This topic is about managing leaks when you have a retracted, or "innie," stoma. A retracted stoma sits below the skin level, which can make it challenging to keep the ostomy appliance secure and prevent leaks. Here are some helpful tips and advice shared by others who have dealt with similar issues:

1. Consider using convex appliances. These are designed to help reduce leaks with retracted or flush stomas. Many people have found that switching from a flat flange to a convex wafer stopped leaks and improved the skin around the stoma. One specific product mentioned is the ConvaTec 2-piece Convex Moldable Wafer.

2. Try using an ostomy belt. This can help pull the flange closer to your body and encourage the stoma to project outward. Belts attach to the hooks on most wafers or pouches. Some people found that wearing the belt both day and night made a significant difference, as it helped the stoma protrude more and reduced leaks. If the belt causes the wafer to dislodge, you might try taping all four sides of the wafer for extra security.

3. Fill in uneven skin contours. Eakin Cohesive Seals, which are rings that can be molded, can help fill in any depressions under a retracted stoma. Some people tear the rings into pieces or use C-shaped barrier strips to create a flat surface. Barrier paste can also be applied with or in addition to the rings to improve adherence, especially on concave areas.

4. Protect irritated skin and seal gaps. If your skin is raw, you can dust stoma powder on it, then spray a skin-barrier sealant. Repeating this process, known as "crusting" or "crystallizing," can form a protective layer before you apply the wafer.

5. Manage pancaking and pressure in the pouch. Leaks might be caused by stool pancaking against the wafer. Ensuring the pouch hangs freely or using a lubricant or deodorant inside the pouch can help. Some people find they need to empty the pouch more often or change their body position to keep output away from the stoma.

6. Be aware that stomas can change over time. Some people have noticed that their "innie" stoma gradually became more prominent in the months or years after surgery.

7. Check for a parastomal hernia. In some cases, leaks were linked to an underlying hernia. While a belt might temporarily improve the situation, surgical repair could be necessary.

8. Keep emergency supplies handy when you're away from home, as retracted stomas often require more frequent changes.

9. Consider future options if problems persist. These might include surgical stoma revision, though it's not always successful or feasible, or colostomy irrigation (for colostomies) to control the timing of output.

These tips and insights come from the experiences of others who have faced similar challenges, and they might help you find a solution that works for you.