Coloplast Sensura Mio 2pc: REVIEW (w/ video)


When I had tested the one-piece SenSura Mio appliance, I was a bit disappointed but found enough strong points to recommend it to most ostomates.  The two-piece system has been something that I’ve been looking forward to trying, and here’s my review!

Disclosure: This review is based on samples I received through the Coloplast customer service dept, as well as samples received during a patient feedback program. No other compensation was provided, and both my experience and opinions are completely my own.

If you’re interested in the video review, check it out below:

About the Sensura Mio Click
Products I've used for this review
Product name: SenSura Mio Click baseplate
Manufacturer: Coloplast
Product #: 10502
Dimensions: 10-35mm, Cut-to-fit, flat wafer with 40mm coupling 
Quantity per box: 5
Product name: SenSura Mio Click Narrow Outlet Drainable pouch w/ filter; opaque.
Manufacturer: Coloplast
Product #: 11432
Dimensions: 40mm flange coupling
Quantity per box: 10
Product name: SenSura Mio Click baseplate
Manufacturer: Coloplast
Product #: 10512
Dimensions: 10-45mm, Cut-to-fit, flat wafer with 50mm coupling 
Quantity per box: 5
Product name: SenSura Mio Click Wide Outlet Drainable pouch w/ filter; opaque.
Manufacturer: Coloplast
Product #: 11472
Dimensions: 50mm flange coupling
Quantity per box: 10

The Sensura Mio Click is an inspired ostomy product line by Coloplast. It holds an impressive feature set and style that sets the bar for what an ostomy appliance should strive to be.

The SenSura Mio Click line comes with a staggering number of options, from opaque to transparent, filtered to filterless, wide outlet to narrow outlet, closed-ended to drainable, flat wafers and convex – you get the idea right? It’s a complete line that caters to any ostomate, including urostomates.

Coloplast is good when it comes to providing a complete package for ostomates, and the wafers are packaged with a reusable stoma measuring guide; the pouches come with small garbage bags and filter stickers.

Coloplast Sensura Mio click package contents
You get everything you need in the package.
The Wafer

The SenSura Mio Click wafers I’ve used are cut-to-fit, which means I have to measure my stoma and cut an opening to fit through the wafer.  These wafers are really easy to cut, and they have measuring guides that you can use if you know your stoma’s size before hand.

Sensura Mio click wafer back
The guides on the back of the baseplate make it easy to cut the right size hole for your stoma.

They do come with a single release liner, but the wafers are not individually sealed, which I find more difficult to carry in my travel bag.

For those looking for added security, the wafer does have four belt hook loops (vs. two you’d find on most other appliances), but it requires a special four-hooked accessory belt to take advantage of.

Sensura Mio click wafer top
The SenSura Mio Click has four loops to hook a support band too.

One of the benefits to the Sensura Mio Click is that the wafer is highly flexible and will work well with many body shapes. Patients with hernias, for example, may find that the Mio will form-fit along curves better than some of the more rigid plastic wafers.

The thing that I like most about the Sensura Mio wafers, is the fact that my skin does really well with them! I don’t find any irritation under the wafer or around the edges of the wafer (which were a problem on the Xpro and Assura line), and the skin around my stoma remains intact and healthy. My results are great even without the use of barrier rings, barrier wipes, stoma powder, or anything else to help my skin. Kudos to Coloplast!

Peristomal skin Before sensura mio
This is what my skin looked like before using the SenSura Mio Click.
Peristomal skin After two weeks sensura mio
This is what my skin looked like after approx. 2 weeks of using the SenSura Mio Click (no additional supplies used).

My wear time has been a consistent three days with zero to minimal wafer erosion. This is actually much better than I had expected, and it did perform better than the one-piece; I experienced NO LEAKS while using these wafers.

Unfortunately, wafers in the Sensura Mio line are manufactured using gelatin, so these would personally not be a product I’d choose first, since I have alternatives that are free of animal-based ingredients.  One can only hope that Coloplast will replace gelatin in the future.

The SenSura Mio is also available in convex, although it’s not a style that I’ve tried before.
The Pouch

I’ll be honest, the SenSura Mio bags are the best looking ostomy bags on the market right now, and they are the only one I’d confidently wear without a pouch cover.

The fabric cloth that’s used on the product is unlike anything you traditionally find on an ostomy bag. The color is a neutral grey and it does a great job of repelling water; I often find that after showers it takes very little effort to dry my pouch and it would often be dry before I even finished using the bathroom.

Wearing the Coloplast SenSura Mio Click
The best looking ostomy bag around.

Unlike many other brands that use opaque cloth bags, the fabric used on the Mio is durable and modern looking, and it’s nice and smooth.  As a bonus (which really should be a necessity on any opaque pouch), the fabric conceals the contents of my bag quite nicely.

The Mio Click, like many other Coloplast products, comes with a mechanical coupling that uses a locking mechanism to secure the bag. The style of the lock is slightly different from the SenSura Click, and it’s been improved to allow for easier access in a more reliable design.

Coloplast Sensura Mio Click wafer and bag
The coupling mechanism can easily be seen in this photo.

The lock does add a bit more bulk to the appliance, but when unlocked it allows you to easily rotate your bag horizontally or diagonally before locking it back into place. This is something that you’d have trouble doing on other appliances since freely rotating the bag isn’t as easy as it is with the Mio and it’s often less reliable.

While the mechanical coupling on the Mio is great for convenience I found that it was useless if I needed to burp my appliance to release gas from the coupling. Attempting to burp my appliance basically causes the bag to completely come off! I was over a toilet the first time I tried that, but I can’t imagine what kind of trouble I’d be in had I attempted that in bed on in my car! If you must burp this appliance, do it from the outlet while laying flat on your back.

Coloplast offers both a wide and narrow outlet to the SenSura Mio Click, with the narrow outlet designed specifically for ileostomates (I’ll refer to this as the “ileostomy bag” throughout the rest of the review).

The narrow outlet pouch differs from the wide outlet version in a few ways, which I’ve detailed in THIS post. Basically, you have no velcro tabs from which to hold the outlet flap open while you empty your pouch, and you also have a different filter design, which I’ll explain more of in the next section.

Coloplast SenSura Mio wide vs narrow outlet
(top) Narrow outlet. (bottom) Wide outlet. Notice the extra velcro tabs on the wide outlet?

While I do prefer the wide outlet, the exclusion of the velcro tabs on the narrow outlet bags really made it difficult for me to empty my pouch, or clean it without getting my hands dirty (quite literally!).  I’m sure ileostomates with liquid output might find it easier to empty with this design, but I found it quite a challenge that easily added another 20 seconds to my routine as I struggled to clean the opening and the flap.

You will still find Velcro fasteners at the end of the outlet, which keeps the outlet securely closed, and you can tuck that outlet neatly on the bottom, or fold it in half for a more compact look.

Like the one-piece, I really appreciate the attention to detail on these bags, and you can easily find the model number and lot number on the top of the pouch, under the fabric flap.

A nice touch that Coloplast added to the Sensor Mio bag is the inspection window which allows you to see what’s happening inside your pouch without having to resort to wearing a clear pouch.

Coloplast SenSura Mio Click inspection window
The inspection window offers a great balance between transparent and opaque pouches.
The Filter

As I mentioned previously, the wide and narrow outlet bags both feature different filters, or more accurately: pre-filters.

If you look closely at the two styles, you’ll notice the wide outlet pre-filter has many small holes in it; this can help to remove gas from your pouch, provided your output is dry enough not to clog it up!  The narrow outlet bags have pre-filters with only a few holes, and that should help to keep ileostomy output from clogging it.

Sensura Mio prefilter comparison
Fewer holes on the ileostomy bag mean fewer chances for the filter to get clogged.

But does it work??

I do find that the ileostomy bags work better than the colostomy bags (wide outlet bags) when it came to minimizing ballooning, however the results are still inconsistent; I found that on certain days I would have pouch balloon within 24 hours, while at other times I could go a full 3 days without ever having any pouch ballooning.

If ballooning is an issue with these bags, considering using the Osto EZ-Vent. I’ve got special instructions on how to get it working with this bag HERE.  I’ve also got an entire article on ways to prevent ballooning HERE.

Since my output tends to be thick (for an ileostomate) this is a little concerning as I know that liquid output will probably clog this filter up much faster than the output that I’ve got.

I’m also not a fan of the large pre-filter that either of these pouches come with. One of the reasons for this is because I find that no matter how empty my pouch is, it always feels like it still has something in it. This happens because over time the pre-filter will collect fluid without giving it any place to go so it’s basically like you’re carrying a sponge in your bag.

Sensura Mio Click saturated prefilter
Unfortunately, as the pre-filter becomes saturated, it makes the bag feel weighed down, even when empty.

For some, the feeling this causes may be annoying, considering you have to wear an appliance 24 hours a day, and I do find it frustrating to have to double-check and triple-check to make sure that my bag really is empty.

I would have preferred no pre-filter and simply a small filter like what you’ll find on Hollister, ConvaTec, B. Braun and other ostomy bags. While there is an option to go with a filterless bag, this defeats the purpose for anyone who has ballooning issues.

There is one advantage to having a pre-filter, though, and it’s the fact that I’ve never noticed the pouch sagging when it got full.

But the large pre-filter is also a problem if you’re the type of person who wears stoma guards. Some stoma guards simply don’t have enough room for everything to fit under them comfortably with pre-filter there – it’s overcrowding, to say the least!

Some ostomates may also find that the large pre-filter creates pancaking issues or makes pancaking worse for people who already struggle with that problem.  I noticed this happening a lot, where I wouldn’t normally notice it on other appliances.

One thing I do need to point out is that the outer filter is not waterproof, so you do need to use the included filter stickers if you plan on having a shower or going for a swim with this appliance; not covering the filter can lead to water clogging it from the outside.


At the time of this writing (Dec 2015), the SenSura Mio Click is available worldwide.  I find that the prices on these are about average, but still more than a one-piece.

Coloplast is great for sending samples, and you can request them from your local Coloplast office.

  • Comfortable.
  • Gentle on the skin.
  • Flexible wafers.
  • Locking mechanical coupling is very secure.
  • The pouch fabric is in a class of its own, both in quality and aesthetics.
  • The inspection window is a really nice touch.
  • The velcro closure locks are convenient and secure.
  • The fabric cover is the most water-resistant I’ve seen on any appliance.
  • Available pretty much everywhere.
  • The filter on the ileostomy bag does work fairly well.
  • The wafer is easy to cut and contains a measuring guide on the release liner.
  • Wafer holds out great during showers.
  • Wafer held up very nicely, even after 3 days.
  • I found the lack of velcro tabs on the ileostomy bag to be challenging.
  • Contains animal ingredients.
  • The large pre-filter can feel quite bulky.
  • The pre-filter often exaggerates pancaking.
  • The pre-filter makes it hard to wear a stoma guard.
  • Can’t burp the bag from the coupling.
  • The outlet flap on the narrow outlet often makes it difficult to clean.

The Coloplast SenSura Mio Click is a well-rounded appliance, and you can tell that a lot of work went into the design of this product; it’s worth checking out if you didn’t have much success with the one-piece Mio.

For those who have been disappointed with the filter performance on the wide outlet bags, you will have the option to use the ileostomy bags for better results.

While the system does have a few flaws, mostly coming from the size of the pre-filter, may ostomates may overlook them in favor of the next-level fabric and design.

For more information, please visit the Coloplast website at
Bonus: A Review on the Convex Urostomy Mio Click System

The following review was shared to me by a urostomate, Stephen, who’s been able to write about his experience with the Convex Urostomy version of this system. This is information that I could never provide first-hand, so I am grateful for his effort in putting this together.

Bag pt no. (11498), backing plate pt no. (16911)


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Thanks, Eric for the advice to both my questions.  My husband and I think that it’s a good idea to put on the wafer first to make sure that it is fitting perfectly. After watching the video review of the Sensura Mio 2-piece and how it helped your stoma to heal after two weeks, the next time I change out my system I will  use just the barrier and pouch. I’ll also try wetting the ring to see if it helps to attach the pouch to the barrier. (Last time I changed my system, I did apply the stoma powder and used a protective wipe as well.)Stella


Just one other question, Eric. Do you attach the system before you put on the barrier? I have difficulty attaching it because I put the barrier on first then attach the pouch. Am I doing it wrong?



Hi Eric,I purchased the 2-piece click on your recommendation. I was so impressed with the thoroughness of your review and found that I like all the features that you were impressed with.  I did experience a small rash, so I am also using the Brava protective ring as well.  Any thoughts on using the extra ring?  Also, I do have a little difficulty attaching the pouch to the barrier. I will be checking out your tip on how to attach the system. I  am still new to all this, and must admit that my confidence level is not quite up there-I am always wondering if I am doing things wrong. (My husband has been very supportive and encouraging in all this I might add!)Thanks,Stella


Thanks for the tips guys!  I am currently trying the flex system – I put it on last night. It’s ok, but I do feel more secure with the click. I’ll be putting in my first order very soon and will probably stick with the the click system for now. In the future, I might try the flex again.Stella


Hi Stella,You have a colostomy which is going to be thicker output. Drinking plenty of water is a help and some foods thicken output more than others. may be use some prune juice or other fruit juice to help thin. Please be wary of using laxatives!! The filter can cause a vacuum effect and maybe use the sticker to block it off. The are lubricants that can help keep the output flowing but be careful that any thing put in the bag don,t cause any harm to the stoma. could it be clothing that could be holding things back. and the old ostomy trick is to put some rolled up loo paper into the bag so it keeps the sides apart and lets output flow. Not a user of the Mio so can have a say about it but a very popular system and am sure others will know.


Hi,I thought I had sent this out to the forum, but I think I sent a private message in stead. I am still new to how to do all this – not the colostomy, just getting the hang of using the forum!Anyway, my question is has anyone had any experience with Coloplast SenSura Mio Flex 2-piece system? What were your results? I am using the Click system and am very pleased with it so far. I am having a little trouble with pancaking, but checked out Eric’s videos on the topic, so I think I can rectify the situation. Any info would be greatly appreciated!!!Stella


I manage my mom’s ileostomy, and we recently switched from the click to the flex and are very pleased thus far. I can’t speak about its effectiveness with pancaking, but I can say we both like the ease of taking the bag off and putting it on, and that it’s a little lower profile than the click.

One word of warning, though. We did have an issue last night. I did her bag change after a long few days at work and was exhausted, and I didn’t make sure the bag was sealed all the way around the barrier (I usually press all the way around), and my mom woke up to a small leak. There had been a wrinkle in the Adhesive I didn’t notice, and if the flex Adhesive gets wet, that’s all she wrote. Fortunately it was a quick fix, and we laughed about me being so tired, but figure it’s worth mentioning. Good luck!


This is one of the products I sampled before I decided on the Hollister products I currently use.  I did like how flexible the wafers were, and they seemed to stick to me fairly well.  The thing with them I didn’t like was how wide the wafer was, and I didn’t feel comfortable with it rotated either.  To me the “click system” seemed very secure, and I liked the feel of the fabric on their bags. The pancaking may or may not have to do with the bags themselves, that’s a pretty common battle with us ostomates.  I just remember to watch for it, so it doesn’t get to the point I have a blow out.  The vent sticker might be something to try, as long as ballooning doesn’t become an issue.  


So far, so good. I like the product a lot, though I did have a little trouble attaching the flanges. I noticed a little redness around my stoma before I put it on, so my hope is the base plate will help to heal that. I like the fact that the material they use is so silky and love the velcro feature. The one thing I wish Coloplast had was the same system of tape that Hollister has, so that when I put on the base plate, I can make sure everything is centered before I remove the tape tabs. Other than that, it seems like a great product! Thanks again!


sj0v-  do u use a seal ring?  I have both pouching systems, the one u have, and a one piece Mio.   Changing to a different barrier helps when or if I get red or sores.  Helps to heal-using a different barrier. 


Thank you, Eric for your review. It has given me confidence in trying out this product. Coloplast sent an amazing kit with all kinds of features, plus the SenSura Mio 2-piece click system. I look forward to using it.

Tracy Turner

Hi Eric, I am a new Ostomate and have spent hours viewing your clips. Thank you for all the helpful info. I started with a lovely round firm belly before surgery but now I call it my roller-coaster.
I have been trialling the Coloplast and Salts 1pc drainables and having problem making my mind up what I want. I have now made up my mind.
We are lucky in Australia, the government has a stoma scheme so we don’t have to pay for appliances and most Of The accessories.
Thanks again


Found clicking bag to wafer reasonably easy whilst holding in my hands.
Totally different oncewafer attached to my stoma. I must be able to take bag off and on quickly, takes ages, any tips please.


My mom is a recent addition to the ostomate community, and I was able to get some samples of this product from Coloplast. I also ended up purchasing a box of the Mio One-Piece to test out.

My mom has had quite a few issues thus far with her ileostomy. She was in a rehab/skilled nursing facility after leaving the hospital, so she ended up with a lot of “mix n match” systems put on by personnel who were not at all familiar with ileostomies and issues with liquid output. Your site has been INVALUABLE to me. Since moving to Assisted Living, mom has begun to start learning how to empty her bag (she suffers some retention and memory issues due to a brain surgery some years ago). This is the first pouch system she’s been able to open and close no problem. She essentially learned in one day – TODAY – how to empty this pouch pretty successfully, and she is able to close it and tuck the tail up inside the pouch without issue.

I’m still VERY new at putting her wafers on, so I can’t say I have much experience, but the size of the two-piece is about perfect for her body size. She is very small-framed and has lost a lot of weight, but has quite a few folds that were making other wafers suffer many, many issues. So far we’re at two days and everything is adhered as it should be (for us that might be a record). I tried putting on a one-piece last week and it leaked within a day. With that one I used barrier paste, with the two piece I tried an Eakin Seal (which seems to be working so much better). Any input on how one of those would work with the one-piece?

Thanks for your articles! I show them to my mom often and have supplied many of her nurses and aids with them. We like hearing “real world” experiences instead of simply another marketing ploy.


Hi Alison I cant get my bag to rotate, also I have to click the bag on the wafer before applying to skin other wise I cant get the bag to click on the wafer. any suggestions , thank you


I have received samples of Mio Click pouches and wafers. I practiced clicking the pouch to lock it, but I can not get it to unlock. I’ve tried pushing the back side of the blue tab, but nothing gives or moves. Any advice?


I love this product. I especially like the waterproof pouch. I hate stepping out of the shower and the sopping wet bag is flopping around. I especially love the clickable closure.

Adele Morris

I’m lucky if I get to 12-15 hours with a bag. Pan making is an issue for me and I was disappointment to see this bag makes it worse because everything else sounded so positive. I’ve an illeostomy and I also like to use the half moon things to help keep the bag on longer. Would you suggest I try this bag or am I wasting my time!! Thanks

Victor Pineda

I have an ileostomy and I use the the Sensura Mio Click with the cohesive slims barrier rings from Convatec, I change my pouch every 12 to 15 days, my skin is very healthy, no leaking problems. Thank you for sharing your review.