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Oct 10, 2023

Switching to Convex Two-Piece Closed Pouch - Seeking Advice

Switching to a convex two-piece closed pouch system can be a significant change for someone new to living with a colostomy. This approach is being considered by a person who has recently undergone surgery after dealing with ovarian and fallopian-tube cancer for several years. In addition to managing a colostomy, they are also dealing with two nephrostomy tubes and a recent ankle fracture. The idea behind switching to this system is to make daily care simpler by allowing the user to easily "snap off and toss" the full pouch and attach a fresh one. Here are some thoughts and advice shared by others who have experience with this system:

1. Convenience & Ease of Use
- Many people find the convex two-piece "click" system to be quicker and easier to change compared to draining a pouch.
- Some users prefer to remove both the wafer and pouch when showering to avoid moisture-related fungal issues under the wafer.

2. Supply Management & Cost
- It's important to carry spare pouches and a full change kit whenever you leave home, as output timing can be unpredictable.
- Be prepared for higher supply usage and increased costs, especially if you are paying out of pocket.

3. Disposal Considerations
- Using closed bags results in more waste, so having a plan for discreet disposal when away from home is essential.

4. Alternatives
- Some people suggest learning about colostomy irrigation. With successful irrigation, many can reduce the frequency of closed-bag changes, which can help manage supply usage.

5. General Preparedness
- Always keep extra pouches, wafers, wipes, and a change of clothes in your travel kit to handle any leaks or blowouts effectively.

These insights aim to help make the transition smoother and ensure you are well-prepared for any situation that may arise.
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