This topic is about the redesign of the ConvaTec Esteem system, which has been causing some issues for users, particularly with the flange failing and the high costs associated with alternative products. The originator, who lives in Spain and uses the system daily, has noticed these changes and is seeking advice and insights from others who might be experiencing similar problems.

Here are some key points and advice shared by the community:

1. The redesigned Esteem pouch has a new shape and fabric, but the flange and adhesive seem weaker, causing it to come loose easily, even in mild weather.

2. The originator suspects the changes were made to cut costs for Spain's public health system, despite ConvaTec claiming it as an improvement.

3. The ConvaTec Colodress cap works well but is not covered by Spain's health system, making it expensive to purchase from the UK.

4. After 16 years of reliable use, the originator believes the sudden issues are due to product changes, not personal health changes, and encourages others to keep complaining to manufacturers.

5. Some users have reported similar flange leaks since the adhesive change two years ago.

6. Successful alternatives to the new Esteem include:
- Coloplast Sensura one-piece system with Flex Pro flange, which offers better adhesion and a similar feel to the old Esteem.
- Hollister mini-pouches, which provide strong adhesive, a soft cloth cover, and added security without tail-closure issues.

7. For stoma caps, the Coloplast 5540 cap was reliable in heat but is now discontinued, leaving users searching for a replacement. The ConvaTec Colodress cap is praised but costly without a prescription.

8. A long-wearing two-piece alternative is the ConvaTec two-piece ileostomy system with Uni-Solve Protective Wipes, where the wafer lasts 7–10 days and the pouch 3–4 weeks, even with frequent showering.

9. The general consensus is to keep submitting detailed complaints and sample failures to manufacturers, as collective feedback is crucial for pushing for better, more affordable products.