Why Choose Hollister Pouchkins Pediatric

The pediatric-specific design accounts for children's smaller body size, delicate skin, and unique care needs—adult urostomy pouches are simply too large, too heavy, and use adhesives too aggressive for young skin. The 8¾-inch compact length sits comfortably against a child's smaller abdomen without the bulk that interferes with movement, play, car seats, or clothing. SoftFlex® barrier technology provides gentle adhesion specifically formulated for sensitive pediatric skin that's more vulnerable to breakdown than adult skin. The transparent pouch allows parents, caregivers, and nurses to monitor urine output volume, color, and clarity without opening the system—critical for assessing hydration status and detecting early signs of infection or complications in young patients who cannot verbalize symptoms.

Key Features & Benefits

Pediatric-Specific Sizing:

• 8¾-inch (22 cm) compact pouch length
• Proportioned for infants, toddlers, and young children
• Lighter weight than adult pouches
• Doesn't interfere with movement, play, or clothing
• Appropriate capacity for pediatric urine output volumes
• Fits comfortably on smaller body frames

SoftFlex® Pediatric Skin Barrier:

• Gentle adhesion designed specifically for delicate pediatric skin
• Standard-wear formulation appropriate for children
• Flat profile for regular or protruding pediatric stomas
• Flexible barrier moves with active children
• Reduces skin irritation and breakdown risk
• Cut-to-fit up to 1½" (38mm) accommodates most pediatric stoma sizes

Transparent Odor-Barrier Film:

• Clear window allows continuous visual monitoring without opening pouch
• Quickly identify urine volume, color changes, or blood
• Early detection of dehydration or urinary tract infections
• Nurses and parents can assess output without disturbing child
• Critical for infants and non-verbal children
• Reduces unnecessary pouch changes

Anti-Reflux Valve:

• One-way valve prevents urine backflow toward stoma
• Essential urostomy safety feature for protecting stoma and skin
• Reduces urine contact with stoma and barrier adhesive
• Maintains barrier integrity by preventing urine from reaching adhesive
• Important when child is lying down or active during play
• Standard safety requirement for pediatric urostomy care

Drainage Tap with Bedside Connection:

• Bottom tap for easy emptying (cap included)
• Connects to bedside drainage bag for overnight use
• Adapter included for night drainage connection
• Prevents overnight pouch overfilling
• Allows uninterrupted sleep for child and caregivers
• Essential for continuous urostomy drainage

ComfortWear® Body-Side Panel:

• Soft beige fabric panel against child's skin
• More comfortable than plastic against sensitive skin
• Gentle during wear and movement
• Reduces skin irritation
• Child-friendly soft material

One-Piece Design:

• Barrier and pouch combined in single unit
• Simpler application than two-piece systems
• Fewer components for caregivers to manage
• Complete system change ensures maximum hygiene
• Better for infants and young children
• Reduced profile—no coupling ring bulk

Cut-to-Fit Opening:

• Customize opening to child's exact stoma size (up to 1½"/38mm)
• No starter hole—cut opening from center for precise fit
• Accommodates growth and stoma size changes
• Single product works for range of pediatric stoma dimensions
• Flexibility during post-operative healing when stoma size changes

Latex-Free Construction:

• Safe for pediatric patients with latex allergies
• Eliminates rubber latex exposure concerns
• Important for children with spina bifida (higher latex allergy risk)

Clinical Applications

Ideal for:

• Pediatric urostomy patients (infants through adolescence)
• Ileal conduit urostomy (most common pediatric type)
• Cutaneous ureterostomy
• Congenital urological conditions requiring urinary diversion
• Post-operative pediatric urostomy care
• Bladder exstrophy or other complex reconstructions

Common Pediatric Conditions:

• Bladder exstrophy
• Neurogenic bladder (spina bifida, spinal cord conditions)
• Posterior urethral valves
• Cloacal abnormalities
• Urological birth defects
• Trauma or urological complications

Care Settings:

• Home care (primary)
• Pediatric hospitals and NICUs
• Outpatient pediatric urology clinics
• Schools and daycare facilities
• Pediatric rehabilitation centers

Pediatric Urostomy Considerations

Why Pediatric-Specific Pouches Matter:

Children are not simply "small adults"—they have unique urostomy care needs:

Delicate Skin:

• Pediatric skin is thinner and more permeable
• More prone to irritation from adhesives and urine
• Requires gentler adhesive formulations
• SoftFlex® specifically designed for this sensitivity

Growth and Development:

• Stomas change size as children grow
• Cut-to-fit design accommodates growth
• May need frequent size adjustments
• Wide 1½" range reduces product changes

Activity Level:

• Children are highly active—crawling, running, jumping, playing
• Need secure adhesion during vigorous movement
• Flexible barrier essential for active lifestyles
• Pouch must withstand play without leakage

Caregiver Management:

• Parents/caregivers perform pouch changes
• Simple systems reduce stress for non-medical caregivers
• Transparent monitoring reduces unnecessary changes
• One-piece simplicity aids learning for new parents

Continuous Output:

• Urostomy produces continuous urine (unlike colostomy/ileostomy)
• Requires anti-reflux valve
• Night drainage essential for sleep
• Frequent emptying throughout day

Anti-Reflux Technology for Urostomy

Why Anti-Reflux Is Critical:

Urostomy produces continuous liquid urine. Without anti-reflux valve:

• Urine flows back toward stoma when lying down
• Backflow increases skin contact with acidic urine
• Prolonged urine exposure breaks down barrier adhesive
• Higher risk of urinary tract infections
• Potential for urine ascending back to kidneys

How Anti-Reflux Works:

• One-way valve allows urine to enter pouch
• Prevents urine from flowing back out
• Especially important when child is lying down
• Critical for nighttime protection

Visual Monitoring Benefits

Why Transparent Film Matters for Pediatric Care:

Output Assessment:

• Monitor urine volume (ensure adequate hydration)
• Check urine color (detect concentration, blood, infection signs)
• Assess clarity (cloudiness may indicate infection)

Critical for Young Children:

• Infants cannot report symptoms
• Non-verbal children can't communicate problems
• Early visual detection of issues
• Reduces need for invasive checking

Caregiver Confidence:

• Quick glances reassure caregivers
• No need to open pouch frequently
• Reduces skin trauma from unnecessary changes
• Supports better monitoring compliance

Sizing & Fit

Cut-to-Fit Up to 1½" (38mm):

• Accommodates pediatric stomas from very small (newborn) to 1½ inches
• Cut opening 2-3mm larger than stoma diameter
• Precise fit prevents leakage and protects peristomal skin
• Measure stoma regularly as child grows

Pouch Length:

• 8¾ inches (22 cm) appropriate for pediatric body proportions
• Adequate capacity without excessive bulk
• Comfortable for infants through young children

Usage & Application

For Caregivers:

1. Measure stoma: Use measuring guide to determine diameter
2. Cut opening: Cut barrier opening 2-3mm larger than stoma (up to 1½" maximum)
3. Prepare skin: Gently clean and dry peristomal skin completely; pat dry carefully
4. Warm pouch: Warm in hands for 30 seconds before application
5. Position pouch: Center opening over stoma with transparent side facing out
6. Apply gently: Press barrier around stoma and smooth outward; hold 30-60 seconds
7. Check seal: Ensure barrier is completely adhered with no gaps

Emptying:

1. Open drain tap and empty urine into toilet or container
2. Wipe opening clean
3. Close tap securely

Night Drainage:

1. Connect bedside drainage bag to pouch tap before bedtime
2. Position bag below pouch level
3. Disconnect and empty in morning

Wear Time:

• Typical wear: 1-3 days for pediatric urostomy (shorter than adult wear)
• Change sooner if leakage, redness, or skin irritation
• Infants may require more frequent changes
• Monitor barrier edges daily

Box of 10 Packaging

Supply Duration:

• Approximately 10-30 days depending on wear time and child's needs
• Good quantity for establishing routine
• Adequate supply for home care

Caregiver Support:

• Keep spare pouches with regular sitters and at school
• Use transparent monitoring to reduce unnecessary changes
• Work closely with pediatric ostomy nurse
• Connect with pediatric urostomy support groups

Product Specifications

• Product Type: One-piece pediatric urostomy pouch
• Target Population: Pediatric patients (infants through adolescence)
• Barrier: SoftFlex® standard-wear hydrocolloid (flat profile)
• Opening: Cut-to-fit up to 1½ inches (38mm)—no starter hole
• Pouch Length: 8¾ inches (22 cm) compact pediatric size
• Window: Transparent odor-barrier film for monitoring
• Anti-Reflux: Integrated one-way valve
• Drain: Bottom tap with cap; bedside drainage adapter included
• Body-Side Panel: ComfortWear® soft beige fabric
• Border: No separate tape border (integrated barrier)
• Latex Status: Latex-free
• Sterility: Non-sterile (ostomy pouches don't require sterility)
• Packaging: 10 pouches per box
• Manufacturer: Hollister
• Product Line: Pouchkins (Pediatric)
• HCPCS Code: A5071