

Keeping Your Pouch and Patch Dry in the Shower

This topic is about finding ways to keep your ostomy pouch and skin barrier dry while showering. If you're looking for tips and tricks to make showering with an ostomy more comfortable and less of a hassle, here are some suggestions from others who have been in your shoes:

1. Many modern ostomy appliances are designed to be waterproof.
- Users of Hollister and Coloplast 2-piece systems, or those with "waterproof" wafers, often just shower, towel-dry, or use a low-heat blow-dryer without needing extra protection.
- If your wafer loosens easily, it might be an adhesion issue rather than a water problem.

2. Consider removing some or all of the appliance when possible.
- On your scheduled change day, take off the entire system and enjoy a full shower.
- With 2-piece systems, you can remove just the pouch and shower with the baseplate on, then attach a fresh pouch afterward.
- Some people shower with the stoma uncovered and then apply a pre-pasted wafer. Running cold water over the stoma at the end can reduce output for about 10 minutes, giving you time to reapply the wafer.

3. Try temporary physical covers or DIY barriers.
- Use an elastic waist cord with a spring toggle and a plastic "apron" to shield the pouch.
- A 10 × 20 inch plastic sheet folded over a strong cotton cord and tied around the waist can help, especially if you use a hand-held shower to avoid spraying the seal.
- Wrap a large sheet of Glad Press’n Seal across your abdomen, folding the pouch upward underneath.
- Use two dry washcloths: hold one over the pouch while wetting down, soap with the pouch uncovered, then switch to the second dry cloth while rinsing.
- For a humorous approach, remove the shower curtain and wrap it around your waist as a large shield.

4. Consider commercial products that others have tried.
- The Weir Comfees waterproof pouch pocket has mixed reviews; it worked for some but not for others.
- 3M Tegaderm Film can be trimmed into strips and applied around the wafer for a breathable, waterproof seal.
- Cymed "Second Skin" wafers are highly waterproof, though some find them tricky to handle.

5. Explore alternative routines to reduce appliance wear time in water.
- For those with regular colostomies, daily irrigation (about 45 minutes) allows some to shower appliance-free and wear only disposable caps or sleeves for the rest of the day, reducing concerns about the wafer.

6. Be aware of products or methods that haven't worked well for others.
- Neoprene pump-up waist wraps often don't seal well and can cause discomfort.
- Plastic "shower skirts" and Weir Comfees pouch pockets have allowed water to collect for some users.
See full discusison
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