Ostomy Types

Learn more about the three types of ostomies : Colostomy, Ileostomy and Urostomy.

Product Offerings

  • Pouches (Adult & Infant) Closed, Drainable, Opaque, Transparent, Filtered, One-piece and Two-piece systems
  • Barriers – Cut-to-fit, Pre-cut, Flat, Convex, Standard Wear and Extended Wear
  • Belts – Standard and Hernia Support
  • Accessories – Adhesive Remover Wipes, Skin Barrier Wipes/Film, Skin Barrier Sheets, Powder, Deodorant, Lubricating Deodorant, Paste, Barrier Rings and Barrier Strips

Custom Cutting Program 

Custom cutting is die-cutting the center opening of a barrier to fit the exact shape and size of your stoma. 

Custom cutting is the most beneficial six to eight weeks after surgery, once your stoma has shrunk and stabilized in size.

Benefits of Byram’s custom cutting service:

  • Provides accurate sizing and proper fit so less time is spent changing the appliance.
  • A better fit translates into longer wear time.
  • Decreased leakage issues and skin irritation.
  • Byram Healthcare provides this service free of charge.
  • Less skin breakdown which can translate into to fewer physician visits.
  • Helpful for people with arthritis, vision impairment, or finger/hand dexterity problems.
  • Assists persons with arthritis, vision impairment, or finger/hand dexterity problems.

Disclaimer: The recommendations and information above should not be considered a substitute for personal medical advice or diagnosis. Before making any changes, consult your health care professional.


Ostomy Manufacturer Programs

Before you left the hospital, your ostomy nurse may have enrolled you in program to receive product samples and ongoing clinical and educational support from one of the following manufacturers:

Coloplast Care Program

Convatec me+ Program

Hollister Secure Start Program

You  have the right to choose your own supplier to provide and bill your ostomy supplies to your insurance. Just let your ostomy product manufacturer know that you would like Byram Healthcare as your provider.They will transfer you directly to one of our ostomy specialists to place your order!


If you have not been enrolled in a manufacturer program by your ostomy nurse, you may do this yourself by visiting the manufacturers' website.


A small segment of your small intestine has been used to re-route urine through a stoma on your abdominal wall.

Using a night drainage system will assure a good night sleep! While some prefer to get up periodically throughout the night to empty, it is more convenient to hook up to bedside drainage. The pouch remains empty and you can rest without worry. There are no specific dietary restrictions for urostomates, but certain food such as asparagus will cause the urine to have more odor. Certain juices such as grapefruit and orange go into your system acidic but exit the body in an alkaline state. Too much alkalinity can cause crystals to build up around the stoma. Cranberry juice is very beneficial in keeping alkaline levels in check.

Lifestyle Tips

Generally, the best time to change your appliance is in the morning before breakfast. Examine the peristomal skin (skin surrounding the stoma). It should be the same color and texture as the rest of the abdominal skin. Avoiding skin irritation is much better than treating it. You may take a bath or shower with your appliance on or off. Exposure to air, warm water and gentle soap is good for your skin. If you shower with your appliance on, the tape portion of the appliance will get wet. As the tape dries (you can blow dry with cool air or pat with a towel), it will remain secure on the skin.

Chew all food thoroughly. Popcorn, peanuts, coconut and food with seeds or kernels should be eaten with discretion. Onions, cabbage, spicy foods, fish, garlic and beans may cause an odor when emptying the appliance. Green beans, broccoli, spinach, raw fruits and beer may cause diarrhea. Add one new food at a time so you can identify problems.

Know what medications you are taking; avoid enteric coated pills and time release capsules. These medications are usually not absorbed due to their outer coating. They may exit into the pouch in their original state. Remind your physician that you have an Ileostomy, which may necessitate a different choice of drug. You may discuss this with your pharmacist as well.

How to Measure a Stoma?

1. For oval stomas, the nurse/ostomate must provide the horizontal measurement.

2. The nurse/ostomate must also provide the vertical measurement.

3. The size now becomes, for example: ⅞” w x 1¼”h