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Apr 05, 2016

Auto Gasket as a Solution for Stoma Seal Leakage Issues

This topic is about a creative solution to prevent stoma wafer leakage using an automotive-style rubber gasket. The idea is to use a thick rubber "O-ring" to apply continuous pressure around the pouch coupling, which helps keep the wafer in place and reduces the risk of leaks, skin irritation, and the need for frequent changes. Here are some helpful insights and advice shared by others:

- The gasket is placed outside the flow path, so it doesn't interfere with the output.
- After attaching the pouch, position the gasket and secure it with an ostomy belt or a pants belt. This helps maintain constant pressure, which is especially useful during activities like bending, lifting, or exercising.
- The gasket needs to be repositioned each time the pouch is emptied.
- A week-long trial showed no leaks or skin issues, suggesting this method might extend wear time and reduce skin damage.

Additional thoughts and suggestions include:

- Warming the flange with a hair dryer before applying it can help it conform better to the body's contours. Some users have found this method to be very effective, with no leaks reported for over two years.
- If you can't find a suitable rubber gasket, consider making a rigid ring from a plastic skirting board cut to size. Secure it with two elasticated Dansac belts, tightening the lower one more to fit the belly's shape. Double-sided tape can help keep the ring in place during physical activities.
- For those who wear belts above the stoma, the gasket or a DIY ring can be taped directly to the pouch for extra stability. This is a cost-effective alternative to commercial stoma guards.
- Some members are looking for retail sources for the right-sized rubber gaskets, but no supplier has been identified yet in the discussion.
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