What to know about the different types of urostomy bags

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One-piece urostomy systems refer to a type of ostomy bag with the skin barrier and the pouch combined into one unit. It is also known as a “closed pouching system.”

Benefits of one-piece urostomy systems include:

• Easy to use: One-piece systems require fewer steps to put together, and they are easy to apply and remove. This makes them a convenient option for people with limited dexterity or mobility.
• Discreet: One-piece systems are often more discreet than two-piece systems, making them a good option for people who need a more concealed pouching solution.
• Comfort: The barrier is flexible as it does not have a rigid plastic ring. This makes them more comfortable and suitable for those with uneven abdomens.
• Secure fit: The skin barrier and pouch are combined into one unit, providing a secure fit and reducing the risk of leaks.

A two-piece urostomy system refers to a type of ostomy bag that consists of two separate components — a skin barrier and a pouch. A person applies the skin barrier directly to the skin and then attaches the pouch to the skin barrier.

Benefits of two-piece urostomy systems include:

• Customization: Two-piece systems allow for greater customization as doctors can combine different skin barriers and pouches to meet individual needs.
• Versatility: Two-piece systems offer versatility as people can use different pouches for different activities, such as swimming or exercising.
• Easy to clean: Two-piece systems are easier to clean and maintain than one-piece systems because a person can clean the skin barrier and pouch separately.

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) states that people can attach a flexible tube to the drain valve at night. This allows the urine to drain into a night drainage unit, or night bag.

Night bags are larger than urostomy pouches to accommodate the increased urine output during sleep. Using a night bag means that a person does not have to get up throughout the night to empty their urostomy pouch.

However, whether a person uses a night bag is a personal preference. Some people prefer to get up to empty their pouch during the night.

A night drainage system can include:

• the container, which can be a bag or bottle
• flexible tubing to attach the container to the urostomy pouch
• an adaptor
• a leg strap to prevent the urostomy pouch or tube from twisting

Some night bags are reusable, and others are single-use.

According to the United Ostomy Associations of America, a person may wish to choose from the following:

• Convex inserts: A person can insert these into some two-piece bags.
• Skin barrier pastes, strips, and rings: These can help to fill space between the skin and stoma, resulting in a reduction of leaks.
• Ostomy belts: These go around the abdomen and attach to loops on some urostomy bags. These can help to support the urostomy bag.
• Covers: Pouch covers can help to protect the skin.
• Skin barrier products: These can help to heal the skin if it becomes irritated.
• Tapes: These can help make urostomy bags more waterproof.
• Adhesive remover: This can help to remove wafers and tapes and clean any residue from the skin.
• Pouch replacement cartridge: These are single-use cartridges that a person can place over the stoma to help protect it or during the replacement process.

To choose a urostomy bag, a person may wish to consider the following factors:

• Stoma size and shape: It is important to choose a bag that fits snugly around the stoma to prevent leaks.
• Skin sensitivity: People with sensitive skin should look for bags made of soft, nonirritating materials for sensitive skin.
• Adhesive: Some bags have adhesive backing that sticks to the skin, while others require a separate adhesive ring.
• Capacity: A person should choose a bag with an appropriate capacity that can allow them to be active and comfortable.
• Comfort: They should look for bags with features such as soft, flexible materials and soft, secure closure systems that do not pinch or rub the skin.
• Brand reputation and customer reviews: People should research brands and read customer reviews to find a bag that is reliable, comfortable, and meets their needs.

Taking care of a urostomy pouch is essential to prevent infection or leaks. To care for a urostomy bag, people should:

• keep it clean — people must wash their hands before changing the pouch and keep the skin around the stoma clean
• avoid rough activities — a person should avoid rough activities or tight clothing that may put pressure on their pouch and cause leaks
• change it regularly — changing the pouch regularly can prevent leaks and skin irritation
• use a protective barrier — a person can apply a skin barrier or pouch ring to protect the skin from the adhesive on the pouch
• seek medical attention for leaks or skin irritation — if a person experiences leaks or skin irritation, they should seek medical attention promptly

Here are some tips for buying and storing urostomy supplies:

• Buy from reputable suppliers: People should purchase supplies from reputable suppliers that offer high-quality products and good customer service.
• Get the right size: A person should ensure they get the correct size of urostomy bags to provide a secure and comfortable fit.
• Buy in bulk: Buying in bulk may save people money and ensure they always have a supply.
• Store properly: Storing supplies in a cool, dry place can prevent deterioration.
• Keep a backup supply: People should keep a backup supply of supplies in case of an emergency or if the need to change the pouch happens unexpectedly.
• Check expiration dates: People should regularly check the expiration date of supplies and discard any that have passed their expiration date.

Choosing a urostomy pouching system that provides a secure, comfortable fit and meets a person’s individual needs is essential.

There are two main types of urostomy pouch — one-piece and two-piece pouches. People can also opt for a night drainage system to prevent needing to get up during the night.

A person can also purchase additional accessories if they feel the need to.

People can speak with a healthcare professional to discuss which type is best for them.