Question: Post-Surgery Ileostomy Concerns and Product Fit Issues

Good morning,

I underwent ileostomy surgery on September 8, 2023, which required revisions. Since returning home, I’ve encountered issues with the size of my stoma, which is now 1 inch and 3/4 wide. This size exceeds the maximum width of my flange. Do I need a different flange? Additionally, I’ve faced challenges with nursing support and product fitting. Although I’ve received my ADP, I’m still awaiting a visit from an experienced stoma nurse.

Response: Guidance and Support for Your Ileostomy Journey

I’m sorry to hear about the challenges you’ve faced post-surgery. The healthcare system can sometimes be overwhelming, and getting the right support is crucial for your quality of life.

  1. Stoma Size Reduction: It’s common for stoma size to decrease within 6 to 8 weeks post-surgery due to the reduction of swelling.
  2. Product Options: You can obtain products in various sizes, including cut-to-fit or pre-sized options if your stoma is round.
  3. Free Product Trials: Contact these companies for free product trials:
  • Hollister:
    • Secure Start Program: Offers lifelong support. Hollister Secure Start
    • Contact: 1.866.789.7574 or securestartcanada@hollister.com.
    • Services available regardless of product brand used.
  • Convatec:
    • Enroll-in-me+ Program: Provides comprehensive support. Convatec me+™
    • Contact: 1-800-465-6302, Monday to Friday, 8am to 6pm ET.
  • Coloplast:
  1. Expert Support: Both Hollister and Convatec have expert teams of nurses and product specialists to assist you.
  2. Personal Advocacy: Be proactive in seeking the right products and support for your condition.
  3. Your Recovery Journey: Stay informed, utilize available resources, and maintain a positive outlook.

Karen Bruton, RN BScN MCISc-WH WOCC(C)
Nurse Education Consultant – Interprofessional Practice Support
Indigenous Services Canada, Government of Canada
Ostomy Canada (Volunteer)
Medical and Lifestyle Advisory Team Lead

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