This topic is about finding a creative solution for dealing with an irregularly shaped ileostomy stoma that also has a V-shaped fistula. The challenge was to cut a wafer opening that fits perfectly, as mis-sizing was causing skin damage and affecting the person's mental wellbeing. Here's the clever approach they came up with:

1. Start by using the standard stomal measurement guide and choose the circle that is just a bit larger than your stoma.
2. Take a photo of this guide against your stoma using your phone.
3. Enlarge the photo on your phone until the printed circles on the guide match their actual size, ensuring the image is true to life.
4. Place a clear piece of plastic over your phone screen and trace the exact outline of your stoma, including the V-shaped fistula, onto the plastic. This creates a reusable template.
5. Use this template to cut your wafers accurately, which helps protect your skin and reduces stress.

Additionally, they found that Eakin Cohesive Seals by ConvaTec have been incredibly helpful in protecting the area.

Here are some insights and advice from others:

- Many people praised the idea of using a life-size phone image and clear plastic to make a precise, reusable cutting template. It's seen as a valuable tip for anyone dealing with an irregular stoma shape or fistula.
- There is a lot of encouragement for this patient-led solution, especially when access to ostomy nurse assistance is limited. It boosts confidence for others who might face unexpected changes with their stoma.