Hollister moldable on the way

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blueglass
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Date Joined Dec 2010
Total Posts : 3332
   Posted 5/6/2011 3:26 PM (GMT -6)   
I just saw my stoma nurse today and she said she recently got a message from Hollister that they are coming out with a moldable wafer.... she supposes coloplast will too, soon enough. Just thought some of you might want to know.

ENIGMAWRAP
Regular Member


Date Joined Nov 2010
Total Posts : 416
   Posted 5/6/2011 4:38 PM (GMT -6)   
bLUEHERON:

YEAH, I HAVE A COUPLE SAMPLES OF same but haven't tried it yet......I am going to call Convatec for another set with a different pouch, as the moldable they sent had a pouch that I didn't like....I couldn't see how it would attach to the wafer with any sense of security....

Also, Coloplast is coming out (already in Europe) a very flexible wafer (called the Sensura MIO) that seems pretty neat.....

Thanks!

Another UC wife
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Date Joined Jun 2007
Total Posts : 2111
   Posted 5/6/2011 7:46 PM (GMT -6)   
If Hollister uses the same adhesive then it won't be any good for my husband. He used the Hollister 2 piece "new image" line successfully for 3 months and really liked it and got used to it until his skin started to react to it.

Switched & currently using the Convatec moldable wafer and the adhesive on this wafer for the time being seems to be cooperating with his skin. He isn't overjoyed with the pouch however the wafer is more important so he is accepting it.
64 yr old male suffered with UC & in May 06 had a severe flare & hospitalized 6 days...various prednisone treatments leading to steroid dependence and osteopenia, 12 asacol, 200 mg Imuran, failed remicade infusions Jan-May 2010 Dependence on pain meds. Made decision 6/10 to have surgery which was on 12/17/10 (total proctocolectomy & ileostomy - unable to have the j-pouch) and no longer in pain.

ENIGMAWRAP
Regular Member


Date Joined Nov 2010
Total Posts : 416
   Posted 5/6/2011 7:59 PM (GMT -6)   
Another UC Wife:

Which model of convatec pouch/wafer is your husband using?

I'm calling them Monday first thing to get a different model of the moldable wafer/pouch.....I think I will eventually use moldable, but right now am still using cut-to-fit with an Eakin seal......

The moldable wafers would definately be a plus in any emergency situation.....

Another UC wife
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Date Joined Jun 2007
Total Posts : 2111
   Posted 5/6/2011 9:15 PM (GMT -6)   
Sur Fit Natura durahesive moldable convex wafer with no eakin seal or paste underneath it...just the convatec roll on skin barrier on his skin. (He probably does not need that but uses it)
 
Now that he has put on a little weight the convex wafer with the moldable feature seems to be doing the trick .. no leaks and so far his skin has not had a reaction...he will be doing a full change tomorrow which is a complete 6 days.
 
He was having a leaking situation with the hollister kind of out of the blue after 3 months and a skin reaction...maybe the skin reaction was in part due to the leaking even though he would change immediately and we are blaming the adhesive...we were seeing some signs of irritation before the leaking though....plus with the hollister convex wafer we were using the seals and paste since that is what the hospital and home health nursing had us do. 
 
I just reasoned it out & guessed and asked him to try eliminating the eakin seals or adapt rings and paste and try less overall convexity to see if that would make a difference.  I think the weight gain evened things out and also eliminated a crease he had with less weight after the surgery I think.
 
When he removes the SurFit wafer when you look at the underside it plumps up as though he used an eakin seal underneath it.  It seems to hug the stoma well and his skin at the moment is not showing any signs of not tolerating it....fingers crossed that it continues this way for a long time.
 
If anyone is having a leaking issue maybe this might help you.

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 5/7/2011 12:14 PM (GMT -6)   
oooohh how interesting.. i hope those new moldables are available in my country too.
Hodaya
06/05/2007 - STARR procedure
colonic inertia w/pelvic floor dysfunction
08/16/2009 - total colectomy w/ileorectal anastomosis
07/08/2010 - loop ileostomy

Another UC wife
Veteran Member


Date Joined Jun 2007
Total Posts : 2111
   Posted 5/7/2011 1:20 PM (GMT -6)   
He did a change today instead of tomorrow so he did get a full 6 days. Wow what a difference when your skin likes a certain wafer. I'm cautiously optimistic as the Hollister one was great for awhile too...lol. Hopefully this one is in fact more skin friendly for him.

So far so good...this wafer is cooperating and his skin looks really good. As I said he's not wild about the pouch as he really prefers the sturdier opening on the hollister lock and roll pouch but this one is ok and does the job. He is using the velcro closure one for the SurFit. No leaking at all from the end of the pouch it is just flimsier and more of a challenge to open since it is thinner or whatever the diff is over the hollister one.

We are finding early morning, jump in the shower, remove wafer and cleanse area fully, no output since he hasn't eaten anything, after towel drying we use the blow dryer on cool, apply the convatech roll on skin barrier, attach wafer then pouch. Takes all of 5 minutes or less when the stoma is still asleep....lol. It would be nice if it could always be like this. Grateful the past 3 changes have gone like this and given us a reprieve for now.
64 yr old male suffered with UC & in May 06 had a severe flare & hospitalized 6 days...various prednisone treatments leading to steroid dependence and osteopenia, 12 asacol, 200 mg Imuran, failed remicade infusions Jan-May 2010 Dependence on pain meds. Made decision 6/10 to have surgery which was on 12/17/10 (total proctocolectomy & ileostomy - unable to have the j-pouch) and no longer in pain.

blueglass
Veteran Member


Date Joined Dec 2010
Total Posts : 3332
   Posted 5/7/2011 2:41 PM (GMT -6)   
Glad you've found something that's working, fingers crossed.
48 years old, female.
2004 dx indeterminate colitis. Back and forth between Crohn's and UC dx. Many drugs, minimal success.
2010-11 Crazy skin and eye complications, high fevers, bad flaring. Out of good drug options, tired of scary drugs.
Feb 2011 -- proctocolectomy with permanent ileolostomy; abscess, blood clot. Still healing, still glad for the surgery

ENIGMAWRAP
Regular Member


Date Joined Nov 2010
Total Posts : 416
   Posted 5/7/2011 6:22 PM (GMT -6)   
Another UC wife:
 
Good for you!  As I am only 3 weeks out from surgery, I haven't found a "good" time....I usually do afternoons, believe it or not, after lunch has passed for a couple of hours and dinner hasn't been eaten yet.....
 
Hopefully, after a few more weeks, things will get "predictable..."
 
 

JMCH3
New Member


Date Joined Apr 2011
Total Posts : 13
   Posted 5/7/2011 8:02 PM (GMT -6)   
Like ENIGMAWRAP, the best time for me is either a couple hours after lunch or dinner. Morning is actually worse for me (I never have figured out why). I eat 3-4 marshmallows about 20 minutes before and it usually works well. As long as I time it right I can change the wafer (post shower) in a few minutes.
Anytime my skin looks irritated I'll throw some anti-fungal powder on and then use a skin-barrier.
I use the convatec durahesive convex wafer. I have used the convatec moldable ones (suggested by the WOC nurse, as I currently have a temporary ileostomy) but my ileostomy tucks a bit when it is active and tends to tuck under the modable.
It takes a while to figure out what works. I'm STILL figuring it out and it's been (exactly) a year for me.
Dx UC in 2004. No real issues till Nov. 2009 - huge flare. Allergic to remicade, non-responsive to Humira. Steroid refractory. Dx as indeterminate, April 2010.
Total colectomy w/ jpouch formation, May 2010.
Pain/inflammation in diverted Jpouch, June 2010 - present. On Cipro, Flagyl, Prednisone, Azathioprine. Dx Chron's Oct. 2010 (disputed).
Scheduled Jpouch removal and permanent Ileo, May 2011.
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