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Oct 18, 2025

Less of a Tip, More Like Catharsis

This topic is about the journey of changing a urostomy bag at home for the first time after surgery. It shares the initial challenges and how, with practice, the process becomes much easier and quicker. Here are some helpful tips and insights from the experience:

1. Use adhesive removers:
- Many people suggest using spray versions or wipes to easily and painlessly dissolve the adhesive on the wafer.
- Wipes are great for cleaning off any leftover glue, while sprays help with the initial removal. Medicare usually covers one type, but both can be purchased online.

2. Control output during changes:
- Place small pieces of paper towel over the stoma to manage any unexpected output while preparing the new pouch.
- Changing the pouch early in the morning before eating or drinking can help reduce activity in the kidneys and ureters, minimizing surprise leaks.

3. Night drainage comfort:
- Consider using Coloplast night bags, which, with an adapter, fit Hollister urostomy pouches. They have a softer, more flexible hose that allows for more comfortable movement at night.

4. Colonoscopy/MoviPrep caution (for those with fecal stomas):
- When preparing for a colonoscopy, kneel over the toilet and unseal slowly to avoid high-pressure spraying that can create a mess.

5. General change-day tactics:
- For fecal stomas, change the pouch right after showering, dry quickly, and wear underwear with a dental bib tucked into the waistband to catch any surprises.
- Move quickly once the pouch is off, and remember that humor can help manage stress and any mishaps.

6. Brands/Products Mentioned:
- Hollister appliances and "pink tape"
- Coloplast night drainage bag (requires an adapter for Hollister systems)
- MoviPrep colonoscopy prep
- Adhesive remover sprays and wipes (generic; no specific brand named)

This journey shows that while the first few times can be challenging, with practice, it becomes a routine task.
See full discusison
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