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Esteem synergy two-piece urostomy pouch with one sided comfort panel and accuseal tap with valve medium fits stoma size 7/8 to 1-1/4, 10-1/3 l, transparent, adhesive, low profile, flexible Pcs: Two Type: Urostomy Stoma Opening: 1/2 to 7/8 Cut-to-Fit Size: 10-1/3 L Filter: No Backing: One-Sided Comfort Panel Color: Transparent Closure: Accuseal® Tap with Valve Belt Tabs: No The Esteem synergy® ostomy system utilizes an innovative Adhesive Coupling Technology™ 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. Anti-reflux valve prevents urine from returning to top of pouch around the stoma. Flat, flexible adhesive foam ring that securely connects pouch to skin barrier, eliminating hard plastic ring.