you simply remove the pouch

Convatec Visi-Flow® Natura® Irrigation Adapter Faceplate 1-3/4" Flange Designed to be used with Visi-Flow® Irrigation products for individuals with ostomies

Highest level of discreetness and comfort provided by odor-barrier

Protects the skin over extended wearing time from irritating discharge

Esteem + One-Piece Drainable Pre-Cut Pouch w/"visiClose, Modified Stomahesive, 12" panel Tranparent, 1 3/8" Sold By:Box of 10 you simply remove the pouchPcs: One Type: Drainable Stoma Opening: 1 3 8" Pre Cut Size: 12" L Filter: Yes Backing: One Sided Comfort Panel Color: Transparent Closure: InvisiClose Integrated Clipless Closure Belt Tabs: Yes Flexible and discreet, the Esteem one piece system is the all in one solution that combines the skin barrier and pouch in a single unit, allowing for a simple, secure, and comfortable experience. Pouch allows for draining and has an easy to use clipless