This topic is all about experiences with Cymed Ostomy’s MicroSkin pouching system, a very thin, tape-free appliance for ostomy care. If you're considering trying it out or are curious about how it works for others, here are some insights and advice shared by users:

- Wear-time reports vary widely. Some users find the pouch lasts only 4 to 6 hours or less than a day before leaking, while others enjoy 3 to 7 days of wear. One user even manages a full week with the MicroSkin "Platinum Series" one-piece drainable pouch when used with a MicroDerm Plus Washer.

- Consistency between batches can be an issue. One person noted that wear time can vary significantly from box to box. If the clear film over the filter isn't perforated, the company suggests making a few tiny holes with a straight pin.

- Application technique is crucial. It's important to follow the step-by-step instructions carefully, as incorrect peeling can cause the wafer to fold onto itself. The appliance applies similarly to clear IV site dressings used in hospitals, and practice helps. Ensure the peristomal skin is clean, very dry, and warm, possibly using a hair-dryer. Most users recommend applying without any skin-prep wipes, as these can dramatically shorten wear time. One user combines the one-piece MicroSkin pouch with a Hollister Adapt Barrier Ring for added convexity and seal.

- Suitability for different stoma profiles and body contours varies. The system works well for protruding "rose-bud" stomas and mounded areas caused by a parastomal hernia, as the flexible film drapes smoothly. However, users with flatter or retracted stomas sometimes experience immediate undermining of output and struggle to get a secure seal.

- Leak management and security are generally positive. Even if the flange lifts, many report that MicroSkin contains output under the film long enough to reach a bathroom and change, unlike some other brands that might release onto clothing.

- Comfort and discretion are highlights. The system is very thin, moves with the skin, and feels almost like skin on skin, making it easy to forget it's there. However, some users dislike the slick "plastic" feel. Rinsing the drainable pouch can be messy because the tail tends to close quickly.

- Flange removal can be tricky due to the thin backing film. Patience and good lighting are helpful when separating the release paper.

- For those with Crohn’s disease or high-liquid output, high bile output during a Crohn’s flare reduced wear time for one user, but times improved once the flare was controlled.

- Cymed offers free samples and provides troubleshooting assistance by phone. Hollister is another brand often used for comparison when trying Cymed products.