This topic is about someone who recently had surgery to correct a stoma issue. After the surgery, their stoma is larger and still convex, which means their current pouching supplies no longer fit properly. They are feeling frustrated and are seeking advice on how to manage this situation. Here are some helpful insights and advice:

1. The person has only one flat Coloplast SenSura Mio one-piece pouch left, and a larger Convatec pouch is on the way. In the meantime, they are struggling to find suitable options.

2. Old two-piece systems are uncomfortable, and they humorously consider using a plastic bag as a temporary solution.

3. A Convatec video suggested using stoma powder with a skin-prep wipe, but this made it difficult for wafers to stick. It might be better to use this method only on the skin around the stoma.

4. They are feeling discouraged and blaming themselves, especially with the possibility that relocating the stoma externally might not be feasible due to obesity. They are looking for advice beyond just "eat less and move more."

5. They are considering using oval barrier rings, which they used before under convex appliances, but are concerned that the current rings might be too small until the stoma reduces in size.

6. They have emailed a photo of the new stoma to the nurse who assisted in the surgery to confirm if this was the expected outcome. They are frustrated with finding a pouch that will stay on.

Advice and insights include:

- Allow time for post-operative swelling to decrease, which can take about six weeks. The size and shape of the stoma should improve during this time.

- Work closely with the surgeon or a Wound, Ostomy, and Continence (WOC) nurse to discuss the possibility of stoma relocation or further revision.

- Take care of your emotional well-being. Feelings of anger and self-blame are common but not deserved. Seek support, rest, and avoid extreme dieting.

- For product ideas and adhesion tips:
- Consider using TenS Aces skin barrier spray or wipe to improve flange adhesion.
- Use a barrier ring with paste around the stoma, then secure the wafer with adhesive strips to prevent leaks.
- Try oval barrier rings again; cut them to fit or place them directly on the skin before applying the pouch.
- Coloplast baseplates contain zinc, which can help soothe and heal sensitive skin. Contact Coloplast technical staff for more information.
- Dansac offers pouches with an oval wafer that may fit an oval or irregular stoma and adapt to skin folds.
- When cutting any wafer, test the peel-back paper first to achieve an exact oval opening.

- For nutrition and weight management:
- Eat 5–6 smaller meals daily instead of three large ones to reduce output surges and support gradual weight loss.
- If lifestyle changes are not enough, discuss prescription weight-loss medications with your physician.

- Perseverance is important. Manufacturers' research chemists can suggest custom solutions for allergies or poor adhesion. Contact them quickly, as some European firms close for summer holidays.