This topic is about finding alternatives after the discontinuation of Hollister 41 cm drainable ileostomy bags. The person who started the discussion has been using these bags for a long time and is now facing challenges because the replacement options are much smaller, requiring more frequent emptying, especially at night. They are seeking advice and solutions to manage this change.

Here are some helpful suggestions:

1. Explore other manufacturers and request free samples before making a decision. Charter Healthcare, a Coloplast subsidiary in the UK, has been noted for being helpful in providing samples and discussing individual needs.

2. For nighttime use, consider switching from a standard pouch to a folded and clipped irrigation sleeve. These sleeves can hold more output, are easy to flush in the morning, and can reduce or even eliminate the need for emptying during the night.

3. If you are in the U.S. and using Medicare, be aware that there might be quantity limits. One person mentioned that Edgepark was only allowed to supply two irrigation bags every six months.

4. In the UK, users on the NHS generally receive as many sleeves or bags as needed at no cost, based on clinical requirements.

5. To extend wear time, consider using a custom or DIY baseplate. An irrigation sleeve can last several months, even up to six, before needing replacement. Two-piece bags attached to a sturdy homemade baseplate can last about a month, although commercial pouches might split where they clip on and off.

6. If staining is a concern, bleaching sleeves can help extend their usable life. However, if they become too stained, discarding them is another option.