Topic Explanation
The discussion in the forum revolves around a user who has been experiencing frequent leaks with their new bladder bag following bladder removal surgery. Initially, the user was able to use a bag for up to four days without issues, but now they face leaks every few hours to a day and a half. Despite trying different products and consulting with the manufacturer and distributor, the problem persists. The user is seeking advice on how to manage or resolve these frequent leaks.

Advice and Helpful Insights
1. Check for Defective Products:
- Consider the possibility of defective bags, as some users have experienced similar issues and had to return entire batches.

2. Consult an Ostomy Nurse:
- Engage with an ostomy nurse who can provide personalized advice and potential solutions that might not be immediately obvious.

3. Regular Stoma Measurement:
- Regularly measure the stoma as even slight changes in size or shape can cause leaks.

4. Review Appliance Type and Skin Care Routine:
- Ensure you are using the right type of bag (e.g., one-piece or two-piece, convex if the stoma is flush or retracted).
- Avoid using alcohol to clean the skin around the stoma as it can dry out the skin and affect adhesion. Instead, use a gentle, non-alcoholic cleaning method and ensure the skin is completely dry before applying a new bag.

5. Experiment with Different Brands and Products:
- Try different brands and types of bags to find one that offers better leak protection. For example, Coloplast SenSura Mio was recommended for its effective seal and comfort.
- Consider using additional products like a bonding cement to enhance the seal between the bag and the skin or different types of sealing rings like the Cera ring.

6. Use Additional Supportive Measures:
- Apply a piece of tape across the top of the pouch to reduce the downward pull which can lead to leaks.
- Ensure the bag is changed before it is too full to prevent undue pressure on the seal.

7. Diet and Body Changes:
- Monitor any significant changes in body weight or diet that could affect how the bag fits and adheres to the body. Adjustments in the type of bag or its fitting may be necessary to accommodate these changes.