This topic is about evaluating a device called the StomaGenie, which is designed to help manage stoma output during pouch changes. The StomaGenie is a disposable cylinder that fits over the stoma to catch any output, keeping the surrounding skin clean. Here are some insights and advice shared by others:

1. The StomaGenie needs to be held in place, which means you only have one free hand during the change. There is an optional countertop clamp available for purchase to help with this.

2. Each StomaGenie costs over $40, which makes some people hesitant to buy it without strong recommendations. A free sample can be ordered for those who want to try it first.

3. For those with very active stomas, like the poster who experiences increased activity right after a shower, feedback from other users is especially valuable.

4. Some people find they can predict or control their stoma output and don't need the StomaGenie. They also mention the high cost of medical devices.

5. One user found the StomaGenie unhelpful due to its difficult one-handed application, poor fit for oval stomas, and incompatibility with certain pouch systems.

6. Alternative techniques to manage output during changes include:
- Standing instead of sitting, as sitting can increase abdominal pressure and trigger output.
- Eating two large marshmallows about 20 minutes before changing, which can suppress output temporarily.
- Timing changes for the quietest time of day, often early morning before breakfast.

7. A low-cost DIY option is to use a red Solo cup or similar container to catch output until there's a pause long enough to place the wafer. Some have successfully managed changes this way, even if it takes a while.

8. One colostomy user successfully uses the StomaGenie for every change, mainly for skin cleaning and preparation. They manage one-handed prep and find it works well because their stool is semi-solid and easy to manage with a wipe.

The StomaGenie and its optional holder are available for purchase on platforms like Amazon, and some users also use products like the Brava barrier ring and extenders from Coloplast.