Selecting a pouching system
The first step in caring for your stoma is selecting the proper pouching system for your unique needs and lifestyle.
Pouching systems come in three varieties:
One-Piece systemIn a one-piece system, the pouch and skin barrier are a single unit. Designed for discretion, these systems offer simplicity and flexibility in a low-profile system. They are available in cut-to-fit and pre-cut adhesive types. | 
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Traditional two-piece systemThe pouch attaches to a skin barrier with a coupling ring In a two-piece system, the pouch and skin barrier are two separate pieces that allow you to change the pouch without removing the skin barrier. With this system, the pouch and skin barrier are coupled together with a plastic ring. You can hear and feel the system securely lock into place. ConvaTec’s traditional SUR-FIT Natura® two-piece system offers a variety of drainable, closed-end, and urostomy pouches. The skin barriers, available in Stomahesive® or Durahesive® technologies, are designed to protect peristomal skin. | 
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Two-piece with adhesive couplingWith this system, the pouch and skin barrier are coupled together with a foam adhesive ring and "Landing Zone"—eliminating the need for rigid plastic coupling rings found in traditional two-piece systems. The foam coupling mechanism improves flexibility over traditional systems and has a lower profile under clothing. Skin barriers are available in Stomahesive® and Durahesive® technologies. The Esteem synergy® ostomy system with Adhesive Coupling Technology is available in a wide variety of pouch shapes and sizes. Drainable, closed-end, and urostomy pouches are available. | 
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