Finding the right colostomy bag can take some trial and error. Your stoma, output, skin, daily routine, and personal preferences can all affect which type of colostomy pouch may work best for you.
Some people prefer a one-piece pouch, while others may need the flexibility of a two-piece system. Below, we’ll walk you through the main options and go over the pros and cons of each type.
Which Type of Colostomy Pouch is Right for You?
There isn’t one colostomy pouch that works best for everyone. The right choice for you will depend on things like how often you need to empty or change your pouch, your output levels, the shape and location of your stoma, and what your insurance plan may cover.
You may need to try more than one option before you find the pouch that feels secure, comfortable, and right for your everyday pouching routine.
Our Ostomy Specialists can verify your insurance and help you compare eligible pouch options and other colostomy products.
One-Piece vs. Two-Piece Colostomy Pouches
All ostomy bags, whether for ileostomy, urostomy, or colostomy pouch needs, come in two basic types: one-piece or two-piece.
One-Piece or Two-Piece Ostomy Pouch Explanation Video
Two-Piece Colostomy Bags
The two-piece colostomy pouch is a tried-and-true classic design.
In two-piece pouching systems, the skin barrier (also known as an ostomy wafer or baseplate) that adheres to the skin around the stoma is a separate piece from the collection pouch. The two pieces involved will be a separate skin barrier and a colostomy bag of your choosing.
Some ostomates prefer a two-piece system to position their skin barrier without the pouch getting in the way.
The main goal is to ensure a tight seal between the skin barrier and the pouch. Many brands have developed simple methods to ensure your pouch is securely attached and resistant to ostomy leakage.
For example, you might like Convatec’s Natura+ Two-Piece Pouching Systems. Many of our customers love hearing a clicking sound when they snap their Natura + ostomy bag onto its corresponding ostomy wafer.
Pros of a Two-Piece Colostomy Pouch
- Your skin barrier can remain in place longer, which may be more gentle for sensitive or easily irritated skin
- Bag changes may feel quicker and easier than a one-piece system
- Better visibility for the application of the skin barrier
- Easy to detach the bag for draining or changing without irritating the skin
Cons of a Two-Piece Colostomy Pouch
- It might be bulkier due to the coupling between the two pieces
- Slightly higher risk of leakage between the barrier and pouch without a good seal
- More pieces to keep track of
One-Piece Colostomy Bags
For ostomates who prefer fewer steps in their pouching process, one-piece colostomy pouches are a simple option. This is because this type of ostomy bag is a single piece, meaning the skin barrier and pouch are already joined.
In other words, a one-piece ostomy pouch is ready to be fitted over the stoma. Once the pouch is in place, you don’t have to worry about attaching anything else.
Plus, a one-piece pouch reduces the possibility of leakage between the skin barrier and the colostomy bag. However, you must ensure you achieve a complete seal when placing the pouching system over your stoma.
Pros of a One-Piece Ostomy Pouching System
- Reduced risk of leakage due to the ostomy bag and skin barrier coming apart
- All-in-one option
- Fewer pieces to manage
Cons of a One-Piece Ostomy Pouching System
- Potentially reduced visibility may cause difficulty with the attachment process
- May not be an easy first pouching system for new ostomates and beginners
- Frequent pouch changes may irritate the skin
- Not an ideal system for ostomates with frequent, high levels of fecal output
Should I Choose a Closed or Drainable Colostomy Bag?
Next, you’ll want to consider which type of colostomy bag best suits your needs. Should you use a drainable or closed ostomy pouch?
Some people prefer drainable pouches, while others prefer closed pouches. However, you may prefer to get some of each type in your orders, depending on your insurance coverage for ostomy supplies.
But what’s the difference between these two ostomy pouch types? Learn more about the benefits and features of each below.
Closed Colostomy Bags
Closed ostomy pouches, also known as closed-end or disposable pouches, are entirely enclosed. In other words, closed pouches lack an opening to drain or empty the bag for reuse.
If you prefer a one-time-use only pouching option, closed colostomy bags may be what you want. You can wait until the pouch is ready to be changed, and throw it away once they’re full.
Closed pouches also come in mini sizes, commonly called stoma caps. These are great for very short-term use if you need more discretion.
Pros of a Closed Ostomy Pouch
- Reduced risk of ostomy bag leakage since there is no drainable opening
- Single-use may make pouch changes quicker and easier
- Great for bathing, showering, swimming, or moments of intimacy with a partner
- Ideal for those who have less output
Cons of a Closed Ostomy Pouch
- Depending on the output, you may use more bags per day, which can potentially increase the cost (depending on insurance)
- Frequent pouch changes may irritate the skin if you choose a one-piece closed ostomy pouch)
- Not an ideal system for ostomates with frequent, high levels of fecal output
- May fill up quickly with gas (although we offer options with charcoal filters to “burp” your bag)
Drainable Colostomy Pouches
Drainable colostomy pouches feature a wide-mouthed bottom drain that you can open to empty the contents into a toilet.
These types of colostomy bags are reusable, too. After emptying your pouch, you can re-close it and continue with your day. In other words, you can continue using a drainable pouch for a longer period, rather than replacing it every time it’s full (as with closed pouches).
Pros of a Drainable Ostomy Pouch
- Great for ostomates with high stoma output
- Cost-effective since you can use and empty the same pouch multiple times
- Easy to release any built-up gases within the bag
- Simple to drain and close with secure closure options like clamps/clips and roll-up integrated closures
Cons of a Drainable Ostomy Pouch
- May feel less secure if you’re concerned about potential ostomy bag leaks
- Can release more odor when draining a pouch in a public restroom or at a friend’s house
Clear or Opaque Ostomy Bags?
Lastly, let’s talk about transparent (clear) and opaque ostomy pouches. When choosing between a transparent and an opaque colostomy bag, it primarily depends on your personal preference and the availability of the ostomy pouch type that best fits your needs.
Many ostomates prefer an entirely or mostly opaque ostomy pouching system. This is because they not only conceal the contents of the pouch but are also often made from quieter, more discreet materials.
However, keep in mind that some ostomates prefer clear ostomy pouches since they’re much easier to check the contents. Additionally, a clear colostomy bag may be more caregiver-friendly.
Get the Right Colostomy Pouch For You at 180 Medical
At 180 Medical, we offer all these colostomy bag options, as well as other insurance-covered ostomy products, such as Convatec’s popular skin barriers featuring Moldable Technology™.
Contact us to speak to one of our knowledgeable, friendly Ostomy Specialists.
Disclaimer: Content provided on 180medical.com is for general educational purposes only and should not be used as a substitute for medical advice, diagnosis, or treatment from a qualified healthcare professional. Product and sample availability may vary based on your insurance plan, prescription, and other requirements. Please consult your healthcare provider with any questions about your condition, treatment, or medical supply needs.
