This topic is about dealing with a stoma that has partially retracted, meaning it has sunk in on one side and is now almost level with the skin on the abdomen. This can cause issues with the wafer not sealing properly, leading to sore skin around the stoma. The person experiencing this has tried using stoma powder, but it hasn't stopped the soreness, and they are looking for more ways to protect their skin and keep their appliance secure.

Here are some helpful suggestions and insights:

1. While stoma powder can help protect raw skin, it often needs to be combined with other methods when dealing with a retracted stoma.

2. Consider using Medline Marathon, a cyanoacrylate skin protectant, before applying the pouch. Many people find it significantly improves wafer adhesion, especially with inverted stomas.

3. For irritated skin, lightly apply Anacept Wound Gel and let it soothe the area for a few moments. Wipe away any excess, then use a barrier wipe and apply a pre-cut one-piece SenSura Mio pouch. Sometimes, using fewer products can be more effective.

4. Clean the area with plain water and dry it thoroughly. Then, brush on Coloplast Skin Barrier Perspective 0925, let it dry, and place a Hollister 08331 transparent drainable one-piece pouch. Change the pouch every 3–4 days until the skin heals.

5. If you have a colostomy, you might want to try colostomy irrigation. This can help reduce output and give the skin around the stoma time to heal.

6. If the retraction is persistent or severe, it might be worth discussing surgical options with your surgeon, such as stoma revision or graft. Some people have found that revision surgery is less extensive than their original surgery and provides a lasting solution when appliances no longer seal properly.