Why Choose Natura® Urostomy Pouch with Accuseal® Tap

This urostomy pouch delivers three essential features for safe urinary diversion management: the Accuseal® tap that provides secure, leak-free drainage control with simple one-hand operation; an integrated anti-reflux valve that prevents urine from flowing back toward the stoma (critical for protecting kidney health); and transparent film that allows continuous visual monitoring to detect early signs of infection, bleeding, or output changes. The secure Natura® coupling system features an audible "click" for confident attachment, while the tap connects directly to night drainage bags for uninterrupted sleep without pouch changes.

Key Features & Benefits

Accuseal® Drain Tap:

• Secure, controlled drainage with positive-lock closure
• Opens and closes easily with one hand
• No separate clamps or closures needed
• Direct connection port for night drainage bags
• Leak-resistant seal when closed properly
• Easier to operate than traditional spigot taps

Anti-Reflux Valve (Critical Feature):

• One-way valve prevents urine from flowing back toward stoma
• Protects kidneys from ascending bacterial infections
• Essential safety feature for all urostomy pouches
• Maintains valve function even when lying down
• Reduces risk of urinary tract infections (UTIs)
• Allows safe overnight wear without backflow concerns

38mm (1½") Natura® Coupling System:

• Secure snap-on attachment to all ConvaTec Natura® 38mm barriers
• Audible "click" confirms proper coupling engagement for peace of mind
• Compatible with Natura® flat or convex barriers in 38mm size
• Compatible with Durahesive®, Durahesive Plus®, or Stomahesive® adhesives
• Two-piece convenience allows pouch changes without removing barrier
• Smaller flange size appropriate for smaller stomas or body frames

Transparent Film:

• Clear visibility for monitoring urine output volume, color, and clarity
• Early detection of blood, sediment, or infection signs
• Essential for post-operative monitoring
• Helpful for healthcare providers assessing output
• Training aid for new urostomy patients learning to monitor output
• Verifies pouch is empty after draining

10" Standard Length:

• Adequate capacity for typical daytime urine output
• Balances storage volume with discreet profile
• Not so long that it hangs conspicuously below clothing
• Empty when approximately ⅓ to ½ full to prevent pulling on barrier
• Typical capacity: 400-500mL before needing to empty

Odor-Barrier Film:

• Multi-layer film construction prevents urine odor transmission between empties
• Maintains discretion throughout the day
• No ammonia smell detectable externally when pouch is sealed

Soft Body-Side Comfort Panel:

• Fabric backing against skin feels gentle and comfortable
• More comfortable than plastic-to-skin contact during extended wear
• Wicks moisture away from skin to reduce irritation
• Flexible material moves naturally with body contours

Night Drainage Connection:

• Tap connects directly to night drainage bags (adapter typically included or sold separately)
• Allows continuous overnight drainage without waking to empty
• Prevents overfilling that could cause barrier detachment
• Essential for uninterrupted sleep and kidney protection

Clinical Applications

Ideal For:

Urinary Diversion Management:

• Urostomy (ileal conduit, most common type)
• Colon conduit
• Other urinary diversion procedures
• Post-cystectomy patients

Smaller Stomas or Body Frames:

• Smaller urinary stomas requiring 38mm barrier
• Petite individuals where 38mm flange provides better fit
• Pediatric or adolescent urostomy patients
• Users who find 45mm+ flanges too large or bulky

Post-Operative Care:

• Initial healing period requiring frequent monitoring
• Assessing urine output volume and quality
• Detecting complications early (bleeding, infection)
• Hospital discharge transitioning to home care

Long-Term Urostomy Management:

• Daily urostomy care and maintenance
• Active lifestyles requiring reliable protection
• Users prioritizing visual monitoring capability
• Standard ongoing care for urinary diversions

Nighttime Drainage:

• Users who sleep 6-8+ hours without waking
• Prevention of overnight pouch overfilling
• Continuous drainage to protect kidneys
• Reducing nighttime barrier stress from full pouch

Typical Pouch Wear Time: 1-3 days (replace pouch while keeping barrier in place)

Understanding Anti-Reflux Valves

Why Anti-Reflux is Critical for Urostomy:

Unlike colostomy or ileostomy output that flows in one direction, urine can flow backward (reflux) if the pouch is positioned above the stoma or if the user lies down. This backflow is dangerous because:

Kidney Infection Risk: Bacteria from the pouch can travel back through the stoma, up the ureters, and into the kidneys, causing serious pyelonephritis (kidney infection).

Ascending UTI Risk: Reflux allows bacteria to colonize the urinary diversion and potentially cause urinary tract infections.

Stoma Irritation: Urine refluxing onto the stoma and peristomal skin can cause chemical irritation and skin breakdown.

How the Anti-Reflux Valve Works:

The valve is a one-way flutter mechanism inside the pouch near the stoma opening:

• When urine flows into pouch: valve opens to allow entry
• When pouch moves or is positioned above stoma: valve closes to prevent backflow
• Functions automatically without user intervention
• Maintains protection during all positions (standing, sitting, lying down)

⚠ Never use a pouch without an anti-reflux valve for urostomy applications. This is a critical safety requirement.

Understanding Accuseal® Tap Technology

What is the Accuseal® Tap?

The Accuseal® tap is ConvaTec's proprietary drainage valve design for urostomy pouches, offering several advantages:

Positive-Lock Closure: The tap clicks securely closed with a definite "closed" position, reducing accidental leakage from incompletely closed taps.

One-Hand Operation: Can be opened and closed with one hand, helpful in public restrooms or for users with limited dexterity.

Night Drainage Port: Designed to accept standard night drainage bag connectors without requiring separate adapters (though some connectors are universal).

Durable Construction: Maintains seal integrity through multiple openings and closings during pouch wear period.

Easy-Clean Design: Smooth surfaces reduce urine crystal buildup compared to complex valve designs.

Natura® 38mm (1½") Coupling System

This pouch uses ConvaTec's Natura® 38mm (1½") coupling—a less common but important size for smaller stomas or body frames.

Compatible With:

• ConvaTec Natura® 38mm flat barriers
• ConvaTec Natura® 38mm convex barriers
• Durahesive® barriers (38mm coupling)
• Durahesive Plus® barriers (38mm coupling)
• Stomahesive® barriers (38mm coupling)
• Cut-to-fit or pre-sized barrier openings (as long as coupling is 38mm)

NOT Compatible With:

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

38mm vs. Larger Flanges:

38mm (1½") - This Size:

• Smallest common Natura® flange size
• Appropriate for smaller stomas (typically under ⅞")
• Better for petite body frames
• Less bulky, more discreet profile
• Lighter weight
• May have smaller adhesive surface area

45mm (1¾") - Most Common Size:

• Standard flange for average stomas
• More adhesive surface for security
• Fits stomas up to approximately 1-1⅛"

Larger Sizes (57mm+):

• For larger stomas or need for maximum adhesive surface
• Heavier, more substantial

How to Choose: Your flange size is determined by your barrier—pouches must match the barrier flange size. If you use 38mm barriers, you must use 38mm pouches.

Usage & Application

Attaching the Pouch:

1. If applying fresh barrier, remove paper backing after barrier is adhered to skin
2. Align pouch flange with barrier coupling ring
3. Press around entire ring perimeter until you hear/feel an audible "click"
4. Gently tug pouch to confirm secure attachment
5. Verify Accuseal® tap is in closed position before wearing
6. Position pouch downward—never allow pouch to sit above stoma level

Emptying the Pouch:

1. Empty when pouch is approximately ⅓ to ½ full (don't wait until completely full)
2. Sit on toilet and position tap into bowl
3. Open Accuseal® tap by releasing the closure mechanism
4. Allow urine to drain completely
5. Wipe tap opening with toilet paper
6. Close tap firmly until you feel/hear the positive lock engage
7. Verify closure is secure before standing

Typical Emptying Frequency:

• Daytime: Every 2-4 hours (varies by fluid intake and urine production)
• More frequent emptying after drinking fluids
• Empty before leaving home, before bed, and regularly throughout the day
• Never allow pouch to become completely full (weight can detach barrier)

Night Drainage Connection:

1. Connect night drainage bag to Accuseal® tap before bedtime
2. Ensure all connections are secure to prevent leakage
3. Position night drainage bag below mattress level (gravity drainage)
4. Open Accuseal® tap to allow continuous drainage into night bag
5. In morning, close tap before disconnecting night bag
6. Empty and clean night drainage bag per manufacturer instructions

When to Change Pouch:

1. Per your routine wear schedule (typically 1-3 days)
2. If Accuseal® tap no longer seals properly or shows wear
3. If anti-reflux valve appears compromised
4. If film develops any tears, punctures, or cloudiness
5. If coupling ring shows signs of wear or doesn't click securely
6. If persistent urine odor develops despite proper cleaning

Pouch Disposal:

• Empty remaining contents into toilet
• Decouple pouch from barrier by gently pulling coupling apart
• Wrap used pouch in newspaper or disposal bag
• Dispose in household trash (do not flush)

Monitoring Urine Output

Why Transparent Pouches Matter for Urostomy:

Visual monitoring of urine is critical for urostomy management:

Volume Assessment: Ensure adequate urine production (generally 1000-1500mL per day minimum). Decreased output may indicate dehydration or kidney problems.

Color Monitoring: Normal urine is pale yellow to amber. Dark urine may indicate dehydration; pink/red may indicate bleeding; cloudy may indicate infection.

Clarity Check: Clear to slightly hazy is normal. Very cloudy urine with sediment may indicate UTI or mucus production (common with ileal conduits).

Blood Detection: Small amounts of blood occasionally are normal, but increasing blood requires medical evaluation.

Mucus Observation: Ileal conduits produce intestinal mucus (white strands) which is normal. Excessive mucus may require monitoring.

What to Report to Healthcare Provider:

• Decreased urine output (less than 1000mL/day)
• Dark, concentrated urine persisting despite increased fluids
• Blood in urine (beyond occasional light pink tinge)
• Very cloudy, foul-smelling urine
• Sediment, crystals, or unusual particles
• Pain or burning sensation near stoma

Product Specifications

• System: 2-piece urostomy pouch
• Coupling Size: 38mm (1½") Natura® flange
• Coupling Type: Snap-on with audible click confirmation
• Length: 10" (approximately 25cm)
• Capacity: Approximately 400-500mL
• Drainage: Accuseal® tap with positive-lock closure
• Anti-Reflux: Integrated one-way anti-reflux valve
• Night Drainage: Compatible with standard night drainage bags
• Film: Transparent odor-barrier film
• Body-Side Panel: Soft comfort fabric backing
• Sterility: Non-sterile (external use only)
• Latex Status: Not made with natural rubber latex
• Packaging: Box of 10 pouches
• Typical Wear Time: 1-3 days per pouch (replace pouch, keep barrier)
• Manufacturer: ConvaTec
• Product Line: Natura® with Accuseal®