This topic is all about finding the best way to manage the space between your stoma and the wafer. The main question is whether it's better to fill any gaps completely or if leaving a small space is okay, as long as it's protected. Here are some insights and advice shared by others:

- The person who started the discussion believes the wafer should fit snugly against the stoma to avoid exposing any skin. They suggest using a barrier film and filling any gaps with paste or a moldable seal like an Eakin Seal.

- They currently use a method where they roll half an Eakin Seal into a thin rope, flatten it, and circle it tightly around the stoma before applying the wafer. This method has resulted in no leakage, although they have experienced some skin allergies from the adhesive.

- For those in the UK looking for product sources, they mentioned several websites where supplies can be found.

- If you have persistent skin issues, it's recommended to consult a Wound, Ostomy & Continence Nurse (WOCN).

- The originator has experience with both a transverse loop colostomy and an end colostomy, and they used Stomahesive to fill the navel when the stoma was above it.

Here are some different perspectives and techniques shared by others:

1. Some people believe that even a tiny gap can lead to leaks, especially for those with an ileostomy, as liquid or air can force effluent under the wafer.

2. Others suggest leaving a small gap, about ⅛ inch, to prevent the stoma from being "choked" when it expands. They recommend using a moldable barrier ring to compensate.

3. For cutting and sealing:
- Pre-cut wafers to the exact size or use convex precuts for uneven skin.
- Mold Hollister Adapt rings tightly to the stoma and warm them with a low-heat hair dryer before applying.
- Install the ring first, then the two-piece flange to ensure proper coverage before attaching the pouch.
- Some users customize Eakin Seals to fit irregular areas.

4. Paste can be messy and hard to remove, and it might weaken the seal. Some people use a thin bead only on the lower half or switch to rings to avoid paste.

5. Regarding skin prep and adhesives, Hollister representatives advised against using skin-prep wipes as they can interfere with the adhesive.

6. Successful product combinations include:
- Hollister two-piece with Adapt ring.
- Cymed MicroSkin one-piece pouches, which offer a 6-day wear time and are waterproof.
- Coloplast one-piece with Nu-Hope barrier ring and Stomahesive for a 7-day wear.
- Convex flanges for recessed stomas or uneven skin.
- Nex-Care waterproof tape for activities like swimming or dancing.

7. For cleaning and changing routines:
- Inspect the back of the wafer for early leaks when removing it.
- Clean with warm wet paper towels only, no soap, and dry thoroughly to speed up the change process.
- Paste residue is easier to remove after at least two days of wear.

8. Site-specific observations:
- Stomas near or through a scar may need convexity or filler products.
- Mid-line stomas between the navel and pubis might have shorter wear times due to contours, but convex wafers and partial paste beads can help.

The general advice is to experiment with different combinations until you find what works best for you, providing consistent wear time, intact skin, and confidence. Once you find that, stick with it.