Managing excess mucus with a urostomy can be a bit of a challenge, especially when it leads to leaks and skin irritation. An 85-year-old with a urostomy for three years has been dealing with this issue, finding that mucus, rather than urine, is causing these problems. They switched to a two-piece system, which allows them to detach the pouch twice a day to clean away the mucus, improving the skin around the stoma. However, they are still curious if the amount of mucus they produce is normal.

Here are some insights and advice from others who have faced similar situations:

1. Mucus production is a common occurrence with any urinary or intestinal diversion. Many people report experiencing a significant amount of mucus, and it is generally considered a normal part of having a urostomy.

2. Staying hydrated is important. A stoma nurse mentioned that thicker mucus might indicate not drinking enough fluids. Increasing water intake has helped some people reduce the thickness and volume of mucus.

3. Choosing the right appliance can make a difference:
- A two-piece system allows you to remove the pouch and clean away mucus without disturbing the wafer.
- Different types of wafers can react differently to mucus. Some might become gummy, while others might block adhesion.

4. A routine to prevent leaks can be helpful:
- Pre-assemble the pouch to the wafer and attach a barrier ring.
- Use an adhesive remover to take off the old adhesive.
- Shower, then apply a skin prep spray and let it dry.
- Dust stoma powder around the stoma.
- Apply the prepared wafer and pouch.
- Reinforce the wafer with additional tape.
- Change the pouch every 4–5 days and adjust sizes if your weight changes.

5. For everyday living:
- Use a plastic laundry bag over the pouch during showers to keep it dry. Replace tapes or the pouch after swimming or beach trips.
- Even with a lot of mucus, it is possible to stay leak-free for months with the right combination of wafer size, barrier ring, and extra tape.

6. General reassurance: Many people emphasize that high mucus output is common and not usually a medical issue. However, consulting a stoma nurse can help confirm if your mucus production is within the normal range.