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Mar 30, 2021

Recommendations for Disposable Pouch Systems?

Choosing the right ostomy pouch system can be a bit overwhelming, especially if you're new to it. If you're considering a disposable or closed-end pouch system instead of a drainable one, here's some helpful advice and insights from others who have been in your shoes:

1. Try before you commit: Reach out to companies like Coloplast, Hollister, and ConvaTec. They offer free samples of their products, including bags, wafers, wipes, and more, so you can see what works best for you.

2. Work with a professional: A wound or ostomy nurse can be a great resource. Since your stoma might change in size and shape during recovery, using cut-to-fit wafers initially is a good idea.

3. Popular options:
- Coloplast SenSura Mio two-piece system is well-liked for its soft, fabric-covered pouch, skin-tone color, efficient filter, and reliable coupling.
- ConvaTec's two-piece closed-end pouches are favored by those who irrigate, with the option to switch to a drainable pouch if needed.
- Hollister's two-piece closed-end system works well for some, though there have been reports of coupling issues.

4. Accessories:
- Coloplast Brava Skin Barrier Wipe and adhesive strips are popular.
- 3M Cavilon No-Sting Barrier Film is another option for skin protection.

5. Convenience tips:
- Use sealable zip-lock bags for discreet disposal of used pouches. Coloplast also offers small disposal bags.
- Consider biodegradable inner liners that can be flushed after use.

6. Wear-time experiences: Most people find they can wear a pouch for 4-6 days and a wafer for 5-10 days, depending on their activity level and skin condition.

7. Skin-care routine: Some users recommend removing the wafer during a low-output period, showering, cleansing with fragrance-free oatmeal soap, shaving peristomal hair, applying tea-tree oil and organic coconut oil, letting the skin air-dry for 30 minutes, and then using a protective film before resealing.

8. Ease of use: If you have limited dexterity or are recovering from surgery, single-use closed-end pouches might be easier to manage than drainable ones, though you may need to change them more frequently.

9. Filters: Look for pouches with built-in charcoal filters to help manage gas and prevent ballooning.

These tips should help you find a system that works well for your lifestyle and needs.
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