This topic is about how long a urostomy flange can safely stay on, especially for someone who is new to having a urostomy and has sensitive skin. The person in question is using a two-piece convex-plus system and is trying to find a balance between following standard medical advice and what works best for their skin.

Here are some helpful insights and advice:

1. Standard guidance from stoma nurses suggests changing the flange every 3–4 days and the urine pouch daily to prevent bacterial growth. However, if the flange is still adhering well and there are no leaks, it might be okay to leave it on longer.

2. The person has successfully worn a flange for up to eight days without issues, using leaks as a signal to change it. They aim to keep the flange on as long as it remains secure or change it preemptively for a few guaranteed "safe" days.

3. To prevent infections, some urostomy nurses recommend changing the flange every 3–4 days and the pouch daily, with a brief water flush of the stoma when only the pouch is swapped.

4. Many people find that wear time is individual. If there are no leaks, itching, redness, or odor, longer wear might be acceptable. For example:
- One urostomy user was advised not to exceed seven days but is comfortable with a four-day wear time.
- Ileostomy users sometimes wear flanges for 7 to 14 days to avoid skin trauma.
- Colostomy users might wear flanges for 10 to 14 days, using tape to prevent odor when extending wear.

5. For sensitive skin, consider removing barriers in the shower or when the skin is wet to reduce irritation. Allow the area around the stoma to air-dry thoroughly before applying a new flange. Some people with adhesive allergies find Hollister products more suitable.

6. Some have created custom solutions, like long-term baseplates held on with a belt and prosthetic glue, allowing commercial flanges to last for months.

7. The general consensus is to experiment cautiously. Extend wear time gradually while monitoring for leaks, skin changes, itching, or odor, and keep a record of what works best for you.

8. Some products and accessories that might be helpful include Hollister two-piece systems, Eakin Cohesive Seal barrier rings, Convatec wafers, belts, stoma powder, protective skin-barrier wipes, and gentle adhesive removers.