Measure the stoma size with the measuring guide provided. Trace the exact stoma size onto the center white release paper of the skin barrier. The small starter hole should be in the center of your tracing.
Important: Before cutting, separate the front and back panels to avoid cutting through the pouch. Make sure that the inner surfaces of the pouch are separated and that the pouch contains a small amount of air.
Cut along the tracing with curved, short blade scissors.
Cut the center hole the same size as the stoma, using the guidelines on the release paper. Do not cut beyond the last line.
Remove the white release paper from the skin barrier. Leave the outer release paper on the tape collar in place.
Press firmly on the center of the clip until it snaps securely closed.
A caulking material, such as Stomahesive Paste, can be applied to the back of the skin barrier to further fill gaps between the wafer and the stoma. Allow the paste to sit for one minute prior to application to the skin. (Do not spread the paste.)
For attachment of the tail clip, fold the bottom of the pouch over the tail clip only once.
With SenSura 1-piece urostomy, the SenSura double-layer barrier is permanently attached to the pouch. To change the pouch, the whole appliance is removed and replaced at once. SenSura 1-piece urostomy is available with flat or convex barriers. The full line includes transparent and opaque pouches with barriers that are pre-cut (already cut to size) or “cut-to-fit” (meaning they can be cut to achieve a custom fit).
Hollister Skin Barrier Ring Securi-T Mold to Fit, Standard Wear Adhesive without Tape Without Flange Universal System 4" Diameter, 10 EA/BX
The Hollister barrier ring supposed to help fill in uneven skin surfaces to enhance the fit of ostomy on the skin. The barrier help prevent leakage of stoma output under the skin barrier. All most all barrier rings are designed to be flexible that means the person can cut, stretch, or stack it to improve the fit of a pouching system in use.