Whether you or a loved one has recently had ostomy surgery or have been managing a stoma for years, finding the right supplies can feel overwhelming. This guide breaks down the essentials so you can shop with confidence — and live comfortably.
What Is an Ostomy?
An ostomy is a surgical opening (stoma) created in the abdomen to redirect waste when part of the digestive or urinary system is removed or bypassed. The three most common types are:
- Colostomy – redirects the colon; output is semi-solid to solid
- Ileostomy – redirects the small intestine; output is more liquid
- Urostomy – redirects urine from the kidneys
Each type requires a different pouching system, and your stoma's shape, size, and location all factor into which products will work best for you.
The Two Main System Types: 1-Piece vs. 2-Piece
1-piece systems combine the skin barrier and pouch in a single unit. They're low-profile and easier to apply, making them a popular choice for active lifestyles.
2-piece systems separate the skin barrier (wafer or flange) from the pouch. This lets you change the pouch without removing the barrier, which reduces skin irritation from frequent changes. Our Nonsterile 2-Piece Drainable Ostomy Kit with 2-1/4" Flange and Hollister New Image 2-Piece Lock 'n' Roll Drainable Pouches are strong choices for this system.
Drainable vs. Closed Pouches
- Drainable pouches are emptied several times a day and changed every 3–5 days. Best for colostomies and ileostomies with frequent output.
- Closed pouches are disposed of after each use. Typically used with colostomies that have more predictable, formed output.
- Urostomy pouches have a drainage valve at the bottom and can connect to a night drainage bag.
Getting the Right Fit: Pre-Cut vs. Cut-to-Fit Barriers
A properly fitting skin barrier is the most important factor in preventing leaks and protecting peristomal skin. You have two options:
- Pre-sized (pre-cut) barriers come with a fixed opening — ideal when your stoma is fully healed and measured. Our Hollister Adapt Presized Flat Ostomy Barrier Rings are a convenient option.
- Cut-to-fit barriers allow you to trim the opening to match your stoma exactly. The Hollister New Image 2-Piece Cut-to-Fit Flextend Skin Barrier with Tape offers a flexible flange that works with irregular stoma shapes.
Tip: Measure your stoma with a stoma guide (often included with barrier products) every few weeks for the first 6–8 weeks post-surgery, as stomas can shrink during healing.
Skin Care Accessories That Make a Difference
Even with the right pouching system, peristomal skin needs extra care. Two must-have accessories:
- Stoma powder absorbs moisture and promotes healing on irritated or weeping skin. The Hollister Adapt Stoma Powder (1 oz) is a clinical staple.
- Skin barrier film creates a protective layer between adhesive products and delicate skin. The 3M Cavilon No-Sting Barrier Film is widely recommended by wound and ostomy care nurses.
How to Build Your Ostomy Supply Routine
- Measure your stoma and select the correct barrier opening size.
- Choose your system type (1-piece or 2-piece) based on activity level and output consistency.
- Select drainable or closed pouches based on your ostomy type.
- Add a barrier film and stoma powder to protect your skin between changes.
- Change your barrier every 3–5 days or sooner if you notice leaking, itching, or odor.
Shop Ostomy Supplies
Browse our full selection of pouches, barriers, rings, and skin care accessories in our Ostomy Supplies collection. If you're in the NC/SC area and need guidance on product selection, our team is available to assist — contact us directly for personalized recommendations.
