This topic is about finding solutions for skin problems caused by a flush (recessed) urostomy stoma. A flush stoma can make it challenging to maintain a good seal with the pouching system, leading to frequent leaks and skin irritation. Here are some suggestions and insights shared by others who have faced similar issues:

1. Try rinsing the pouch and the area around the stoma with a mild solution of Arm & Hammer baking soda and water. Let it dry, then apply olive-extract oil before attaching the appliance. Changing the system frequently can help, and some people find that adding oat or granola fiber to their diet thickens the output, reducing skin irritation.

2. Surgical revision to create a protruding stoma might not completely solve leakage issues. Even with a well-protruding stoma, those with liquid output can still experience skin problems. An alternative is using an internal/external catheter setup to direct urine away from the skin. Some have adapted balloon-tip catheters as custom drainage solutions.

3. Give your irritated skin a break by applying a thick diaper cream and keeping the pouch off for up to 12 hours. Collect the output in a container lined with a disposable pad. Once the skin heals, you can return to your usual routine.

4. Between wafer changes, rinse the stoma while showering. You can create a mini-showerhead by punching holes in a plastic water-bottle cap. Use it to squirt clean water inside the pouch (not directly into the stoma) to flush away effluent, then empty the pouch as usual.

5. Switching from a 1-piece to a 2-piece deep-convex appliance allows you to change the pouch daily while leaving the wafer in place, which can reduce skin trauma.

6. One person with a flush ileostomy shared that despite trying crusting, colloidal silver rinses, and various skin-barrier combinations, their skin hasn't fully healed. Their surgeon is not considering revision, so they plan to try the baking-soda rinse and are interested in hearing more success stories.