Ostomy system utilizes an innovative Adhesive Coupling Technologyâ„¢ that connects the pouch to the skin barrier and eliminates the need for plastic rings that must be snapped or locked together. Instead of a plastic ring, Esteem synergy® pouches feature a flat, flexible adhesive foam ring that securely connects to a flexible, clear “landing zone” on the skin barrier. The result is a low-profile, flexible two-piece system.- Urostomy Pouch, Standard Length (10.3"), Tap with Valve, Opaque, Small, 10/bx (Continental US Only) 14-21 Days