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Nov 10, 2025

Having Good Luck Finally With Leaks

This topic is about finding effective ways to manage a stoma after surgery, specifically focusing on achieving a 7-day wear time and preventing leaks. The person sharing their experience had a stoma relocation and faced challenges with leaks due to the new stoma being almost flat and hard to see. However, they have found a successful routine that has restored their confidence and comfort. Here are the key points and advice shared:

1. Focus on applying the appliance to one precise spot, which helped the stoma to rise slightly, improving the fit.
2. Use a Coloplast Protective Sheet first, followed by a moldable ring, and then the pouch for better security.
3. Continue using a convex barrier to help with the fit and prevent leaks.
4. Try the Coloplast 2-piece systems, specifically the SenSura Mio Click and SenSura Mio Flex. The Flex version is preferred for its natural movement with the body and lightweight feel, making it ideal for active users.
5. Consider ordering a Nu-Hope hole cutter to simplify the process of cutting wafers, especially useful with 2-piece systems.

Additional insights and advice from others include:

- The Coloplast SenSura Mio Flex 2-piece system is highly recommended for its secure adhesion and flexibility.
- If your stoma is in a belly crease or you experience leaks during exercise, sampling the SenSura Mio Flex (available in both flat and convex versions) might be beneficial.
- Hollister offers a "soft" convex one-piece system. It's worth asking if this technology is available in a 2-piece system for more flexibility.
- For those with skin sensitivity to Hollister adhesive, trying other brands like Coloplast or ConvaTec may help avoid irritation.
- Hole cutters, such as the Nu-Hope, can speed up wafer preparation and accommodate changing stoma sizes. Some manufacturers offer pre-cut wafers, and suppliers like Byram can cut wafers for a fee, though some prefer unopened packaging for hygiene reasons.
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