Question: Confusion Over the Use of Adapt Paste in Applying Ostomy Flanges

After my ileostomy last year, I was taught to apply a bead of Adapt paste around the flange’s hole before attaching it to my abdomen. However, during a recent hot spell, I developed a skin issue near the stoma and was advised to stop using the paste and apply the Coloplast flange directly to my skin. This conflicting advice has left me confused about the paste’s purpose and whether it’s necessary.

Response: When and Why to Use Ostomy Paste

Ostomy paste is primarily used to fill in uneven skin contours around the stoma, creating a flatter surface for the flange to adhere to. If your skin around the stoma is even and smooth, the paste may not be necessary. However, if you have skin contours or irregularities, the paste can be beneficial.

Alternatives and Resources:

  1. Assessing Your Needs: A helpful resource to assess your ostomy needs is the Peristomal Skin Assessment Guide available at
  2. Flange/Seal Options: Visit Coloplast’s website for alternative flange/seal options that might not require the use of paste. Customer service can provide recommendations based on your specific situation.
  3. Convex Ostomy Systems: Consider convex ostomy systems, designed to curve inward toward the stoma. These systems can provide a secure attachment and direct output into the pouch, reducing the risk of leakage. Convex systems are particularly useful for stomas with uneven shape or size.
  4. Experimentation and Support: You may need to experiment with products from different manufacturers. Most companies offer free samples and follow-up support to find the right solution for your peristomal skin issues.

Remember, finding the right ostomy care products can involve trial and error. Consulting with a specialized nurse, such as a NSWOC (Nurses Specialized in Wound, Ostomy, and Continence), can provide tailored advice. To locate a NSWOC in your area, visit Find a NSWOC.

Jo-Ann L. Tremblay
Ostomy Lifestyle Expert Member of Ostomy Canada Society
Medical Lifestyle Advisory Committee Member
Ostomy Canada


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