Good Followup but Failing Pouch Adhesion

hi
Have you tried Ekin Seals? They work wonders for leaks. I too had the same problem and someone suggested the seals and I have had maybe 2 leaks in about 3 years.
Good luck
Barbara

Your assure 14717 looks much like my Hollister 8488. You might want to check with your stoma nurse first but I found from time to time my skin would be tacky and unhappy with the bag adhesives and routine cleaning. My stoma nurse suggested a 4/1 mix of vinegar/water. This neutralizes the skin. I now use it on every other pouch change.

A day & half is not so good. I am comfortable with 4 day cycles. I date mine with a magic marker.

The good news: At 16 months post-surgery and 18 months post-chemo for T2 bladder cancer along with prostate cancer, I'm clean so far.

The not-so-good news: I've used Coloplast's Assura 14717 urostomy pouch on a lower right quadrant stoma since my surgery (bladder & prostate both gone) 16 months ago. For the first 14 months post-surgery I had no pouch problems at all--good adhesion with average wear time just at 6 days (yes, I kept track). For the last two months, though, with no changes in procedure or supplies or body shape, I've been springing leaks left and right, almost exclusively at night whilst sleeping. My average wear time is down to 1.5 days/pouch.

I use Unisolve adhesive remover, wash carefully with plain Dial, dry carefully, use the same skin prep, and warm the pouch top before pressing it over the stoma. Again, no changes in procedure or materials of body shape/weight. At night I plug a drain tube into the valve of the pouch, and there's plenty of slack in the tube, and drainage appears to be OK.

I can't figure out what the heck is going on with the increased frequency of leaks. Anyone have any ideas? I called Coloplast and they sent me another box of pouches, and I'll start using them when my current pouch pops a gasket. Maybe it's a bad couple of pouch lots? Anyone run into that?