Your Guide to

Urostomy Skin Care, Tips & Hints, Products & Accessories. Tips & Hints were kindly supplied by experienced Australian and New Zealand STNs

Introduction Your Stomal Therapy Nurse will show you a selection of available urostomy pouches and accessories. There are two general types of pouching systems available: one piece and two piece.

The importance of a well fitting pouch system. A well fitting pouch will ensure good skin protection and help prevent leakage. Most skin problems or soreness are caused by a pouch with the wrong hole size. Sore red skin is not normal.

This guide is designed to assist people with a urinary stoma. We asked a number of experienced Stomal Therapy Nurses from Australia and New Zealand to provide answers to the most common questions.

In the back of the booklet you will find the largest range of urinary appliances and accessories available in Australia today. You may find them helpful in the management of your urinary stoma.

On the following pages you will find their answers. My skin is sometimes itchy, what causes this and what should I do?

4

What do I do if my stoma has narrowed?

5

In what circumstances should I call my Stomal Therapy Nurse?

5

How often should I empty my pouch?

5

What do I do if crystals form around the stoma?

6

Are there any restrictions on what physical activity I can participate in? (Comments on return to work, lifting, sport etc)

6

Are there any special dietary restrictions or advice for people with a urinary stoma?

7

What is a normal output from my urinary stoma? How do I ensure the output is good?

7

What application tips do you have for getting a leak free seal with my appliance?

7

What to do with blocked or kinked urostomy pouch at night?

7

How should I take care of the skin around my stoma and what should I clean my skin with?

8

All Urostomy pouches have a tap device to allow you to empty the pouch contents as necessary throughout the day. Your urinary pouch can be connected to a night drainage bag which has a larger capacity to allow you to get a good nights sleep.

Can diet or weather affect wear time of my pouch?

8

What if I see blood in my urine?

8

How do I collect a urine specimen for testing?

9

The skin barrier / baseplate and pouch features will vary between brands so it may be necessary to experiment once you are home to find the one that best suits your skin type and your lifestyle.

Why do I have mucous in my urine?

9

How often should I change my appliance?

9

How do I avoid urinary tract infections? What are the signs & symptoms?

10

What routine checks should I be doing?

11

The urine flow from my stoma is constant. Are there any tips for changing my pouch to make it easier?

11

My stoma is below skin level, what should I do?

11

Omnicare 1 piece products

12

Omnicare 2 piece products

13

Omniwell 1 piece products

14

Omniwell 1 & 2 piece products

15

One Piece pouches The adhesive skin barrier and pouch come as one unit. You apply the pouch directly on to the abdomen. It is very simple, just peel off the release paper and stick directly to your skin. Generally the one piece system is changed every 1- 2 days and is discarded after use and replaced. The wear time will vary a little from person to person. Two Piece System A two piece system has a separate baseplate or flange (skin barrier) that stays in place for several days. The pouch section attaches to the baseplate either by a clip-on system, an adhesive system or a combination of the two and is changed as required. Hence two pieces. The baseplate is generally changed about twice per week but this may vary.

Here are a few tips: • Measure your stoma diameter regularly to ensure the correct size hole for maximum skin protection. This is especially important during the first few weeks following surgery as your stoma size may change quite a bit. Most appliance manufacturers supply a measuring device. • If your stoma is an irregular shape it may be necessary to try a mouldable seal to protect exposed skin from the urine. • There are many different types of pouches for different needs. Your body shape and stoma may change slightly over time. It is important that you are aware of these changes and if you experience ongoing problems you should consult your Stomal Therapy Nurse for advice.

Most manufacturers are happy to provide free samples for you to try.

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My skin is sometimes itchy, what causes this and what should I do?

Each time you remove the adhesive product fr om your skin it will ca skin to become red. Thi use your s is not a reaction to yo ur ad hesive product, just the normal response that oc curs - just like removin g a bandaid. To help pr the redness occurring do event not forcefully pull or ri p the adhesive away fr your skin. Ideally on th om e day you are due to re move the adhesive prod so whilst showering us uct, do ing warm water and a ph balanced soap. Oth the use of commercially erwise available adhesive rem ov er w association can preven ipes from your Ostomy t the trauma from stri pping. If your skin becomes inflamed and red then you may have sensitiv your adhesive pr oduct. ity to The use of a barrier w ip e or fi a barrier between your lm will pr ovide skin and the adhesive and this may pr event sensitivity fr om occurr the ing. Review by your S tomal Therapy nurse recommended to ensure is corr ect assessment and tr eatment. If your skin is inflam ed, red, itchy and sore then assessment by yo Stomal Therapy nurs ur e and/or doctor is requ ir ed . B e attend this appointmen pr epar ed when you t to answer questions that will assist in pr ov the corr ect diagnosis an iding d tr eatment. Eg; How long has your sk in been inflamed, red, itchy and sore? Is the inflammation an d itchiness localized or has it spread out? How long have you be en wearing the curr en t adhesive pr oduct? Have you noticed or ha d any leaking fr om ar ound your stoma? Nicole Walsh W A

What do I do if my stoma has ‘narrowed’.

In what circumstances should I call my Stomal Therapy Nurse? If you notice any of the following: ...

The medical term for a narrowing of

A) If there is recurrent leakage from und

the stoma, or the actual opening on

erneath the

rectify as soon base of the bag. This is important to cause your skin to as possible as the urine will quickly break down. become red and sore and eventually

the stoma is a stenosis. If you have noticed that the size of your stoma opening has become smaller, or has narrowed, it is

B) If the skin becomes sore and red (this

advisable to see your stomal therapy

could be

bag or urine due to irritation from the base of the You may need to coming into contact with the skin) e in the pouch measure your stoma, and cut the hol from the base base smaller. If the irritation is caused

nurse for assessment of the stoma. This visit to the STN is important as he or she can try to establish why the narrowing has occurred, and also

stenosed urinary stoma be properly

re are many of the bag then you will find that the backing for products on the market with a suitable trying a few and your skin. It may be just a matter of finding the right one for you.

assessed and managed as a

C) If your appliance does not stick. This may

take the necessary steps to manage the complication. It is important that a narrowed,

g compatible with to the backing of the pouch not bein a few pouches your skin. Again you may need to try you may be to find a suitable backing for you. Or cleaning the skin applying the bag incorrectly e.g. not the next bag. thoroughly enough before applying

narrowed urinary stoma can lead to ongoing problems with a backlog of urine flowing towards and damaging the kidneys.

be due

Susan Dunne NSW

D) If the colour of the urine changes to clou

dy or if

od in your urine there is an increase in mucous or blo may have an then you should see your GP as you antibiotics. infection which can be treated with

How often should I empty my pouch?

E) If the colour of the stoma changes or

n ld be emptied whe ou sh h uc po y m A urosto e third or half full. approximately on to playing to empty it prior You may also wish g and before sex. sport or swimmin nce is ptying your applia em on as re e m so If for attach the pouch to se oo ch ay m u . difficult, yo s greater capacity ha ch hi w g ba g le to a g is increase if the ba e ag ak le of k ris The allowed to fill.

changes dramatically or bleeds exc



the size

essively.

Sharmaine Peterson SA

C

VI Wendy Sansom

P4

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Eakin Cohesive Seals for better skin protection P5

What do I do if crystals form around the stoma?

Are there any restrictions on what physical activity I can participate in?

tomy are or around a uros on ls ta ys cr y ar rin U e. The with alkaline urin usually associated arance white, gritty appe a ve ha ill w a ls ta crys a irritation or stom om st to e ut rib nt and may co bleeding. ning ic, thorough clea id ac e in ur e th Keeping g in suring the openin en d an a om st e of th tly thus the stoma correc to the appliance fits mal skin, will help to ris pe e th g tin protec urinary crystals. ce du re or t en ev pr ral methods acidified by seve be n ca e in s ur The least 6 to 8 glasse at ng ki in dr e: ud which incl berry juice. d/or having cran an y da r pe er at of w hing with inary stoma, was ur e th ng ni ea cl When 4 parts rt white vinegar to pa 1 of n tio lu so n. If the a t crystal formatio en ev pr lp he ay water m e compress y present, a gauz ad re al e ar ls ta crys ual parts tion made from eq soaked in a solu ied water can be appl d an r ga ne vi te of whi hen the r a few minutes w fo a om st e th er ov ged. appliance is chan a e stoma to have th e us ca ay m r The vinega ance ful, white appear rm ha n no , ry ra tempo

uis NSW

am & Kristine Lo

Lesley Everingh

Driving If you drive a car it is important to know that you must be fully fit and able to drive bef ore getting behind the wheel again. You must be able to concentrate on and react to road con ditions and you must be able to stop in an emerg ency. Your operation must not restrict your dri ving in any way. If you were to be involved in an accident you could not use the excuse “I’ve just had an operation”. You may find your insura nce company will not cover you in this situation. Back to Work The doctor will usually tell you wh en you can go back to work. This varies with each individual and each occupation – generally one month is the timeframe. If your job entails lifting you should not return to work for at least 6 weeks. Activity You can slowly get back to nor mal activity. You will feel a little weak and tired when you first go home. Take it easy. Have a short nap in the afternoon if you feel you need to. Do not take to your bed for long periods during the day because you will not be able to sleep at night. Walking is good. Slowly increase your activity to what you were doing prior to needing surger y. Lifting Avoid physical activity which causes increased abdominal pressure for the first 6 wee ks. Do not lift anything heavier than 5 kilogra m. (No lifting the grandchildren!) Too much intr a-abdominal pressure may cause a her nia around the stoma (parastomal her nia). Sport You can return to nor mal sporting activities in 4 to 6 weeks. Extremely rough con tact sport or heavy lifting should be avoided. Yes you can swim. You may need to replace you r pouch after spending a long time in the water.

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Petra Prokop QLD

Are there any special dietary restrictions or advice for people with a urinary stoma? Things which had an effect on the urine prior to surgery will continue to have the same effect eg. eating asparagus or seafood may cause an odour & some people find eating beetroot causes the urine to appear pink. This is temporary and no cause for concern.

Dorothy Ferguson NZ

What application tips do you have for getting a leak free seal with my appliance? • Best time is to change the applian ce in the morning before eating and drinking .

• If using a 2 piece system ensure the bag is clipped onto the base plate all the way aro und. • If there is a fold or a crease in the skin near the urostomy consider using a bag with convexity, Eakin seal and or belt. • Ensure the surrounding skin from the stoma is dry. • Empty the appliance when a third

full. • If you are still having trouble, plea se seek advice from your stomal therapist. Loreto Pinnuck VIC

What is a normal output from my urinary stoma? How do I ensure the output is good? is regulated by fluid Output is different for each person and volume consumption. 3 litres a day ( if on a You will need to drink approximately This ensures you keep fluid restriction consult your doctor). helps prevent urinary your kidneys functioning properly and . tract infections by flushing out bacteria cts so water is best Tea & coffee can have dehydrating effe

What to do with blocked or kinked urostomy pouch at night? BLOCKED connecting Do not empty your appliance before imately to your overnight bag. Leave approx create a 100mls to flow down the tubing and vacuum "flow on effect" rnight Leaving a small amount of air in the ove uce your bag may also help, however this can red draining volume. crystals or Make sure that there isn't a build up of mucous in the tubing. h morning. Follow your cleaning instructions eac 7 days. Change your night bag at least every in place of Try using a bottle/container system an overnight bag. KINKED position. Everyone has their stoma in a unique Right lower Most but not all will have it on their abdomen. of trial and Wherever it may be it is often a case error to find what works best. given to These are some ideas that have been me by ostomates in the past. place. Use a leg strap to keep the tubing in in and Place the tubing BETWEEN your gro / R sided UNDER your leg i.e. L side stoma L leg of the stoma R leg and sleep on the same side not twist bed as your stoma. This way it does when you roll either side. e the Use a two piece appliance. You can hav to the side pouch facing down during the day and at night. t rolling Use a pillow behind your back to preven too far.

Dorothy Ferguson NZ

Welland Accessories

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Del Tennant WA

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P7

How should I take care of the skin around my stoma and what should I clean my skin with?

Can diet or weather affect wear time of my pouch?

Diet is unlikely to affect the wear tim e, although some cl ients state that dr inking large amounts of highly acid fruit juice ca n cause the wafer to erod e quickly. Most wafers thes e days are strong enough to deal with acidic ur ine. Eating foods that make the urine m h wash your skin uc po ur yo ing ov alodorous, m re ly eg . ft as so pa a • After gent or ra s gu pe s or fish, can prom t Chux, wi we p/ m da a th wi pt a m cl ients to and sto change the pouc h to get rid of the wash cloth. od our. Li kewise some food to remove your poucllh le s ab m vis ak ad e is th it , e sh ur wi in u e change • If yo colour, beetroot bath or shower. Waterquwi can make the ur t en before getting into tha,ebu fre o in to r e be dark pink em if m eaten in large qu t re antities and carrot not harm your stom cause skin irritation. s / carrot juice can cause pouch changes may orange discoloura ly gh ou or th t bu tio ly n. nt ge Neither af ed fect the wafer de sh terioration. • The skin should beofwa . ce an pli ap old e th Weather can caus removing all traces e significant chan e siv he ad n or bb ges stu e to ov th m re e to am sh ou wi u nt of time that wafer mmend • Should yo co re ay m rse Nu y ad ap er he sion provides. Very ho marks, your Stomal Th t humid condition er. ov m re e s siv te he nd to ad cause increased an out as perspiration unde ng wi flo ep ke ll wi ine ur r the wafer and, althou • Be aware that the a. Why not place a small piece gh most wafers de m sto ur yo al an with cle e a u th lim yo ited amount of m l over the mouth of oisture, the length of gauze or paper toewe adhesion may be of ine. considerably redu stoma to absorb th ur h ce uc d. po cl Some ie an nts are very pron ly before applying cle e to de ve lo ay m pi • Dry skin thoroughpo d ng an folliculitis (irritated hair folli h will not stick cle) in the hot wea - if skin is wet your uc th er and so n. me will then deve cause skin irritatio lop opportunistic h. uc po w “Thrush” infection of the sk apply your ne in under the wafer • You are now ready to . This is easily resolved w ith daily treatmen t to the Remember: area, which may d te en re sc qu or cs ire pti se m nti or /a e nt fre quent wafer change. e • Do not use disinfecta ur skin. These may casuscan yo ing an cle en wh s pe wi Cold weather may ur stoma. Chux wipe ts. extend the wear ke skin reactions around yo ar rm pe time su al us loc e ua th lly m fro ex ply pe ea rie ch nced - but all of th be bought e ab ove depends on the g to your skin unlessrse. particular clients • Do not apply anythin Nu y ch ap er oi Th ce al po of om uc St h, their skin cond recommended by your ition and the early assessment of pr oblems by a STN if: Please contact your STN t ou th wi s anges colour, bleed • Your stoma swells, ch stopping. Val Wright QLD or weepy. en ok br , ing ed ble , red • Your skin is rns and is painful. • Your skin is itchy, it bu

and e to care for your stoma You are now responsibl uch at po ur mber to change yo the skin around it. Reme l skin is may prevent potentia th as ly, ek we ice tw st lea problems.



How do I collect a urine specimen for testing? If you have access to your Stomal Th erapy Nurse they can ta ke a specimen for you. Otherwise remove your pouch and cl ean your stoma. Then you should hold the sp ecimen container under yo ur stoma so that th e urine drops straight into it. Never take a sp ecimen from the pouch be cause it will not be a clean sample. Generally the test would be for an in fection so it would be of most importance that th e specimen is not contaminated .

Julia Kittscha NS

W

How often should I change my appliance?

Why do I have mucous in my urine? al. is perfectly norm e in ur r ou y in s Mucou oduced and will It will always be pr and stringy. appear clear, thin el ed from your bow uc od pr is s ou uc M s embrane) that ha tissue (mucous m your stoma. been used to form mucous it helps g in uc od pr y d bo By your and our stoma clean y of g in lin he t keep healthy.

Naomi Houston

NSW

This depends on whether you are wea

ring a one or two piece system. If you are wearing a one piece app liance you may change the pouch every one to three days, it is personal choice. When you are changing the pouch it is a good idea to remove it and have a shower with the pouch off, however all appliances are waterproof and may be worn in the shower. If you are wearing a 2 piece applian ce the wafer should be changed 2 times per week. The pouch may be changed at this time or else you can change it daily or second dai ly. It is personal choice when you change the pouch, howeve r the wafer should only be changed twice per week. Any pouch should be changed ear lier if there is any leakage or skin irrit ation Wendy Sansom VIC

Bernie Hadfield VIC

What if I see blood in my urine? It is not uncommon to see blood at es on the wipe when cleaning the stoma. Be gentletim when cleaning. But if you see blood in your urine need to see you local Doctor as soon as possible asyou you may have a urinary tract infection. Prior to visiting the Doctor remove the com plete appliance, clean the stoma and re-appl y a new flange/ pouch. The 1st lot of urine that comes into pouch after this is suitable for the Doctor to use as athe urine specimen to

P8

send off to pathology. The urine needs to be clean and fresh. If you are taking anti coagulants se may also cause blood to appear in the urine.the You r loca needs to keep a close eye on your blood leve l Doctor ls for these medications. Drink plenty of water to flush out your system. Remember to wash your hands pre and pos t emptying the appliance.

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Wendy Humphreys SA

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P9

What routine checks should I be doing?

How do I avoid urinary tract infections? What are the signs & symptoms?

o have oval of urine. Patients wh m re r fo m ste sy ing er body ’s filt ) have an open The urinary tract is the lso known as a urostomy (a uit nd co al ile an e at ased. ct infection (UTI) is incre undergone surgery to cre tra ry ina ur of k ris e th ct and and shortened urinary tra e of UTIs. the most common caus far by e ar l we bo e th m y, E. coli bacteria fro UTIs including; pregnanc ing lop ve de of k ris e th e increas child, having past Other factors may also bladder infections as a or ns tio ec inf ct tra ry having history of urina s. mple in menopause, and diabete blood cells in a urine sa ite wh d an ria cte ba of r numbe Your GP can assess the I. order to diagnose a UT . However, some treated with antibiotics ely tiv ec eff y all rm no it can be a e These infections ar an others and for them th ns tio ec inf ed at pe re e to people seem more pron frustrating battle. follow the steps urinary tract infections ing lop ve de of k ris e th In order to reduce below; g the pouch. ur hands prior to changin yo sh wa sly lou cu eti M 1. e pouch. nds prior to emptying th ha ur yo sh wa sly lou sh your cu 2. Meti of water a day to help flu iction). s) re lit .8 (1 es ss gla ht ely eig id restr 3. Drinking approximat your doctor if you have been placed on a flu th wi k ec urinary tract (ch the size of the cessary adjustments in breaks the closed ne y an e ak m d an a m ge sto leakage – leaka 4. Re-measure the sure a good seal and noat can cause UTIs. en to r fe wa e th in ing open e entry of the bacteria th tion of UTIs system and may allow th C can assist in the preven in m ta Vi g kin ta at th e nc 5. There is some evide ria from accumulating in the urine. cte ba g sin au and odour-c ain at least two ry juice (or tablets) cont e bacteria most er nb cra at th s ow sh ch ility of E. coli (th 6. Recent resear ich interfere with the abns) to stick to the urinary tract lining. wh ds un po m co te ra pa se th urinary tract infectio to prevent UTIs frequently associated wisses of cranberry juice per day may be enough Drinking two 120ml gla an infection does develop. hesive wafer; or to speed recovery if hair growth under the adsable razor. dy bo to e du be lly na 7. Infection may occasiomore than twice per week) using a clean dispo air dry (use wet shave carefully (not solution and hang up to ocedure. ar eg vin ite wh a th wi is pr bags 8. Flush night drainageto 3 parts of water). A funnel may assist with th ar eg vin lactic 1 part of white nt UTIs is to start prophyoption can be rre cu re th wi s nt tie pa r 9. Another option fo cs to reduce the risk of future infection. This (preventative) antibioti neral Practitioner (GP). discussed with your Ge infections? mptoms of urinary tract sy d an ns sig e th e ar t Wha pouch 1. Blood tinged urine in 2. Cloudy urine urine 3. Offensive odour from minal pain or both 4. Back pain, lower abdo 5. Chills, fever 6. Nausea and vomiting 7. Drowsiness 8. Confusion infection. may have a urinary tract u yo k in th u yo if r cto See your do

P10

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• Regularly check stoma size: Until oedema has subsid ed (which can take up to 6 weeks post-o peratively), remea suring at frequent interv als is recommende d to avoid skin problem s. Measuring guid es are available and are a convenient and accurate devi ce to get an exact measurement of yo ur stoma size. • Skin irritation: The skin around your stoma should be intact, without erosion, rashes or other abnormaliti es. It is important to treat the peristom al skin gently, protec t it from urine and chemicals (soa ps, perfumes & deodorants). The best skin protection is a well-fitted and co mfortable pouching system. • Assessment of ur ine output: Offen sive, concentrated urin e, fever or pain m ay indicate a urinary tract infection. Se ek medical advice an d a course of antibi otics may be prescribed . Mucous strands may give urine a cloudy appearance and w ill always be present in a limited amou nt. Note, some medic ations may discolou r urine.

The urine flow from my stoma is constant. Are there any tips for changing my pouch to make it easier? ning

rst thing in the mor You may find that fiything to eat or drink is before you have an ange your pouch, as your the best time to ch as active due to not urostomy may not benight. , drinking during the oma is quite active st ur yo at th nd fi ill ying If you st normal, but when dryour as a om st ur yo n ea cl n dr y wipe beneath your skin hold a clea ine passed is absorbed by stoma so that any urt wet your skin. the wipe and will no as d prepare as much You can also tr y an g the sticky backing from possible, by removin positioning ever ything that your new pouch and you need close by. C line Harrison VI Caro



My stoma is below skin level, what should I do?

There are a n umber of rea sons that ma cause your st y oma to do th is. Weight ga post surgery is in the most com mon reason. Losing weigh t may help, in the mean tim you may need e to see a Stom al Therapy Nurse and tr y a convex po uch in order flatten and ev to en out the pe ristomal skin This will help . achieve a fla t su rf a ce leak free fit. T and a here are man y types of con pouches avail vex able, there w ill be one to su your needs. it A belt may als o help to hold the pouch securely

Drink at least 2 Litr es a day to help prevent infections (Check with your Doctor if you have been placed on a fluid restriction).

Carol Stott NSW

Sheryl Waye QL

D

Ian Whiteley ne An Marie Lyons NSW

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P11

Urostomy Range One Piece

omnicare



Urostomy Range Two Piece

Pelican Urostomy

Flexima® Urosilk

Almarys® Twin+ Urostomy: 50mm

• Eakin Pelican base plate is gentle on skin • Tan fabric with split cover allows you to view the stoma when necessary, especially when applying the pouch • Soft tap can be connected directly to overnight connector • Soft belt lugs • A new generation of comfortable convex pouches

• • • •

• 2 piece urostomy with double thickness skin barrier for better wear time • New no drip tap, no residue after closing • Clear open & closed position • 1 overnight connector per pouch

Convex Cut to Fit Mini: 12mm - 40mm Std: 12mm - 40mm Maxi: 12mm - 40mm

Flat Cut to Fit Mini: 15mm - 65mm Std: 15mm - 65mm Maxi: 15mm - 65mm

P12

Convex Pre Cut

20 mm 22.5 mm 25 mm 27.5 mm 30 mm 32.5 mm 35 mm 37.5 mm 40 mm

Convex Cut to Fit 12mm - 25 mm 12mm - 35 mm

• • • •

Convex Cut to Fit

Convex Pre Cut

Convex Cut to Fit

17mm - 30mm

25 mm 30 mm

Flexible skin barrier that moulds to the body New no drip tap, no residue after closing Clear open & closed position 1 overnight connector per pouch

12mm-25mm 12mm-35mm 12mm-45mm

Convex Pre Cut 25mm 30mm 35mm 40mm

Split cover allows you to view the stoma.

Flat Pre Cut

20 mm 25 mm 27.5 mm 30 mm 32.5 mm 35 mm 37.5 mm 40 mm 45 mm 50 mm 55 mm

New no drip tap, no residue after closing Easy to identify “open & closed” position on tap 1 overnight connector per pouch Flexible convexity

Flexima Key Urostomy:40, 50 & 60mm

Flat Cut to Fit

Flat Cut to Fit

12mm - 55 mm

Over night bag now available:28300

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15mm - 45mm

Over night bag now available:28300

Flat Pre Cut

Flat Cut to Fit

25 mm 30 mm 35 mm

15mm-35mm 15mm-45mm 15mm-55mm

Over night bag now available:28300

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Flat Pre Cut 20mm 25mm 30mm 35mm

Over night bag now available:28300

P13

Urostomy Range One Piece

omniwell



Urostomy Range One Piece

Urostomy Range Two Piece

Flair Active Curvex® Urostomy

Flair Active Convex Urostomy

Flair Active Urostomy

Flair 2 Urostomy

• • • • • •

• • • • • •

• Tan fabric with split cover allows you to view the stoma when necessary, especially when applying the pouch • Tap can be tucked away for more discretion • Water repellant fabric • Easy to read cutting lines • Soft tap can be connected directly to overnight connector

• • • • •

Base plate moulds perfectly into curves, dips & creases Ideal for parastomal hernias and bulges Anti kink device to prevent overnight drainage blocking off Soft tap can be connected directly to overnight connector Split backing for easy monitoring of stoma Belt lugs to attach welland belt to base plate for extra security

Curvex Cut to Fit 13mm - 25mm 13mm - 32mm 13mm - 43mm

P14

Flexible base plate that is comfortable and secure Extra adhesion at 3 and 9 o’clock positions Anti kink device to prevent overnight drainage blocking off Soft tap can be connected directly to overnight connector Split backing for easy monitoring of stoma Belt lugs to attach welland belt to base plate for extra security

Convex Cut to Fit

Curvex Pre Cut

13 - 25mm 13 - 32mm 13 - 43mm

25 mm 32 mm 35 mm 38 mm

Over night bag now available:28300

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Convex Pre Cut 19 mm 22 mm 25 mm 29 mm 32 mm 35 mm 38 mm

Flat Cut to Fit 13mm - 60mm

Over night bag now available:28300

Flat Cut to Fit

Flat Pre Cut 19mm 22mm 25mm 29mm 32mm 38mm

Base plate moulds perfectly into curves, dips & creases Ideal for parastomal hernias and bulges Anti kink device to prevent overnight drainage blocking off Soft tap can be connected directly to overnight connector Tan fabric with split cover allows you to view the stoma when necessary, especially when applying the pouch

13mm - 40mm 13mm - 50mm

Over night bag now available:28300

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Flat Pre Cut 25mm 29mm 32mm 35mm 38mm

Over night bag now available:28300

P15

o omnic ® Registered Trademark

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L-OMUG-1212

For free samples please contact your local representative or Omnigon Customer Service on: 1800 819 274 (AUS) or 0800 440 027 (NZ)