This topic is about finding solutions for a person who is experiencing constant leaking and detaching of ostomy pouches. The individual has both a urostomy and a temporary ileal (fecal) ostomy and is seeking advice on products and techniques that can help keep the pouches secure.

Here are some helpful insights and advice:

1. **Skin and Site Preparation**
- Use an oil- and perfume-free soap like yellow Dial or Wright’s Traditional to wash the area, as oils from adhesive removers can affect adhesion.
- Ensure the skin is thoroughly dry, possibly using a hand-held fan.
- Apply a skin-prep or barrier wipe that dries tacky before placing the wafer.
- Warm the flange with a hair-dryer before application, then apply hand pressure or lie down for 30 minutes to improve bonding.

2. **Sealing Products and Configurations**
- Consider using an Eakin Cohesive seal or ring instead of paste to fill gaps and protect the skin.
- If the stoma sinks when standing, try a convex flange to help direct output into the bag.
- Use supplemental strips of microporous (paper) tape around the outer edge for extra security.

3. **Product Lines to Test**
- Try the Coloplast SenSura Mio range, both 2-piece click and 1-piece systems.
- For the urostomy, consider B. Braun ostomy pouches from the UK.
- Request free samples from various manufacturers, as different skin types may respond differently to adhesives.

4. **Application Technique**
- Apply the pouch while standing and leaning slightly back to flatten abdominal folds, and avoid bending until the barrier is well bonded.
- Changing the pouch just before bedtime can allow several inactive hours for the adhesive to set.

5. **Accessories**
- Use an ostomy belt with the SenSura Mio or other 2-piece systems for gentle support. The belt should be snug but not too tight.

6. **Hydration and Wear Time**
- Better wear time is often reported when well-hydrated. Continuing IV fluids or increasing oral intake may help maintain skin turgor and adhesion.

7. **General Encouragement**
- Persistence is important. Most manufacturers’ helplines are willing to send multiple sample types until the right combination is found.