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I have not had a problem with stoma size with my BCIR, but a Marlen 30fr catheter with the bullet tip should be easier on your stoma than the Medina.  Be sure to use plenty of lube and insert the catheter gently.  Another thought is to use a plug known as a “binkie” to help maintain the size of your stoma.  I am not sure to what extent it could increase your stoma’s size or help with your problem.  Binkie’s can be obtained from: Wayne Jacks MWJacks@aol.com.  There are several posts on stoma size on this forum (search “binkie&rdquo.

BillV

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