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If https://www.yterwpipe.com/The-Customized-Round-Mild-Steel-Tube-pd40557569.html wore sleeper jammies, I'd personally just cut a little hole down by the ankle for the end in the tube. Sleeper jammies were the best because he couldn't get at the tubing, and sleeper jammies kept his diaper from falling down :) Poor kid has no butt! Anybody else is running into this diaper issue, homemade one-sies were my answer to the problem. I got lazy and used a decreased adult white t-shirt and would use a baby diaper pin in the crotch. Once he was at a small adult diaper with the 2 strips of tape on either side, his diaper stopped falling down! Always use the smooth galvanized steel pipe or aluminum pipe for your venting as opposed to the plastic flex hose. It's much less susceptible to temperature change and in addition, it lasts long. You might also be surprised