This topic is about the different types of closures used on drainable ostomy pouches, specifically comparing clip closures to Velcro closures. People have different preferences based on their experiences, and this discussion explores those preferences and the real-world performance of each option.
Here are some insights and advice from users:
1. General Preferences:
- Many long-time users of Hollister's Lock ’n Roll micro-seal pouches report they are leak-free and appreciate the low profile and lack of extra parts.
- Some users distrust Velcro closures due to past leaks and prefer plastic "slam-down" clips or metal IGGIE clips.
- People with very liquid output are divided; some find Velcro reliable, while others believe clips handle side-seepage better.
2. Cleaning and Hygiene:
- Some users dislike cleaning Velcro closures, especially Coloplast’s low-mounted dual-wing Velcro, which tends to get dirty more easily.
- Clip supporters find wiping a smooth plastic bar easier than cleaning Velcro, especially for those with neuropathy or arthritis.
- Using flushable ostomy pouch liners can eliminate the need to clean the tail.
3. Handling, Dexterity, and Vision Issues:
- Velcro is often preferred by those with arthritis or neuropathy because it requires less force than snapping a clip, unless thumbs are very stiff.
- It's important to press the two sides of Hollister’s hook-and-loop closure together firmly for a secure seal.
- Pre-closing Velcro pouches when you open the box can help ensure they are always sealed properly.
4. IGGIE Clip:
- Some use the IGGIE clip in addition to Velcro for extra security, especially for very full bags.
- A DIY version involves using a small binder clip with rare-earth magnets.
5. Alternative Closure Work-arounds:
- Some use document clips on a neck string or rubber bands to seal irrigation sleeves.
- One creative member uses a portable "emergency emptying device" made from a plastic bottle and disposal bags.
6. Brand-Specific Comments:
- Hollister is generally well-liked for its closure, though some criticize the durability of its wafer/flange.
- Coloplast has more reports of leaks and dirty Velcro, though some users remain leak-free.
- Convatec has received several complaints about leaks with its Velcro drain.
- Dansac, Braun, and Marlen are also mentioned positively by some users.
7. Re-use and Economy:
- Clip users often rinse and reuse the same pouch for extended periods, as the plastic tail and clip withstand repeated cleaning.
- Velcro users typically replace the pouch and wafer together, concerned about the hooks/loops wearing out over time.
8. Emptying Technique Tips:
- When rinsing, fold the first panel away from the body to avoid splashes, then fold all panels forward to finish.
- If you splash the Velcro, try angling the tail downward and pinching the sides to prevent it.
9. Safety Reminders:
- Always carry a spare clip, as dropping them in public toilets is common.
- For Velcro, ensure you seal it properly with adequate pressure to avoid accidents.
See full discusison