OstomyLife Community

Ostomy Products | Options

Gina Flores
Caregiver Advocate | Shield HealthCare
06/30/11  8:14 PM PST
Ostomy Products

Generally, a person with a stoma has no voluntary control over the flow of stoma discharge. As a result, a collection device or stoma cover is needed. The ostomate may use a two piece system (separate skin barrier with flange and snap on pouch) or a one piece system (skin barrier and pouch are combined into one unit). There are also products available to assist an ostomate with skin care around the stoma.

A properly fitted pouch is essential to minimize stomal and skin irritation and obtain optimum pouch wear time. A stoma measuring card allows correct measurement of the stoma. To determine the correct appliance size add 1/2 inch to the stoma size.  Example: stoma is 1 inch in size, appliance size should be 1 1 /2 inch.

SKIN BARRIER (Also known as a wafer): Any product which protects the skin from excretions. They may be cut to size and used under a variety of adhesive pouches or face plates.

FLANGE (wafer): Skin barrier sheet together with attached plastic ring for pouch attachment.

FACE PLATE: Plastic or rubber ring in a variety of outer and inner diameters. The pouch is attached to the outer lip of the faceplate. This is considered a permanent appliance that can be cleaned and re-used.

DRAINABLE POUCH: A collection device used when bowel regulation can not be established and contents must be emptied several times per day. May be worn for at least 5 to 7 days without removal.

CLOSED-END POUCH: A collection device used when bowel regulation has been established by natural methods or irrigation. Must be removed after stoma discharge. Changed daily or every other day per irrigation schedule or bowel regulation.

IRRIGATION KIT: Products used to administer a daily (or every other day) enema through the stoma to regulate bowel movements. Kits may include: Irrigator, Stoma Cone, Irrigation Sleeves, Lubricant, Belt, Tail Closure, Brush, and Wafer.

STOMA CAP: A small device used to cover the stoma. Normally used instead of a regular pouch cover when some form of bowel regulation has been achieved.

IRRIGATION SLEEVE: A drainable collection device used when irrigating through the stoma. The stoma discharge flows through the sleeve into an external container.

STOMA CONE: A device that is inserted into the stoma for the purpose of administering an enema. The stoma cone is connected to tubing and attached to a water bag.

IRRIGATOR BAG: A water bag used for the purpose of irrigation. Volume graduations are indicated on the bag.

BELTS: Belts are generally used to hold faceplates and pouches securely in place. They may also be used with conventional two piece systems to provide additional support and security.

TAIL CLOSURE: A clamp used to seal the bottom of a drainable pouch.

PASTE: Normally used to help fill in uneven skin areas. It acts as a sealant, preventing excretions from the stoma to make contact with the skin surface. It is also used to round out irregularly shaped stomas.

KARAYA POWDER: Karaya powder is used to provide a secure protective cover for the skin. It helps to build a smooth surface so that appliances fit more securely. Karaya powder is made of Karaya, a natural soluble gummy powder.

KARAYA SEAL RINGS: Covers the skin around the stoma. It helps to prevent secretions from seeping between the skin and the appliance.

SKIN PREP: A skin care product that acts as a protective coating between appliance adhesives and sensitive skin.

MOISTURIZING CREAM: A protective moisturizer designed especially to protect skin that could be damaged by urine or stool. It lubricates and softens dry skin. It moisturizes, protects and promotes healing.

BARRIER SPRAY: The barrier spray protects the skin from irritation caused by urine and stool. Regular use reduces the possibility of skin breakdown.

SKIN CLEANSER: The skin cleanser neutralizes and deodorizes urine and bowel odors on contact. It is non-irritating and does not interfere with normal skin pH.

ADHESIVE REMOVERS: Adhesive removers dissolve barrier film from skin.

APPLIANCE DEODORANTS: Deodorants specially formulated with powerful ingredients to relieve problem odors associated with the use of ostomy collection appliances.

ORAL DEODORANTS: Tablets taken orally to help counteract odor.

For more information, see related ostomy product articles and ostomy resources here:

Shield HealthCare | Medical Supplies For Care At Home Since 1957

Serving Medicare Ostomates Nationwide
Dear Laura, I wear a two piece ostomy bag. I need help with concealing an ostomy bag. When I move around my shirt hikes up and the tip of the bag peeks out from under my shirt.
Hi Tom, I have a few suggestions that may help!
First, I'm wondering if a stealth belt would be a good option for you. This is a black belt that you can conveniently tuck your pouch...



  1. Esther P.
    Posted January 9, 2013 at 6:00 pm PST

    I have a problem with feces getting under the plastic ring on the wafer and therefore need to change it more often. Is there a product I could purchase to correct this? Thank you.

  2. Posted January 10, 2013 at 12:29 am PST

    Hello and thank you for your inquiry. You may consider using an alternate skin barrier such as item# HS 7700 Hollister Skin Barrier. This barrier protects the skin from irritating stomal discharge. Another consideration would be to change the type of wafer you are using all together, as certain wafers for specific types of discharge. For example, Convatec Stomahesive Barriers are for patients whose stool is semi-formed. Durahesive barriers are for patients whose stool is mostly liquid. Our team of ostomy product specialists will be happy to assist you. You are welcome to call 800-228-7150 to speak to a Shield HealthCare Customer Service Representative during business hours 8:30 am to 5:00 pm

  3. Willard D.
    Posted September 4, 2013 at 6:36 pm PDT

    …..always appreciate the accuracy and promptness of delivery!!!

  4. Posted December 2, 2015 at 8:55 pm PST

    As i have worn a convatec wafer and pouch for urine for 10 years i have damaged skin arround thestoma and the wafer not to stick good to it
    But i think to use a repair cream ? But if i do how can the wafer stick to skin with cream on to a slippery surface ?

  5. Posted December 3, 2015 at 12:08 pm PST

    Hi James,
    Using a cream will not allow any wafer to stick. I would suggest you see a stoma nurse who can decide what type of product would be best for you. There are powders that may be helpful (like stoma powder and Nystatin powder) and other products such as barrier wipes. I would suggest you stop using the cream so your wafer will stick. You want to keep urine off your skin as much as possible!
    Please let me know if you have any further questions!
    Good luck!

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