This topic is about someone considering colostomy irrigation to manage issues with thick, pasty output that often clogs their pouch and causes leaks and skin irritation. The person is 62 years old, has no remaining colon, and is currently using Hollister one-piece closed bags. They are looking for advice on the pros and cons of irrigation, especially since they have a small parastomal hernia and have had pelvic-area radiation, which might complicate things.

Here are some helpful insights and advice shared by others:

1. Many people around the same age have found that irrigation can restore their freedom and confidence, significantly reducing or even eliminating leaks.

2. For learning, it's recommended to:
- Watch YouTube videos by searching for "colostomy irrigation."
- Consider having the first session with an ostomy nurse for hands-on guidance.

3. Be prepared for an adjustment period:
- It might take several sessions or even weeks to get the hang of it.
- Even if there are small amounts of output between irrigations, leaks are usually rare and minimal.

4. Regarding the hernia and prior radiation:
- Some people successfully irrigate despite having parastomal hernias.
- One person with extensive pelvic radiation and major reconstruction was encouraged by their surgeon to try irrigation and has had positive results.

5. The community is supportive and encourages asking questions throughout the process.