This topic is about an ileostomate who is thinking about switching from an older reusable faceplate and pouch system to a modern Hollister convex 2-piece disposable system. They have several concerns and are looking for advice on making this transition smoother. Here are some key points and insights:
- Security: The user is concerned about the security of the pouch-to-flange lock and the drain outlet. Modern 2-piece systems often have an audible "click" to ensure they are securely attached, which can help prevent leaks if applied correctly.
- Wear Time: The current system allows for 5-6 days of wear. While some users of modern systems change every 2 days to protect their skin, achieving a longer wear time might be possible with a good fit and proper skin preparation.
- Odor and Leakage: Odor resistance and the risk of leakage are important considerations. Users have shared mixed experiences with different brands, so trying samples might help find the best fit.
- Fabric Cover: The fabric cover on some pouches can get wet, pill, and dry slowly after bathing, unlike the original plastic pouches. This might be a factor to consider if frequent bathing is part of your routine.
- Cost: The cost of frequently replacing disposable pouches is a concern. Some users manage costs by leaving the convex flange on for 5-6 days and changing only the pouch every other day.
- Compatibility: An Eakin Cohesive Seal can be used under convex flanges, and some users do this routinely for added security.
- Cleaning Time: The goal is to reduce the time spent cleaning the reusable faceplate, which a disposable system could help achieve.
- Additional Considerations: The user currently uses elastic "bead-o-rings" to secure pouches and is looking for an "invisible pouch" option due to extreme summer heat.
- Product Experiences:
- Coloplast SenSura 1-piece drainable is favored by some for its clean outlet.
- Convatec Natura 2-piece system has been used successfully for many years with minimal leaks.
- Nu-Hope one-piece convex bag works well for recessed stomas and is changed every 2 days.
- Sampling: It's recommended to request free samples from various manufacturers like Hollister, Coloplast, Convatec, and Nu-Hope to test fit, fabric, and wear time before making a decision.
- Heat and Comfort: In high temperatures, fabric-covered pouches can feel hotter and stay damp. Lighter or "invisible" pouches, such as Coloplast SenSura Mio, might offer better comfort.
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