This topic is about someone who has been living with an ostomy for about five years and is considering whether to start colostomy irrigation. They currently use a one-piece pouch and are curious about what irrigation involves and if the type of pouch they use makes a difference.

Here are some helpful points and advice:

1. The person initially had an ileostomy, which was revised to a colostomy two years ago. They are unsure about the length of their remaining colon and plan to discuss this with their doctor.

2. Irrigation is a method used only for colostomies. It involves flushing the colon with water to regulate bowel movements. This is not an option for ileostomies, as they have continuous output.

3. To be eligible for irrigation, you need a healthy segment of the descending (left) colon. If you have a limited amount of colon left, it might not be possible. It's important to confirm your eligibility with your surgeon or ostomy nurse.

4. If your current pouching system is working well for you, there is no need to change to irrigation. Many people find success with their current routine and prefer to stick with it.

5. However, if you are medically cleared to try irrigation, some people find it beneficial and encourage giving it a try. There is support and guidance available from others who have experience with irrigation, and they often say, "Who dares, wins.