Urostomy: How do you care for skin under the wafer?

Posted by katydid77 @katydid77, May 8, 2020

Could someone shed light on how to care for skin under the wafer? My husband had surgery last November and we are still learning about care of the skin. I know the skin needs to be left open to the air when possible but since there is constant drainage I don’t know how to go about it. This group has been so helpful.

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After a shower and gentle soap cleaning I do 2 things that has helped me. First , I use a portable hair dryer to dry the stoma area. Then after I apply the apparatus I use Hy-Tape ( very skin sensitive, and friendly, but sticks really well) . I use this as a supplement to the barrier and put a piece about 2 inches long at the top, bottom and sides of the flange. I play tennis 3-4 days/ week, I shower 3-4 times / week and live in Hawaii witth 80+ temp. My device last 6-7 days.

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@dragonass

After a shower and gentle soap cleaning I do 2 things that has helped me. First , I use a portable hair dryer to dry the stoma area. Then after I apply the apparatus I use Hy-Tape ( very skin sensitive, and friendly, but sticks really well) . I use this as a supplement to the barrier and put a piece about 2 inches long at the top, bottom and sides of the flange. I play tennis 3-4 days/ week, I shower 3-4 times / week and live in Hawaii witth 80+ temp. My device last 6-7 days.

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@Dragoness. Thanks for your input. It’s amazing you have found a way to be active and yet have success. Are you using a two piece pouch? Since I last posted here we have had a visit with the ostomy nurse at Mayo Clinic Jacksonville. We now use a one piece, deep convex pouch. We use no barrier ring or extra tapes of any kind. We change it every four or five days and have (knock on wood) had no problems with leakage. We have a new lease on life.

Our Nurse, Kathy, has us using over the counter Flonase as an anti inflammatory on the skin and it was magic. Simply spray the skin with a light coat after drying from the shower, let that dry or use the hair dryer on cool setting, and apply the pouch. This has been a seven month learning experience. For clarification, my husband has a UROSTOMY so urine has been the issue.

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Hi I also had a urosotomy in Nov 2019. After about a month or so I also developed a nasty rash under my wafer. The VNA nurse felt I was allergic to the adhesive on the wafer. So I changed companies and now I use Convatec. I use a 2 piece system. My Dr prescribed a medicated powder for under the wafer which helped to get rid of the rash. But be patient, it takes a long time to clear up. Now I am very careful when I change my bag to make sure everything is dry and I also haven't tried going in a swimming pool or the ocean cause I fear getting the wafer wet and having another rash from it on the skin. I hope this is helpful?

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Sometimes a rash can occur by pulling off your wafer too fast. Sometimes we think the best way, is fast like a bandaid. Unfortunately, that is not true with the skin around your stoma. You should always take off slowly. Use adhesive removers if available. And push your skin as you pull. If you are developing a rash, think about how you take off your wafer. This is one of the first things to remember for good stoma skin health.

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