This topic is about finding the right ostomy appliance that stays securely in place. The person who started the discussion has been living with an ostomy since their bladder was removed in May. They are experiencing issues with Hollister appliances loosening too quickly and are considering switching to Convatec. They are curious if others have faced similar problems with Hollister products.

Here are some helpful insights and advice shared by others:

1. Staying Power Varies by Person
- Some people can wear Hollister appliances for 7-10 days, while others find they only last 2-3 days. The effectiveness of an appliance can vary greatly from person to person, and it might be worth trying different brands like Convatec or Coloplast to see what works best for you.

2. Verify the Type of Ostomy First
- It's important to ensure you are using the right appliance for your specific type of ostomy. Some replies suggest the person might have a urostomy, also known as an "ileal conduit," rather than an ileostomy. The appliance should match the stoma type and profile, such as using a deep convex wafer for a low or retracted stoma.

3. Prep the Skin Thoroughly
- Make sure to clean, rinse, and dry the skin well before applying the appliance. Some products that can help improve adhesion include:
- 3M Cavilon Skin Protector swab
- Generic “skin prep wand”
- ALLKARE Barrier Wipes (though discontinued, they were praised for extra tack)
- Barrier sprays from any brand

4. Add Support Accessories
- Consider using additional products like Salts Healthcare Barrier Ring and Flange Extenders, which have helped some users achieve 10-day wear times with Hollister. Hollister’s “Protection Ring” or other paste/ring products can also help fill gaps and prevent leaks.

5. Follow a Consistent Change Protocol
- Establish a routine for changing your appliance. For example, remove the wafer with an adhesive-remover wipe, wash and dry the area, apply a skin protector, fit the appliance with a protection ring, and change it every few days. Keeping track of wear times with reminders or a spreadsheet can be helpful.

6. Try Convatec, Coloplast & Others via Free Samples
- Reach out to different manufacturers for free trial kits to test which products adhere best to your skin.

7. Specific Products Praised
- Coloplast SenSura Mio deep-convex or light-convex systems, particularly model #15521, are noted for their flexibility and adhesion, as well as convenient night-bag tubing for urostomies. Some people continue to have success with Hollister systems when combined with skin prep or accessory rings.

8. Keep Alternative Supplies Handy
- Since popular items can be discontinued, like the ALLKARE wipes, it’s a good idea to stock up on products that work well for you.

9. Record Wear-Time & Issues
- Keeping track of how long your appliance lasts and any issues you encounter can help you identify patterns and improve your routine.