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In general, regular wear barriers have less resistance to liquid stool and urine. Shorter wear-times are expected if you are going to use a regular wear barrier for ileostomies or urostomies (usually no more than about 3-4 days). These types of barriers tend to “melt” more readily with exposure to stool and liquid (and higher volumes/frequency of urine or stool movement), allowing for unwanted peristomal skin exposure and the potential for skin irritation if left on for too long. Regular wear barriers work well for formed stool, such as that typically found with colostomies. Because there is less liquid content to the stool, and the stoma tends to function less often, a regular wear barrier will not ‘melt’ as easily and longer wear-times (up to 5-7 days) can be achieved. Tack and adhesion, while sufficient to provide a secure seal, tend to be slightly less with regular wear barriers, allowing for more frequent changes if needed/desired without causing skin damage.
Extended wear barriers, on the other hand, are formulated to provide greater resistance to liquid stool and urine. Consequently, longer wear times with these products are more realistic. Some of the extended wear barriers also contain substances that absorb the moisture from the stool or urine, causing the barrier to swell or ‘puff-up’ around the stoma. This swelling action allows for a better seal and resists undermining of the stool or urine under the flange. The barrier will move with the stoma and normal peristalsis, and will not occlude or block the opening of the stoma. There also tends to be greater tack and adhesion with extended wear products. While this adhesion assists with longer wear times, care must be taken with flange removal to avoid peristomal skin damage. Extended wear barriers are an appropriate choice for people who have ileostomies or urostomies, as they will be able to consider longer wear times of up to 7 days. For those who have liquid stool with colostomies, extended wear barriers should also be considered.
Source:
https://badgut.org/information-centre/ostomies/regular-vs-extended-wear-barriers/