This topic is about the journey from dealing with an obstetric tear repair to managing a colostomy, highlighting the challenges of pain, leakage, and stoma care. Here's some advice and insights that might be helpful:

1. If you're facing complex issues with perineal repair, it might be beneficial to consult an experienced colorectal surgeon. Some have found success with specialists who can address long-standing problems efficiently. For more information, you can visit http://www.endfistula.org/.

2. For those with a sunken or retracted stoma, consider using a convex ostomy system with an accessory belt. This combination can significantly reduce leakage and extend the wear time of your appliance, which can greatly enhance comfort and confidence.