Topic Explanation
The discussion centers around a user with a permanent ileostomy who has been experiencing issues with the adhesion of their ostomy appliance, specifically the Sensura Mio Click two-piece system. Despite following a meticulous routine for cleaning and applying the appliance, the user finds that the wafers do not stick well, possibly due to changes in skin chemistry or increased sweating. The user is seeking advice and shared experiences from others who might have faced similar issues and found effective solutions.

Advice and Insights

1. Use of Belts and Elastic Strips:
- Many users recommend using a belt to help keep the pouch adhered and securely in place. This can significantly extend the wear time of the appliance.
- Elastic strips, such as Coloplast Brava elastic tapes, can be used around the plate to help secure the edges.

2. Alternative Adhesives and Products:
- Friars balsam can be applied to the stoma area to improve adhesion, though it may sting if there are any scratches.
- Some users have had success with prosthetic glue like 'Probond' for better adhesion.
- Mixing products from different brands, such as using a Hollister barrier ring with a Sensura system, can sometimes provide better results.

3. Application Techniques:
- Pre-warming the wafer with a hair dryer instead of using body heat can improve adhesion.
- Holding the appliance in place for a few minutes after application can help ensure a good seal.

4. Skin Care and Barrier Wipes:
- Some users find that barrier wipes can actually shorten the wear time of the appliance. If skin irritation is not an issue, it might be worth trying to skip the barrier wipes.
- Using a barrier ring can help if the skin is uneven or if there are issues with the wafer sticking.

5. Product Preferences and Changes:
- If a different brand of appliance provided better wear time, it might be worth considering switching back to that brand despite any minor issues.
- Requesting samples of extended-wear flanges from Coloplast or other brands can help find a more suitable adhesive.

6. Personal Adjustments:
- Some users have created their own baseplates using materials like Neoprene to reduce irritation from belts.
- Adjusting the tightness of the belt and using it only when necessary can help manage comfort and security.

7. General Tips:
- Lying