Securi-T Ostomy Care Products

Indications for Colostomy

• Colon-Rectal Cancer
• Cystic Fibrosis
• Diverticular Disease
• Ehlers Danlos
• Gastrointestinal Trauma
• Inflammatory Bowel Disease
• Intestinal Obstruction
• Interstitial Cystitis
• Intussusception
• Irradiation Damage
• Ischaemic Bowel
• Meconium Ileus
• Magarectum
• Necrotising Enterocolitis
• Necrotising Faciitis
• Neurogenic Bladder
• Obstruction
• Perforated Bowel
• Refractory Radiation Cystitis
• Solitary Rectal Ulcer
• Spina Bifida
• Spinal Cord Injury
• Trauma
• Vesceral Myopathy
• Vovulus⁵

Indications for Ileostomy

• Bowel Obstruction
• Colorectal Cancer
• Crohn’s Disease
• Distal Anastomosis
• Distal Ileal
• Perianal Fistulas
• Proximal Colonic
• Ulcerative Colitis
• Familial Adenomatous Polyposis⁶

Indications for Urostomy

• Bladder Cancer
• Chronic Pelvic Pain Syndromes
• Congenital Malformations or Abnormalities
• Gynecological Cancers
• Gynaecological Tumor
• Interstitial Cystitis
• Intractable Incontinence
• Neurogenic Bladder
• Refractory Radiation Cystitis
• Vesical Exstrophy
• Vesicovaginal Fistulas⁷

Life Adjustments to a Stoma

Adjusting to life with an ostomy is challenging for most patients. Medical studies find that stoma acceptance, interpersonal relationships, and the stoma location are primary concerns. Gender is not a factor in adjusting to living with a stoma; both parties find it a struggle.⁸

One study found that many of the complications associated with an ostomy related to the patient’s own stoma care. "A baseplate opening that is too large is a predisposing factor for cutaneous irritation or even ulceration. The danger of cutaneous complications is greatest for ileostomy. While irritation can be managed out of [the] hospital by means of baseplate correction and intensive skin care, ulceration requires expert consultation. A baseplate opening that is too small leads to mucosal erosion and possibly hemorrhage."⁹

"Self-efficacy, one's expectations regarding the ability to perform some specific task" was the focus of another study that found five important life domains significantly impact a patient’s adaptation to a stoma: "vocational environment, domestic environment, sexual relationship, social environment, and psychological distress…. By strengthening patients' self-efficacy, this adaptation process may be accelerated, and the psychological and social burden can be lightened."¹⁰

Ostomy Appliances and Accessories

Selecting the right appliances and accessories is important to get the right fit and protect the skin surrounding the stoma. Each person has unique characteristics that require different adaptations to meet their personal needs. Accessories clean and protect your skin. They prevent leaks and odor. These ostomy supplies help you to maintain an active lifestyle and achieve normal functioning.

Ostomy Pouch Options

There are many ostomy appliances and accessories to select from to help ostomy patients adapt to their new lives with a stoma. Ostomy bags are available in several different options. They can be closed-end (not drainable and disposable) or open-end (drainable and reusable). They can be transparent to allow caregivers to assist the patient with changing or draining the pouch, or they can be opaque to be more discreet for active users. These bags can be a one-piece design to unobtrusively hide under clothing or two-piece to accommodate less trauma to the skin surrounding the stoma during bag changes. These pouches can also be pre-cut to the stoma size or cut-to-fit for a more custom fitting. You can select between filtered to reduce odors and support swimming, or a less expensive option of no filter for use at home. You may also choose between multi-chambered ostomy bags to be less noisy and support sports and athletic activities or a less expensive option that does not have this feature.

Colostomy bags often employ a closed-end bag that allows the user to simply discard the pouch and its fecal contents and not have to mess with draining. The disposable close-ended bags help prevent odor from escaping. Most ileostomy pouches and urostomy pouches use a drainable bag design, which allows the user to empty the contents of the pouch when full.

1-Piece Pouch Systems

One-piece pouch systems provide for more discreet wear. With this type of ostomy appliance, you only have one-piece to apply. It offers easy application, particularly for those with dexterity or some other impairment for self-application. They offer more flexibility since there is not a separate flange attachment. This type has a lower profile and hides well under clothing. Active users benefit the most from a one-piece system, allowing more freedom of movement and less cumbersome deployment. To the left is an image of various Securi-T Ostomy 1-piece appliances. Below is a list of typical 1-piece ostomy bags along with links to product pages.

• Closed End, Cut-To-Fit
• Drainable, Transparent Bags
• Drainable, Opaque with Extended Wear Barrier Bags
• Urostomy, Transparent with Pre-Cut Opening Bags

2-Piece Pouch Systems

Two-piece pouch systems use an ostomy wafer or flange device that stays attached to the stoma. 2-piece bags allow multiple changes of the pouch without disturbing the stoma and surrounding skin. It is easy to switch from a closed pouch for activities to a drainable pouch for more convenience at the office or around home. Less frequent changes of the flange reduce the risk of skin problems and the need for ointments and creams to combat dermal irritations. It also means that the user will require less ostomy paste to help seal the pouch to the stoma since there will be fewer changes. To the left is an image of Genairex Ostomy 2-piece appliances with a matching wafer. Below is a list of typical 2-piece ostomy bags along with links to product pages.

• Drainable, Transparent with Filter Bags
• Closed End - Opaque Bags
• Urostomy - Transparent Pouches
• Urostomy - Opaque Bags
• Urostomy with Cap Bag
• Drainable with Curved Tail Closure Bag
• Drainable - Opaque Pouch

Wafers

Wafers or flanges are the second piece of a 2-piece ostomy pouch. Wafers come in extended wear, standard wear, cut-to-fit, pre-cut, hydrocolloid, convex, and assorted size options. Extended Wear Wafers have a barrier material that allows for longer use periods. A convex wafer has a built-in outward curve which helps to obtain a better seal around the stoma for some. Use a convex wafer for stomas that are flush with the skin or inset. The flange size should match exactly with the pouch size for a proper fit.

Adhesive Remover Wipe

Ostomy bags and wafers attach to the skin around the stoma. Adhesives provide a secure way to achieve this attachment. Removing the adhesive residue from your skin without damaging your skin can be challenging. Adhesive Remover wipes are skin-friendly and have added ingredients that soothe your skin. Other additives like aloe and vitamin E also promote good skin health. The formulas include anti-irriating ingredients. They help maintain a functioning skin barrier and provide moisturization.

• Product Number: 203050
• Dimension: 1-1/4 x 3 Inch
• Volume: 50 Wipes Per Box
• Packaging: Individual Packets
• Application: Adhesive Remover
• Liquid Dries to a Slightly Wet Tack
• HCPCS Code: A4456

No Sting Barrier Wipe

Barrier wipes are fast-drying to help prevent skin maceration. The wipes are formulated with non-irritating ingredients that protect your skin from body fluids. They provide less adhesive trauma and help tape and film adhesives stick. These barrier wipes provide a threshold between your skin and adhesives.

• Product Number: 202400
• Dimension: 1-1/4 x 3 Inch
• Volume: 50 Wipes Per Box
• Packaging: Individual Packets
• Application: Adhesive Preparation and Barrier Protective Dressing
• No Sting Formula
• Liquid Dries to a Sticky Tack
• HCPCS Code: A5120

No Sting Spray Barrier Protective Dressing

Barrier protective spray offers easy application to reduce adhesive trauma. Just spray onto cleansed skin. The spray protects your skin from bodily fluids and are non-irritating. The formula is fast-drying and offers protection from skin maceration.

• Product Number: 202402
• Volume: 2 Fluid Ounces (59 mL)
• Packaging: Spray Bottle
• Application: Spray Adhesive Preparation and Barrier Protective Dressing
• No Sting Formula
• Liquid Dries to a Sticky Tack
• HCPCS Code: A4369

Ostomy Powder

Ostomy powder absorbs moisture and helps to protect your skin. Use to dry a raw, weepy area of the skin around your stoma. Ostomy powder protects against itching and broken skin. It relieves irritated skin and promotes comfort.

• Product Number: 201001
• Volume: 1 Ounce (28.3 grams)
• Packaging: Plastic Bottle
• Application: Ostomy Powder
• Protects Against Itchy Skin
• HCPCS Code: A4371

Hydrocolloid Skin Barrier Strips and Seals

These skin barrier strips offer additional security to protect skin. Place the strip under the pouch to assist with adhesion and to protect skin. These strips aid individuals with adhesive allergies or irritable skin. They adapt to any brand of ostomy appliance and are pre-cut and pre-shaped for easy application. These barrier strips are easy to remove and gentle to the skin.

• Product Number: 7900222, 7900344, 7200444
• Stoma Diameter Sizes: 2 or 4 Inch
• Packaging: 30-pack
• Application: Barrier Strip/Ostomy Seal
• Skin-friendly
• Moldable
• Stretchable
• Tape Alternative
• HCPCS Code: A4362, A4385

Stoma Paste

Stoma Paste is a protective skin barrier that is pectin-based. It comes in a squeeze tube that is easy to apply. The paste fills and chalks uneven areas around the stoma to reduce leaks around the stoma appliance.

• Product Number: 200000
• Volume: 2 Ounce
• Packaging: Tube with Screw Cap
• Application: Skin Barrier
• Protects Skin
• Prevents Leaks
• Alcohol Free
• HCPCS Code: A4406

Ostomy Deodorant

Ostomy Deodorant protects the user from odor. This product is long-lasting and works by neutralizing odors. It does not attempt to mask odors with a fragrance. Instead, it defeats odor with a counteracting formula.

• Product Number: 108000
• Volume: 8 Ounce
• Packaging: Bottle with Flip Top Cap
• Application: Odor Neutralizer
• HCPCS Code: A4394

Lubricating Gel Deodorant

This ostomy deodorant offers lubrication and a deodorizer in one. It has a gel-base formula that offers long-lasting protection. Odors are neutralized and not masked by a fragrance.

• Product Number: 108008
• Volume: 8 Ounce
• Packaging: Bottle with Screw Cap
• Application: Odor Neutralizer
• HCPCS Code: A4394

Ostomy Belt

The Ostomy Belt attaches to an ostomy appliance to keep it secure for active users. The belt is adjustable to meet individual needs. It keeps ostomy bags securely in place while participating in activities. The belt attaches to tabs on the ostomy appilance

• Product Number: 7126049
• Size: 26 to 43 Inch Waist ( 66 to 109 cm)
• Packaging: Each
• Application: Ostomy Pouch Belt
• Latex
• HCPCS Code: A4367

Curved Tail Closure

The Curved Tail Ostomy Closure is a plastic device used on drainable pouches to keep them closed. It has a simple latch device that keeps the ostomy bag closed and keeps the latch in place. This clamp device is reusable and provides a secure seal at the end of the drainable pouch.

• Product Number: 7135005
• Packaging: 5-Pack
• Application: Ostomy Pouch Closure
• Material: Plastic
• Reusable
• HCPCS Code: A4363

Night Drain Adapter

The Night Drain Adapter has a universal connection for attaching to an ostomy pouch to provide night urine drainage. It is for use with urostomy bags to drain to a bedside bag or container. It is easy to setup and use, offering convenience during the night to allow the user to sleep undistrubed.

• Product Number: 7153005
• Packaging: 5-Pack
• Application: Drain Adapter
• Material: Plastic
• Reusable
• HCPCS Code: A4421

The examples, product images, and links used in this blog article are from the Securi-T USA brand line, formerly known as Genairex. Securi-T is an ostomy product brand from Hollister. This brand offers a complete line of ostomy products, ranging from urostomy pouches, wafers, ostomy power, stoma paste, adhesive remover, no-sting wipes, to drain closures and adapters. These branded products are user-friendly, and American made. Request FREE Ostomy Samples from Securi-T by calling toll-free to 800-323-4060 between 8 am and 5 pm Central Time. You may want to check-out How to Choose the Right Ostomy Pouch for additional information.