This topic is about comparing different types of ostomy pouches for someone living with a prolapsed stoma. The person sharing their experience has tried three different one-piece ostomy bags and found them effective in preventing leaks, even with varying output volumes. Here’s a breakdown of their thoughts on each pouch:
1. SALTS BE Confidence Drainable: This pouch comes in black or beige and has a flange size of 13-75 mm. It features a strong yet gentle adhesive, is easy to peel off, and has a "little tongue" spout that empties cleanly. The spout folds up beneath the pouch, giving it a compact look, and it has a Velcro closure.
2. Oakmed: This is a closed pouch with a flange size of 20-90 mm. It offers very secure adhesion and is easy to remove. The pouch has a comfortable "bulbous" shape. However, it is not available in a drainable version at this size.
3. Dansac Nova EasyFold 1-piece Drainable: With a flange size of 15-90 mm, this large-capacity pouch is referred to as the "big daddy." It is ideal for when the stoma is badly prolapsed and takes up half of an ordinary pouch.
The person wishes they could combine the closure system of SALTS with the shape of Oakmed. They have also shared photos of the three pouches and their prolapsed stoma with a hernia on their profile.
In addition to discussing pouches, the person is awaiting surgery to repair the prolapsed stoma and a large hernia but needs cardiologist clearance first due to an abnormal ECG and recent heart tests. They have an extensive medical history, including the removal of a right-kidney oncocytoma, bowel-cancer lung metastasis, and a repaired laryngeal-nerve injury. A recent CT scan was clear. They experience no significant pain from the prolapse except after eating spicy food, with the main issue being the space it occupies in the pouch. They are curious about how manual reduction of a prolapse is done, as they find it hard to imagine doing it with fingers.
Here are some helpful insights and advice shared by others:
- Hospital staff can often manually reduce a prolapsed colostomy under general anesthesia, which can avoid immediate surgery. Some people have had prolapses as long as 5 inches (about 13 cm) successfully reduced this way.
- Sprinkling plain white sugar on an ostomy prolapse in the hospital can help draw out fluid osmotically and assist the bowel in retracting.
- After a prolapse reduction, recurrence is not inevitable. One person switched from a colostomy to an ileostomy and has remained prolapse-free.
- There is encouragement for ostomates to maintain humor and persistence, as they generally cope well with the graphic realities of their condition.
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