One-piece or Two-piece Bags - Which Do You Prefer?

Hi there, so I was wondering, what do you like best, one-piece bags or two-piece? I like the one-piece as I find it easier to use and it is not bulky under clothing.

✌️ Piece drainable works for me. Gotta have that mounting plate with a belt and rotation from vertical to horizontal... can't do that with one piece.

This topic was recently addressed

in great depth. Click on discussion forums. I think you will find lots of info there.

To each their own bag though.

What works for one may not for another. 🍻 Cheers.

I like the One Piece better; everyone is different, though.

In warrior's spirit of using emojis… 🖕 piece drainable for me. 🤭😁

I use a 2-piece drainable Hollister. I've tried others, but this is what works for me.

Living with Your Ostomy | Hollister

Love you, man. 🤪

(Seven hours later...)

Wait a minute! Unless I need glasses 🤓 that ain't the number one icon you are using there, buddy...😩..

You used 🖕 when this 👆 was correct. Very funny 😤

 

 

I was told that it's better to use a two-piece with an ileostomy, but I don't really understand why. I did try to use a one-piece and it only lasted me a day and a half. I can go more days with a two-piece. I do have one-pieces for emergencies if I have nothing else (which hasn't happened yet) because they are cheaper in my experience.

That's interesting someone told you that for ileos.

I just decided to try a new device.

Felt tied to a one-piece. Can't move it. Only sweet thing about a one-piece is it's less bulky. Hardly detected with the right shirt on.

 

 

Why did the one piece only last a day and a half? The only advantage I see in two-piece ones is it's easier to see applying the wafer around your stoma if a person has a tough time with that.

Uhhhh... I think that was intentional!

;O)

Hi W,

Depends on a lot of factors... like your activity level, type of ostomy, how long between barrier changes, if you have a dog with long nails... or a cat, etc. I need a two-piece so I can change my bag if needed without changing my barrier. My output is more or less constant once I start eating, so doing a barrier change during the day is almost impossible. So if I puncture the bag or snag it on something and need to replace it, the two-piece is the only way to go for me. Plus, I need the belt! But everyone's situation is different, which is why they make both types. There's no wrong answer... but I'm a two-piecer!

;O)

2 pieces for me, easier to burp if needed and don't have to worry about pancaking. 2 pieces are a little bulkier, but my stoma sticks out further than any bag system I've tried, so that doesn't bother me much.

I have an ileostomy. I've always used a one-piece since the start over 30 years ago. Two-piece bags used to be a lot more bulky back then than they are now.

It's just a personal choice which one you prefer, really. For people with colostomies, if they have sensitive skin and it tears easily, a two-piece is kinder on their skin, not having to pull the base plate off every time their bag is full if their output isn't drainable.

Hollister two-piece convex drainable. I have tried one-piece but find the two-piece has a lot more advantages like burping it, wearing it at an angle, and having it held with support from a belt. I use the Hollister belt clip but cut off the belt material and refit it with the belt from the Coloplast belt. It is more comfortable around your waist and does not fold over. See photo. Regards, IGGIE
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2-piece for me. I prefer closed pouches because they are more flexible for me. I also use the adhesive coupling ones which eliminate the bulk associated with mechanical coupling. If using a 2-piece mechanical coupling soon after surgery, an accordion flange is better because it prevents having to press down on your stomach when attaching a pouch to your wafer.

I've tried both and it's one piece for me for sure. I agree the application process can be easier with a two-piece, but the cons outweigh the pros for me. I used to get leaks around the seal, which is not supposed to happen, but does, especially if you have very loose or liquid output.

Terry

How does the 2 piece help with pancaking? Just curious.

I'm in a one piece. Stoma nurse put on a 2 piece Hollister when I got my first stoma and I was driving home from the appointment leaking. Crying, I called them and had to drive back. The ring thing popped off of the barrier, I guess, when I sat down in the car. It's been a one piece since.

The bag face is further away from the stoma because of the additional thickness of the two-piece interlock. That gives gravity a better chance to pull down any semi-solid output that would normally hit the wall of a one-piece bag and just stay there. If that makes sense.

;O)

Hi Hi,

I can relate. But in the defense of the two-piece system, I have to say I've only ever had a leak from the interlock when I didn't check the connection when I put it on and it wasn't fully seated all around. I've never had one leak in 9 years when it was installed properly. I can only speak for Hollister and Senura Mio Flip, but I would expect all designs are tested pretty well before being introduced to the population.

;O)

Well, I put a Hollister barrier ring underneath it, and maybe I wasn't supposed to do that? Like, is it bad to mix brands of bag and barrier ring? It leaked. It's a Convatec that I had left over from the hospital. Love the closure of it. You can feel the Velcro closing so well. The other issue for me is that I did burp the bag, and maybe when I put it back, it didn't stick as well? I have another one that I'm gonna try soon without the barrier ring.

You can mix products.

And yet, it was the Hollister two-piece system that gave me leaks around the seal, several times, always at night after being prone for hours. I was super diligent about checking that it was properly and securely 'clicked' into place. My output is all over the map in terms of consistency, but is often quite liquidy at night.

Terry

I believe something needs to be settled or addressed in terms of being prone versus laying down, how it affects your stoma and leaks. I really believe if you're in a coma your appliance will last a month simply because you're not moving. Unfortunately, that isn't the case with all of us as we are not in a coma. So the way I see it, laying down actually contributes to leakage. I don't know how or why, but you know that stoma sometimes retreats and sometimes it expands. When you're prone and you're changing the appliance, you can see this happening. When you're laying down, you don't see that happening obviously. But if that stoma shrinks underneath the barrier ring, you're going to get a leak, not to mention that you're laying on your back and all that poop is just sitting right on top of your wafer, eating away at it. Nice visual, huh?

There's got to be a better way to sleep! Whether it's in a recliner maybe or an inclined bed.

You got to get that poop to roll off that area when you're laying down. I wish there were some studies or some people took a chance doing that experiment. I may consider it myself because the objective is to get longer life out of your appliance, right? Where's my saw, dammit.🗡️⚔️🪓🛌

Wow, thanks Warrior. I just got educated. I knew that the prone position meant lying flat, but I didn't realize it meant on your stomach. I googled it after reading your post. I was referring to lying flat, which in my case is usually on one side or the other, or on my back, but not on my stomach. Learn something every day!

Terry

Hi Terry. I may be remembering some things from my physical therapy sessions incorrectly. 🤦‍♂️ Duh...

I thought prone meant standing. 💁

So I think I got that all wrong... saying that when you are prone you can see everything.

By definition, you cannot see anything lying down - prone - installing the appliance. Unless you are W30 Bob with a giraffe neck... 🦒 or got a partner helping...

My bad. I got it backwards, so you educated me... 👍

I don't think many of us can sleep on our tummies. Being a side sleeper myself, that helps remove the poop from the wafer top side.

Shoulders do hurt, don't they? Ugh.

You heard of the Texas Two Step?

We do the stoma three step to sleep... back side... left side... right side... repeat...

In my defense of brain damage spoken, I'm under pressure from the stoma games Beachboy had set up. On the run here...

I think you have been following that thread. I lost my mind, kidnapped him. Apparently, he had a twin. Ain't buying that shit story... nope.

 

Hi Ter,

I believe you, as everyone's experience is a bit different. A while back I was having Hollister bag leaks where the Velcro rolled up and secured and no one else was... so weird things happen all the time.

;O)