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Oct 18, 2012

Switching to Two-Piece Bags: Need Advice

Switching from a one-piece to a two-piece ostomy system can be a bit of a change, but it offers some flexibility and convenience. Here's a simple breakdown of how it works and some helpful tips:

- When using a two-piece system, you don't always have to change both the pouch and the flange (also known as the wafer) every time. You can leave the flange on and just switch out the pouches as needed.

- The flange can typically stay in place for several days. Most people find that they can wear a flange for about 4 to 7 days, although this can vary. Some people change it daily, while others can go up to 14 days. Hot and humid weather might shorten this time.

Here are some advantages of using a two-piece system:

1. You can easily check your stoma and the skin around it without removing the adhesive wafer.
2. You can swap pouches after eating certain foods or before activities, while leaving the flange in place.
3. It can save time in public restrooms, as you can quickly empty or replace the pouch, which is especially handy for those with busy jobs.

Different brands offer various experiences:

- Coloplast: Known for good durability, with typical flange wear of 4-5 days. They offer extended-wear versions that last longer but may cost more.

- Hollister: Offers flanges that can last 5-7 days, with pouches that can be changed twice daily. Some users find them good for showering and swimming.

- Convatec: Users report excellent leak prevention with 4-5 day flange wear. Some can even go 12-14 days per flange.

Accessories and techniques can make a difference:

- Barrier rings are great for sealing, while paste might sting and dissolve quickly.
- Heating the wafer with a hair dryer can improve adhesion.
- Larger wafers provide more surface area for challenging stoma sites.

To try out different products, you can contact manufacturers for free trial kits. Companies like Coloplast, Hollister, and distributors like Edgepark offer samples.

Other practical tips include:

- Using vent or charcoal filters to reduce the need to "burp" pouches and control odor.
- Re-using pouches is possible if the stool is thick and the pouch can be rinsed.
- Be aware that extended-wear products might mean fewer items supplied per month under insurance or government plans.
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