Introduction to Pouching Systems for Colorectal and Anal Cancer Patients

Although your choice of a pouching system depends primarily on the location of your stoma and its output, it makes sense to explore options that can improve your lifestyle and meet your special needs. A pouching system, also called an appliance, collects fecal output from your colon. The pouch fits over your stoma and must fit properly.

In the hospital, you receive guidance from a Wound, Ostomy, Continence Nurse, sometimes called a WOC Nurse, or an enterostomal therapist, often referred to as an ET. These specialists will show you how to select and manage your appliance and how to care for your skin.

Sometimes no pouch is required and only a stoma cap is used. For example, a stoma cap is used to cover the stoma at intimate moments when no output is expected or after irrigation.

Later, as you resume your normal routine, you may try out different types of pouching systems. With time and experimentation, you should find a pouching system that works best for you.

Today's one- and two-piece pouching systems are barely noticeable under clothing. They are made from lightweight, odor-barrier material. The pouch itself may be closed-end or drainable.

Closed-end Pouch System

You may choose a closed-end system when you have been able to naturally regulate your bowels or if you irrigate. This system is also recommended for times when emptying and cleaning your pouch might be inconvenient. The closed-end pouch has no second opening for draining and is thrown away after each use. These systems come with or without filters.

Open or Drainable Pouch

A drainable pouch is a good option when you cannot predict your bowel movements. In this case, you will need to empty the contents of the pouch at various times during the day. The drainable pouch has a wide opening in the tail, the end away from your stoma, for draining fecal discharge. With practice most people find drainable pouches easy to empty and clean for the next use. Typically, drainable pouches are used several times and then discarded.

One-piece Pouching System

A one-piece pouching system has the skin barrier and pouch combined into one unit for one-step application. A one-piece system may be pre-cut or have a starter opening.

Two-piece Pouch System

A two-piece system has a separate skin barrier with a flange to snap on the pouch. This system allows for quicker pouch changes and more flexibility in positioning the pouch without removing the skin barrier.

Products to Use with Pouches

Products used with pouches include skin pastes, lotions, and powders and are used to attach and remove your pouch, to improve its fit, to protect your skin, and to help eliminate the likelihood of odors. Try various products to find the ones that work best for you