Ostomy Accessories and What They Do

Ostomy accessories can help solve particular problems, but you do not need every product in the catalogue. Start with the job you need a product to do. Filling a small gap, helping remove adhesive, and managing moist skin are different tasks.

Barrier rings and paste

A barrier ring is a mouldable seal that can help fill uneven areas around the stoma. Rings come in different shapes and thicknesses, so application should match your fitting needs.

Ostomy paste also helps fill small gaps and creases. Despite its name, it is not glue. Adding a thicker layer does not automatically create a better seal. Ask your nurse whether a ring, paste, a different barrier, or another fitting adjustment would address the problem.

Stoma powder

Stoma powder may be recommended for moist, damaged skin. It is not a routine coating for healthy skin. Excess powder can prevent the barrier from sticking.

If your nurse recommends powder with a barrier film, sometimes called “crusting,” ask for a demonstration. The technique and amount matter. Follow the plan for when to stop using it, and arrange reassessment if the skin does not improve.

Barrier film and adhesive remover

Barrier film leaves a thin protective layer on the skin. Adhesive remover helps release the old barrier during removal. These products serve different purposes and should not be substituted for one another.

Check the instructions for drying time and whether any remover residue needs to be cleaned away before applying a new barrier. Product compatibility matters as much as the name on the bottle.

Belts, extenders, and pouch deodorants

A compatible ostomy belt can support some pouching systems when fitted appropriately. Barrier extenders support the outer adhesive edge. Neither should be used to cover up output leaking beneath the barrier.

Pouch lubricating deodorants are intended for use inside suitable pouches, following the label. They serve a different purpose from products applied to your skin.

Before adding an accessory: Ask what problem it addresses, how to use it, and how you will know whether it is helping. Keep the product details with your regular supply list.

Sources & further reading

• Ostomy Canada Society — Ostomy Accessories
• Hollister Canada — Ostomy Accessories and Product Instructions
• WOCN Society — Basic Ostomy Skin Care

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