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Feb 05, 2018

Troubleshooting Leaky Urostomy Pouch Issues

This topic is about dealing with leaky urostomy pouches, specifically for someone with an ileal conduit urostomy who has been having issues since moving to Florida. They are curious if their method of applying the pouch or their beer consumption might be contributing to the problem. Here are some helpful tips and advice to address these leaks:

1. Ensure a perfect seal by starting with clean, very dry skin. Even a small amount of moisture, like a drop of urine, can affect how well the pouch sticks.

2. Try applying the barrier and pouch while standing in front of a mirror instead of lying down. This is because your body shape can change depending on your position, and standing might help you get a better fit.

3. Prepare your skin properly:
- Use a liquid barrier film to protect your skin and help the wafer stick better.
- Consider using skin-prep products that leave a slightly sticky surface, which can improve adhesion.

4. Add a moldable seal, such as an Eakin-type seal, between your skin and the wafer. This can help fill any gaps and prevent leaks.

5. Choose an appliance that is specifically designed for urinary output and meets your convexity needs. For example, some people have found success with the Coloplast SenSura Mio Click system with a deep convex wafer after trying different brands.

6. Many people have found that once they adopted these practices, they no longer experienced leaks.
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