My stoma, my way: Stoma close to skin level

Finding products that fit the shape of you

If your stoma is close to skin level or even slightly below it (known as a flush stoma), you may be finding it harder to achieve a secure fit. These are called flush or retracted stomas and are becoming more common so you’re not alone.

You may have always had a stoma closer to the skin surface and that is how your stoma was fashioned during surgery, but if you have seen a difference in protrusion speak to your stoma care nurse – it may be due to changes in weight, pregnancy or a hernia developing but it is important to have your stoma checked if you notice a big change.

It is important to speak to your stoma care nurse to ensure that you have the right pouching system to help with your stoma protrusion and prevent leaks from occurring. If you’re currently using a flat pouch, you could discuss trying a convex pouch. Convex pouches are designed to provide gentle pressure to help your stoma protrude further into the pouch and create a better seal between the pouch and your skin.

Sometimes even when using a convex pouch, you may still experience leaks under the baseplate just like with any other stoma so the addition of a seal may be needed. With a flush stoma is it however important to consider the thickness of the seal and ability to mould to the edge of the stoma and allow that secure, unique fit. The convex pouch is there to help with stoma protrusion into the pouch and therefore considering a thin yet absorbent seal for added protection is important. The seal will absorb any output around the base of the stoma and help prevent leaks from occurring, protecting your skin around the stoma.

Click here to find out about eakin freeseal®, specifically designed for use with convex pouches.

If you have any concerns about your stoma care routine, always speak to your stoma care nurse.