Why Choose Natura® Durahesive® Skin Barrier

This barrier combines Durahesive® extended-wear technology specifically engineered to resist breakdown from liquid or high-output effluent with a tape-free border that's ideal for sensitive, fragile, or frequently irritated peristomal skin. The "turtleneck" swelling seal occurs when Durahesive® absorbs moisture and gently expands around the stoma base, creating 360° protection against undermining leaks. The 38mm (1½") flange size provides a compact, lightweight option for smaller stomas or petite body frames, while the secure Natura® coupling features an audible "click" for confident pouch attachment.

Key Features & Benefits

Durahesive® Extended-Wear Hydrocolloid:

• Specifically formulated to resist erosion from liquid output
• Maintains adhesion longer than standard hydrocolloids when exposed to moisture
• Essential for ileostomy users with liquid to semi-liquid output
• Can be appropriate for high-output colostomy or urostomy
• Reduces barrier change frequency compared to standard formulas
• Protects peristomal skin from caustic liquid effluent
• White color indicates Durahesive® formulation

"Turtleneck" Swelling Seal:

• Durahesive® absorbs moisture and swells gently around stoma base
• Creates protective collar that prevents liquid output from undermining
• 360° seal adapts to stoma shape during wear
• Especially effective for flush or slightly retracted stomas
• Self-adjusting seal accommodates minor stoma size variations
• Critical feature for liquid output management

No Tape Border:

• All-hydrocolloid construction with no outer tape edge
• Gentler on sensitive, fragile, or irritated skin
• Eliminates tape-related skin reactions or allergies
• More flexible and conforming than tape-bordered barriers
• Better for users who experience tape irritation or adhesive sensitivity
• Cleaner removal with less skin trauma
• Ideal for thin, elderly, or compromised peristomal skin

38mm (1½") Flange Size:

• Smallest common Natura® flange size
• Compact, lightweight profile for smaller body frames
• Appropriate for smaller stomas (typically under ⅞")
• Less bulky and more discreet than larger flanges
• Better fit for petite users or pediatric patients
• May have smaller adhesive surface area than larger flanges
• Compatible ONLY with Natura® 38mm pouches

Audible "Click" Coupling:

• Natura® secure snap-on attachment provides tactile and audible confirmation
• Reduces anxiety about pouch detachment
• Easy to verify proper coupling without looking
• Helpful for users with vision impairment
• Peace of mind during daily activities

Belt Tabs Included:

• Optional belt attachment points for extra security
• Particularly helpful with liquid output that creates pouch weight
• Can reduce barrier edge lift during movement
• Useful during physical activity or high-output situations
• Belt sold separately

White Hydrocolloid Color:

• White color distinguishes Durahesive® from tan/beige Stomahesive®
• Easy visual identification of barrier type
• Professional appearance

Clinical Applications

Ideal For:

Ileostomy with Liquid to Semi-Liquid Output:

• Primary indication for Durahesive® technology
• Resists erosion from frequent, liquid effluent exposure
• Maintains seal longer than standard hydrocolloids
• Reduces barrier change frequency (fewer skin traumas)
• Essential for high-output ileostomies

High-Output Ostomies:

• Any ostomy producing >1000mL daily output
• Frequent liquid output challenging for standard barriers
• Extended wear reduces cost-per-day and skin trauma
• More reliable seal with high-volume effluent

Sensitive or Fragile Skin:

• Peristomal skin that reacts to tape adhesives
• Thin, elderly, or compromised skin prone to stripping
• Previous tape-related irritation or allergies
• History of skin tears during barrier removal
• Users requiring gentlest possible barrier edge

Smaller Stomas or Body Frames:

• Stomas measuring under ⅞" requiring smaller flange
• Petite individuals where 38mm provides better fit
• Pediatric or adolescent ostomy patients
• Users who find larger flanges too bulky

Flush or Retracted Stomas with Liquid Output:

• Combination of challenging anatomy AND liquid output
• Turtleneck seal helps prevent undermining
• Durahesive® maintains adhesion despite moisture

Liquid Output Users with Skin Sensitivities:

• Need both extended-wear AND tape-free gentleness
• Combination of moisture resistance and skin protection
• When both features are essential

Understanding Durahesive® Technology

What is Durahesive®?

Durahesive® is ConvaTec's advanced hydrocolloid formulation specifically engineered for ostomies with liquid or high-output effluent:

Enhanced Erosion Resistance: The formulation resists breakdown when exposed to liquid output—maintaining structural integrity and adhesion longer than standard hydrocolloids including Stomahesive®.

Moisture Management: Can absorb and manage higher moisture levels without losing adhesive properties—critical for liquid ileostomy or high-output situations.

Extended Wear Time: Typical wear time of 5-7 days even with liquid output, compared to 3-5 days for standard hydrocolloids in the same conditions.

Skin Protection: Creates reliable barrier between caustic liquid effluent and vulnerable peristomal skin, reducing chemical irritation and breakdown.

Controlled Swelling: Absorbs moisture and swells in a controlled manner to create the protective "turtleneck" seal without compromising adhesion.

Understanding "Turtleneck" Seal Technology

How the Turtleneck Seal Works:

As the Durahesive® hydrocolloid barrier is exposed to moisture from stoma output, it undergoes a controlled swelling process:

Step 1 - Initial Application: Barrier adheres flat against peristomal skin with opening at stoma base.

Step 2 - Moisture Exposure: As liquid output contacts the barrier edge around the stoma, the hydrocolloid begins absorbing moisture.

Step 3 - Controlled Swelling: The inner edge of the barrier swells gently upward and inward, creating a raised collar or "turtleneck" around the stoma base.

Step 4 - Protective Seal: This raised collar creates a physical barrier that prevents liquid output from tracking horizontally under the barrier (undermining).

Benefits:

• Self-adjusting seal that adapts during wear
• Particularly effective against liquid undermining
• Works continuously throughout wear period
• No user action required—happens automatically

No Tape Border vs. Tape Border

No Tape Border (This Product):

• All-hydrocolloid construction
• Gentlest on sensitive skin
• More flexible and conforming
• Better for fragile or elderly skin
• Ideal for tape sensitivity or allergies
• May have slightly less edge security than tape

Tape Border:

• Hydrocolloid center with adhesive tape edge
• Additional edge security and adhesion
• Better for very active users or swimmers
• More secure on challenging contours
• Not suitable for tape-sensitive skin

Choosing Between Them:

Choose No Tape Border (This Product) if:

• You have sensitive, fragile, or thin skin
• You experience tape irritation or allergies
• You prioritize gentle removal
• You have adequate adhesion with hydrocolloid alone
• You have history of skin tears or stripping

Choose Tape Border if:

• You need maximum edge security
• You're very active or swim frequently
• You have very uneven peristomal contours
• You have no tape sensitivities
• You prioritize adhesion over gentleness

Durahesive® vs. Stomahesive®

Durahesive® (This Product):

• Engineered for liquid/high-output effluent
• White color
• Superior erosion resistance in high-moisture situations
• Longer wear time with liquid output (5-7 days typical)
• Best for ileostomy and high-output situations
• Turtleneck swelling seal
• Essential for challenging liquid output

Stomahesive®:

• General-purpose hydrocolloid formula
• Tan/beige color
• Adequate for formed to semi-formed output
• Standard wear time (3-5 days typical)
• Best for colostomy with formed output
• Good baseline option for standard needs
• More economical for lower-moisture situations

Many ileostomy users find Durahesive® essential for adequate wear time.

Natura® 38mm (1½") Coupling System

This barrier uses ConvaTec's Natura® 38mm (1½") coupling—the smallest common flange size.

Compatible With:

• ConvaTec Natura® 38mm drainable pouches (for ileostomy/colostomy)
• ConvaTec Natura® 38mm closed pouches
• ConvaTec Natura® 38mm urostomy pouches
• All Natura® 38mm pouch styles

NOT Compatible With:

• Other ConvaTec flange sizes (45mm, 57mm, 70mm)
• Other manufacturers' systems (Hollister, Coloplast, etc.)
• Larger Natura® pouches

38mm vs. Larger Flanges:

38mm (1½") - This Size:

• Smallest common size
• For smaller stomas (typically under ⅞")
• More compact, lightweight
• Better for petite body frames
• Less bulky, more discreet

45mm (1¾") - Most Common:

• Standard size for average stomas
• More adhesive surface
• Fits stomas up to ~1⅛"

Larger (57mm+):

• For larger stomas
• Maximum adhesive surface

Your barrier flange size determines which pouches you can use—they must match.

Usage & Application

Preparing Skin:

1. Cleanse peristomal skin with mild soap and water
2. Pat completely dry—any moisture reduces adhesion
3. Assess skin condition before each barrier application
4. Apply skin prep or protective products if recommended by clinician

Applying the Barrier:

1. Remove paper backing from barrier
2. Warm barrier between hands for 15-30 seconds for better conforming
3. Center barrier opening over stoma (ensure proper sizing—approximately ⅛" gap around stoma)
4. Press barrier onto skin, starting at stoma and working outward
5. Smooth with hand for 30-60 seconds, allowing body heat to activate adhesion
6. Pay special attention to edges—press firmly all around perimeter
7. No tape edge makes application simpler with fewer potential air bubbles

Coupling the Pouch:

1. Align pouch flange with barrier coupling ring
2. Press around entire ring perimeter until you hear/feel audible "click"
3. Gently tug pouch to confirm secure attachment
4. If using belt, thread through belt tabs and adjust

For Liquid Output Users:

• Empty pouch when ⅓ to ½ full—don't let it get too heavy
• Monitor barrier edges more frequently with liquid output
• Watch for signs of erosion or undermining
• The turtleneck seal develops over first few hours of wear
• Durahesive® may feel slightly different than standard hydrocolloids initially

Daily Monitoring:

• Check barrier edges daily for signs of lifting or erosion
• Monitor peristomal skin condition when changing barriers
• Watch for early signs of leakage or undermining
• Assess if barrier size remains appropriate

When to Replace:

• Typical wear time: 5-7 days with liquid output
• Replace if barrier edges begin to lift or erode
• Replace if leakage or undermining occurs
• Replace if skin irritation develops
• Some users achieve longer wear with Durahesive® than previous products

Gentle Removal:

1. Support skin with one hand while gently peeling barrier with other
2. Work slowly—no tape edge makes removal gentler but still requires care
3. Use adhesive remover if needed for comfortable removal
4. Cleanse skin thoroughly after removal
5. Assess skin condition before applying new barrier

Product Specifications

• System: 2-piece ostomy skin barrier (pouch sold separately)
• Material: Durahesive® extended-wear hydrocolloid
• Color: White (indicates Durahesive® formulation)
• Flange/Coupling Size: 1½" (38mm) Natura® system
• Border: No tape border (all-hydrocolloid)
• Opening: Pre-cut or cut-to-fit (verify SKU for specific opening size/range)
• Belt Tabs: Yes (belt sold separately)
• Latex Status: Not made with natural rubber latex
• Sterility: Non-sterile
• Typical Wear Time: 5-7 days with liquid output (extended wear formulation)
• Packaging: Box of 10 barriers
• Manufacturer: ConvaTec
• Product Line: Natura® with Durahesive®