When you get out of ostomy surgery, you’ll likely be given supplies from a manufacturer who partners with your hospital. Some people decide to stay with the same product long after they’ve recovered from their surgery, and others try new things in order to find the perfect match.
Following my surgery, I was sent home with Coloplast wafers and pouches from the Assura series. My stoma nurse requested samples of the Xpro wafer and Sensura Click products for me to try at home. While the Assura line is good, the SenSura line is better in my opinion. Today, I’d like to give you my review on the Coloplast SenSura Click pouching system.
I’ll cover the following items in this review, since I’ve used them all:
While Coloplast offers urostomy and high-output pouches too, this review is intended for pouches that an average ileostomate or colostomate may use.
The Coloplast SenSura Xpro wafer is available in at least several dozen sizes and styles. You can get standard wear, extended wear, pre-cut, custom cut, flat or convex. This part of the review will cover the custom cut, flat, extended wear version, as it’s the one that I’ve used most often. With the exception of trying other products out, I’ve worn the Xpro wafer longer than any other product I’ve tried. It’s a product that I come back to time and time again, because of its consistency. I did run into some issues with the Xpro wafer, and I’ll go over that shortly.
The Xpro wafer is a semi-rigid product. It comes in an oval shape and is designed for aggressive output (like with an ileostomy or urostomy). Unlike the Hollister New Image wafers, the Xpro has belt tabs on the wafer, not the pouches; I suspect it’s because the locking mechanism is so secure. Because they are semi-rigid, I find that this wafer doesn’t contour well to skin that isn’t perfectly flat. I also ran into problems with the bottom edge of the wafer cutting into my skin. To remedy this, I’d have to place a strip of Opsite Flexifix tape on my skin first, then apply the wafer over it (I’ll try to make an instructional video on this at some point). Once that problem was solved, the wafer has been great.
While this product is an extended wear wafer, your mileage may vary. I tend to get about three days of wear before there’s enough erosion to cause some itching under the baseplate. The wafer itself sticks really well to the skin, and I use an adhesive remover spray during appliance changes. With the adhesive remover spray, this wafer comes off clean and no addition wipes are needed. I haven’t had a single issue with wearing the Xpro wafer in showers. Because it’s harder plastic, it dries very easily and doesn’t require much fussing around. If you swim and need more assurance, you could always try a flange seal ring.
Common features (pouches)
There are several commonalities that you’ll notice across the SenSura Click line. I’ll explain them before giving details on each pouch style I’ve used.
Mechanical coupling with a clicking lock.
All the pouches in the SenSura Click line come with a mechanical coupling that you can lock for a very secure fit. One advantage to this coupling is that you have the freedom of rotating your pouch and then locking it into place when you like and without having to remove the pouch. This comes in handy if you’re wearing a vertical Stealth Belt, as it allows you to rotate back into a vertical position for easy emptying of your pouch. The coupling does add extra bulk, and can sometimes be a little awkward to use with some accessories or clothing.
One thing to note is that the coupling is compatible with both the Assura and SenSura wafers.
Velcro outlet closure
Coloplast doesn’t use a plastic clip on their pouch closures, instead, they have a Velcro fastener which allows for easy opening, draining, cleaning and closing of the outlet. This is my preferred closure system. The outlet is easy to roll up and the Velcro is easy to fasten. Coloplast also includes a few strategically placed Velcro dots to help keep the pouch outlet from dangling (and hidden from sight) and also to keep the outlet flap out of the way when you empty your pouch.
Wide outlet opening
The Assura line of drainable pouches have a narrow outlet. I found it difficult to empty and clean when compared with the SenSura line, which have a much wider opening. With both liquid and thick output, I find the wide outlet easy to use and clean, especially with the strategically placed Velcro bits that keep the tail end of the outlet from flapping around.
The filters on the Assura and SenSura line are disappointing for several reasons. First, they don’t have any barrier to prevent liquids from clogging the filter (unlike the Hollister AF300 filters) and I tend to have a very ineffective filter in less than 24h after changing my pouch. This leads to frequent pouch ballooning. This also means that you need to put a sticker over the filter on the outside of your pouch before having a shower or going for a swim.
The next problem I found with the filter is that when it does become clogged and wet, it droops down, which looks sloppy and shows under clothing.
Because of the filter issues, I tend to go with unfiltered pouches and then use the Osto EZ-Vent.
Coloplast uses a skin toned fabric on their SenSura pouches. The fabric is durable (much more than the Hollister New Image pouches) and dries in a moderate amount of time. The fabric is fairly smooth (not as smooth as the SenSura Mio) and is fairly quiet.
Now that the common features have been covered, let me go over a few styles that I’ve used. Keep in mind that Coloplast has many configurations that can accommodate any need, so check with your local dealer or visit the Coloplast website to find out what other options are available.
Coloplast SenSura Click #11125 & #11135 (drainable, opaque with and without a filter)
Either one of these can act as my “go to” pouch. They aren’t perfect, but either can offer a consistent experience. While I spent many of the first few months wearing the filtered version, I ended up going with filterless pouches.
Coloplast SenSura Click #10165 (closed ended, opaque, with filter)
Because I have an ileostomy, I don’t tend to wear this pouch often. It does come in very handy if you’re using pouch liners or if you’re a colostomate who replaces pouches less often. Although it’s a closed pouch, it’s about the same size as the drainable, since the outlet on the drainable is concealed.
Coloplast SenSura Click #11185 (drainable, transparent, no filter)
I started using these pouches after I discovered pouch covers. I’d recommend these pouches to anyone just coming out of surgery too, since it allows you to see what’s going on with your stoma. Because these have no filter, I also use the Osto EZ-Vents on them too.
At the time of this writing (July 2014), the SenSura Xpro wafer and SenSura Click pouches are available in a wide assortment of sizes and features. Here in Canada, the drainable pouch usually come packaged in 10’s, but your country may vary. Closed-ended pouches often come in packs of 30. I won’t list prices, since they will vary wildly depending on the style you get. Coloplast products are available internationally and you can request samples of just about any style available through their website or customer service line.
Pouches, all styles
Xpro wafer (flat, custom cut)
I’ve relied on the Coloplast SenSura Click line of ostomy products since my surgery almost a year ago. It’s the system that I come back to as my baseline and has proven reliable and comfortable in many situations. If you wear or are considering wearing the Stealth Belt, I suggest looking into this product line. If you’re looking for a tough, well-rounded wafer and pouching system, give the SenSura Click line a try.
For more information or to ask for samples, please visit www.coloplast.us
Have you tried anything from the SenSura Click line? What’s your favorite?