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May 13, 2019

Plastic vs. Paper - Which is Better for Ostomy Appliances?

This topic is about choosing the right type of wafer for people with sensitive skin, especially when considering factors like waterproof wear and preventing leaks. The discussion revolves around the experiences of individuals who have tried both plastic and paper (pectin-based) wafers, sharing their insights and advice on what might work best for those with similar concerns.

- One person found success with a Hollister solution that is water-tolerant. They use the Hollister CeraPlus 11203 two-piece flange with an Adapt 8805 barrier ring, which provides 3 to 7 days of wear without leaks, even during activities like showering, swimming, and snorkeling. They also use a Stealth Belt Pro for extra support.

- Both plastic (Coloplast) and paper (Convatec) wafers can be effective if the skin is healthy. One user alternates between these two types, achieving up to 10 days of wear, including daily pool use and showers. They initially used Coloplast Y-shaped Bravo barrier strips for extra protection but later found them unnecessary.

- Pectin-based wafers might be gentler on the skin compared to adhesive-tape styles. One person experienced irritation when switching from Convatec pectin wafers to a tape-border substitute, but the irritation resolved upon returning to pectin.

- Fundamental skin-care practices are crucial, regardless of the wafer type. Ensure the skin is perfectly clean and completely dry before application, avoiding soaps with oils or fragrances. Using a hair-dryer on a cool or warm setting can help ensure dryness. Keeping the area dry is important to prevent yeast infections.

- Some products that are commonly used to treat or prevent yeast infections and improve adhesion include Marathon Liquid Skin Protectant, Colloidal Silver, Benzoin Tincture (or Friar’s Balsam), Duoderm, and Cavilon Barrier Film.

- A "less is more" approach can help with chronic irritation. One user reduced their use of barrier products, opting for a thin wax ring and a Hollister two-piece with a small 1¾-inch snap ring, without additional adhesives or films. Although the wear time is only 48 to 72 hours, this approach eliminated pain and skin problems. Another person also found that using fewer products reduced complications.

- When choosing a wafer for sensitive, water-exposed skin, it's important to test both plastic (e.g., Hollister, Coloplast) and pectin-based (e.g., Convatec) wafers, as individual skin responses can vary. Consider using support garments like the Stealth Belt Pro for added security during swimming. Focus on perfecting the application technique and skin preparation, as product changes alone may not resolve issues like leaks or rashes.
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