This topic is about finding ways to change a continuously-flowing urostomy pouch without having to dehydrate yourself. The person sharing their experience has both a colostomy and a urostomy and usually manages well, but the constant dripping from the urostomy makes changing the pouch a challenge. They have been stopping fluid intake for long periods to slow the urine flow, but this isn't ideal for staying hydrated. They are looking for advice on how to change the pouch safely and hygienically without having to restrict fluids for so long.

Here are some helpful tips and insights:

1. Timing and Preparation
- Try changing the pouch first thing in the morning before having coffee or any other fluids, or around noon before starting to drink water. This is when the output is usually at its lowest.
- Place a towel across your lap and keep a folded paper towel or dry wipe against the stoma to catch any dribbles while you clean and dry the skin.
- Use a skin-protective barrier wipe. If only a few drops escape, just blot dry—there's no need to re-clean and start over.

2. Barrier Devices
- Consider using a product like StomaGenie, which is a cardboard tube lined with absorbent material. It can help contain the continuous urine flow during a change and give you time to secure the baseplate. However, it requires a two-piece system and the correct tube size. It's not currently available in the UK.

3. Switching to a Two-Piece System
- A two-piece appliance might allow you to use accessories like StomaGenie and could make placing the wafer faster and easier. Discuss with your stoma nurses or prescribing service about switching from a Hollister one-piece to a suitable two-piece product.

4. What to Avoid
- Do not attempt to "plug" a urostomy to stop urine flow. The ureter ends are delicate and do not expand, and blocking them can cause urine to back up into the kidneys or damage the ureters or stitches. Medical professionals are very cautious with catheterization due to the risk of accidental injury.

5. Professional Support
- Consult your local stoma care team for product samples, UK-available equivalents to StomaGenie, and safe techniques that protect both your hydration and the integrity of your stoma.