This topic is about understanding whether urostomy hernias tend to get worse as we age and if surgery is a worthwhile option to consider. Here are some insights and advice shared by others who have experience with this issue:

1. Surgical Opinions:
- It's important to consult with the urologist or surgeon who initially created your stoma. The complexity of hernia repair can vary based on the hernia's size, location, and your overall health.
- Some surgeons might suggest relocating the stoma instead of using mesh for repair.
- There are specialist surgeons for hernia repair. It's worth considering the pros and cons of immediate repair versus a watchful waiting approach.

2. Gradual Enlargement:
- Many people have noted that parastomal hernias often grow over time. While they are usually not dangerous, they can affect how your clothes fit and may require changes in the size or type of your ostomy appliance.

3. Belts and Non-Surgical Support:
- Companies like Nu Hope offer a variety of ostomy support belts, including custom-made options.
- These belts can provide abdominal support during daily activities or exercise, offer a sense of security, and help reduce the appearance of the hernia bulge.
- While there's no solid evidence that belts prevent hernias, many users find them comfortable and confidence-boosting.
- For small, low, and asymptomatic hernias, regular snug underwear might be sufficient, as shared by one user.

4. When to Avoid or Postpone Surgery:
- If the hernia is painless, not growing quickly, and not causing issues with pouching, some people choose to live with it.
- Those who prefer to avoid further surgery often mention previous surgical fatigue and a satisfactory quality of life with conservative measures.

5. Mesh Considerations:
- There are different types of mesh available, and the information can be complex and specific to each surgeon.
- Some repairs are done without mesh, while others recommend discussing mesh options and the possibility of stoma relocation with your surgeon.