Selecting a pouching system

The first step in caring for your stoma is selecting the proper pouching system for your unique needs and lifestyle.

Pouching systems come in three varieties:

One-Piece system

In a one-piece system, the pouch and skin barrier are a single unit. Designed for discretion, these systems offer simplicity and flexibility in a low-profile system. They are available in cut-to-fit and pre-cut adhesive types, and are also available with a built-in closure otherwise known as a clipless pouch.


Traditional two-piece system

The pouch attaches to a skin barrier with a coupling ring

In a two-piece system, the pouch and skin barrier are two separate pieces that allow you to change the pouch without removing the skin barrier. With this system, the pouch and skin barrier are coupled together with a plastic ring. You can hear and feel the system securely lock into place. ConvaTec's traditional Natura ® two-piece stoma care system offers a variety of drainable, closed, and urostomy pouches. Drainable pouches are also available in a soft closure such as InvisiClose®. The skin barriers, available in Stomahesive ® or Durahesive® technologies, are designed to protect peristomal skin.


Two-piece with adhesive coupling

With this system, the pouch and skin barrier are coupled together with a foam adhesive ring and "Landing Zone"-eliminating the need for rigid plastic coupling rings found in traditional two-piece systems. The foam coupling mechanism improves flexibility over traditional systems and has a lower profile under clothing. Skin barriers are available in Stomahesive® and Durahesive® technologies.

The Esteem synergy® stoma care system with Adhesive Coupling Technology™ is available in a wide variety of pouch shapes and sizes. Drainable, closed-end, and urostomy pouches are available.


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