Here are some basic guidelines for applying your pouching system. For complete instructions, please refer to the product insert or talk to your ostomy nurse.

One-Piece Systems

In a one-piece system, the pouch and skin barrier are a single unit. Designed for discretion, these solutions offer simplicity and flexibility in a low-profile system. One-piece systems are available in cut-to-fit and pre-cut adhesive types.

• Clean and dry peristomal skin
• Measure your stoma
• Prepare the skin barrier
  -  For cut-to-fit barriers: Using the guidelines, cut an appropriate size
• Remove the paper from the adhesive
• Gently place the pouching system over your stoma
• Press the skin barrier against the skin, paying particular attention to the area closest to the stoma
• Smooth onto your skin. Maintain slight pressure on the skin barrier for 30-60 seconds to ensure a good seal

Traditional Two-Piece Systems

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.

The ConvaTec Natura^® two-piece systems offer a variety of drainable, closed-end and urostomy pouches. Both Stomahesive^® and Durahesive^® skin barriers are designed to protect peristomal skin.

• Clean and dry peristomal skin
• Measure your stoma
• Prepare the skin barrier
  -  For cut-to-fit skin barriers: Using the guidelines, cut an appropriate size
  -  For moldable skin barriers: Roll the adhesive back to fit your stoma
• Remove the paper from the adhesive
• Center the hole over your stoma, onto your skin
• Press the skin barrier gently against your skin.
• Align the plastic ring on the pouch with the ring on the skin barrier and press together. You should hear and feel the system locking together

Two-Piece Systems with Adhesive Coupling Technology™

In the two-piece systems with adhesive coupling technology, 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. This foam coupling mechanism is more flexible than traditional systems and has a lower profile under clothing.

The Esteem synergy^® ostomy system with Adhesive Coupling Technology™ is available in a wide variety of pouch shapes and sizes, including drainable, closed-end, and urostomy pouches. Skin barriers are available in both Stomahesive^® and Durahesive^® technologies.

• Clean and dry peristomal skin
• Measure your stoma
• Prepare the skin barrier
  -  For cut-to-fit barriers: Using the guidelines, cut an appropriate size
  -  For moldable barriers: Roll the adhesive back to fit your stoma
• Remove the paper from the adhesive
• Center the hole over your stoma, onto your skin
• Press the skin barrier gently against your skin. Hold for 30-60 seconds to secure the barrier to your skin
• Align the lower half of the foam adhesive collar on the pouch with the clear "Landing Zone" on the skin barrier. Then roll or slide your fingers over the upper portion of the pouch to secure the two pieces together