Let's talk about the Dermacol Stoma Collar, a product designed to make life a bit easier for those with a stoma. This innovative collar is all about providing a leak-proof barrier to help prevent skin irritation around the stoma area. Here's what you need to know:

- **Purpose**: The Dermacol Stoma Collar is designed to create a secure barrier around the stoma. This helps keep any output from coming into contact with the skin, which can reduce redness, soreness, and itching.

- **Construction**:
- The collar includes a washer made from a high-tack, skin-friendly hydrocolloid. It also features a clear release film and a thumb tab for easy handling.
- The collar itself is made from Alphathane, a patented polyurethane material. This material is resistant to ileostomy and urostomy output, can stretch up to three times its diameter, and moves comfortably with your body.

- **Fit**: The collar is suitable for round or slightly oval stomas. However, it is not recommended for retracted stomas.

- **Application**:
- If you use a one-piece system, you can either stick the Dermacol to your skin first or attach it to the pouch before applying.
- For those using a two-piece system, you can stick it to the flange first and then apply it.
- The collar is designed to be removed along with the pouch or flange during changes.

- **Availability**: Salts Healthcare distributes the Dermacol Stoma Collar through their offices in various countries. If there isn't a local outlet, they can ship directly from the U.K.

Here are some additional insights and advice:

- **User Experience**: Many users find that Dermacol performs better than pastes and barrier strips. It is flexible, fits well, and can last for several days. One user with an ileostomy since March 2009 shared their positive experience.

- **Availability Feedback**:
- The product is still available in the U.K.
- Availability in the U.S. is uncertain, so users may need to contact Salts Healthcare directly to arrange for overseas shipping.