Aloha No Colon,
I am so sorry, I cannot locate your name anywhere, thank you so much for your time on this site and for the information. I've never seen the site previously. I've had mine since 1977, and the one difficulty I am having is KEEPING THEM from turning to mush.
Please allow me to clarify. I am 57 and love to lift weights, and have been doing more leg work and squats than previously, and my Stomahesive Wafer just aint cuttin it. It's squeezes out like so much jelly and, well..... So, I've used Coloplast and they never worked well for me. Do you know of any Athletic types of appliances that I might use.
Again, this site is terrific for those who are facing something so life altering and utterly unknown (sure was in 77) a precipice in life, so to have a resource like this is terrific. I was blessed with an angel disguised as a mom, that lifted me on one side as the Lord was on the other, it was easy then.

Good work 'still rollin' it's wonderful to see caring and 'needed' information on this subject.

me ke aloha Pumehana,
James

Hi James!

Thanks for your comment.

The Stomahesive wafers you're using are "regular wear", and they are more prone to breaking down. If you'd like to stick with the ConvaTec brand, try their DURAHESIVE wafers and see if it makes a difference - those would be designed for liquid or aggressive output, and should handle moisture a lot better.

From Coloplast this would be there Sensura Xpro or Asura Extended Wear wafers and from Hollister it would be their Flextend wafers.

Good luck!

Eric

In a two piece system ,what should be the angle of the flange?
Should itt look like a SQUARE or DIAMOND shape?

It doesn't really matter, but some patients may prefer it in a diamond shape and others may like it square - I believe Hollister instructions state to apply it in a diamond shape. I've done it both ways and find the wafer easier to apply as a diamond.

Thank you so much👌

I have tried the moldable wafers but the hole seems to go back to it’s original small hole rather than the shape of my stoma which is more oval. Does anyone else have this problem and what might one do to not have it do this?

Hi Jo Anne,

Which specific product are you using? Some moldable wafers need to be stretched while others need to be rolled back to get to the hole size you need - then you can use your fingers to shape it to the right fit once it's on your stomach.

It seems 2 piece bulge out more under your shirt although I like them best. How do you conceal it? What is the most popular ? What is the best wafer for 1 or 2 piece? It hurts to bend 😭

Hi Lori,

I do find that 2pc systems bulge a little more, so I do like to wear ostomy wraps or something like a StealthBelt when I can.

Finding the best wafer/bag combination will require some testing and experimentation on your end. Request and try samples whenever possible and see what works best for you. The placement of your stoma could impact bending, just as much as a wafer does.

Good luck!

Hi Lori, I have always worn a 2 piece ok it may sit out a little more but by how much 5/6 mm. I always think we see more of a bulge than others do plus I like the sorta protection that the plastic ring gives. As for which is the best 1 or 2 piece I think it’s a personal choice. If the shoe fits wear it 👍

I would like to know the difference between a flange & a wafer?

Hi Teresa,

While the terms flange and wafer are sometimes used interchangeably, the "flange" generally represents the coupling portion on a two-piece appliance.

I hope that helps :)

Do any of the adhesives actually increase the adhesiveness between wafer and skin. I often need several attempts to get a one piece bag to adhere. Related questions are 1) which type of adhesive is proven more efficacious increasing adhesion to skin? 2) Immediately after surgery when nurses were changing bags I rarely had any issues with leakage despite the fact that all that was ever used was a skin barrier wipe ( sure-prep) and the adhesive that was part of the wafer as sold no pastes to fill crevices were used nor were additional glue aside from that which was already on wafer. I'd truly appreciate any help with this as this problem is increasingly aggravating.

When going through the process of a change that requires up to 6 attempts, asking gets more sensitive & inflamed then when changing it after times when bag lasts recommended 4 days or so. The glue/paste that I've been using is more difficult to remove when adhesives/fillers have insufficient time to cure. After 4 days they are usually easily removed as the have hardened but w/o sufficient time they remain gluey and are far more difficult for me to render clean causing further skin irritation.
One way that would seem to increase adhesion is to increase surface area of wafer size. This would seem to allow a greater amount of glue and degree of adhesion. This is esp. true with the convex wafers some of which are tulip shaped decreasing surface area ever more.

Thank for any time and consideration.

Hi Will,

I do not use a separate adhesive product, and find that with the proper technique, I'm able to get the wafer's own adhesive to stick very well without any extra products.

First thing to note is that "regular wear" and "extended wear" wafers will give you different wear time, with the latter having a more aggressive adhesive.

Anecdotally, I find that the larger surface area of a 1pc does help with keeping the bag on for longer. For one, it mitigates any tugging that comes as a result of the bag filling up. And having that much adhesive just provides more time for it to peel off on its own.

Some 1pc appliances, however, might exacerbate wrinkles in the wafer caused by folds in the skin, bending, etc. This can be where a smaller wafer could work better.

Some skin preps can actually interfere with adhesives, so I don't tend to use those, either.

For me, a combination of heat and pressure on the wafer at the time of an appliance change is what helps me the most. If I were to take a hot shower after putting on a wafer, the adhesive turns to super glue! You can have a similar effect by warming the wafer before applying it.

I hope this helps.

Hi Will, I second everything Eric has said. A little heat seems to wake the glue up. I will use a hair dryer to gently warm up the wafer and also to make sure that the skin is completely dry. Wrap the stoma up with some gauze as it keeps moisture from it away from the skin. Just mind not to over heat the wafer. Don’t overthink and less is more 👍

Heat and pressure.  A support belt helps too, especially if you're in a hurry.  I've had to do a quick change right before leaving for work.  Stealth belt works wonders.