Drainable vs Closed Ostomy Bags: Pros and Cons

Ostomy surgery is a major life change that involves adjusting to new daily routines. One important part of this adjustment is choosing a pouching system that fits your body and lifestyle. For most people with a colostomy or ileostomy, there are two main options: drainable ostomy bags and closed ostomy bags. 

This article explains the differences between these two types and how each may fit into everyday life.

What Are Drainable Ostomy Bags?

A drainable ostomy bag is a reusable pouch with an open bottom. Unlike disposable bags that are thrown away after one use, it has a secure closure, such as a clip or Velcro, that allows the bag to be emptied and used again throughout the day.

Pros and Cons of Drainable Ostomy Bags

Drainable ostomy pouch is commonly used by people with moderate to high output, including many individuals with an ileostomy.

Pros

• Suitable for liquid or frequent output
• Can be emptied and reused during the day
• Usually requires fewer pouch changes
• Helpful for managing moderate to high output
• May reduce the number of pouches used

Cons

• Needs to be emptied regularly during the day
• Requires cleaning of the outlet after emptying
  
• Emptying may feel inconvenient in public places
• May take more time than replacing a closed pouch
• Improper closure may increase the risk of leakage

What Are Closed Ostomy Bags?

Closed ostomy bags are single-use pouches designed for one-time use. Unlike drainable bags, they do not have an opening for emptying. Once the pouch is full, it is removed and replaced with a new one.

Pros and Cons of Closed Ostomy Bags

Closed ostomy pouch is commonly used by people with lower and more predictable output, or for certain short-term activities.

Pros

• Suitable for low or predictable output
• Does not require emptying
• Simple to use and manage
• Often convenient for short-term activities
• May feel more discreet for some users
  

 Cons

• Needs to be changed more frequently
• Requires carrying extra pouches
• Uses more pouches over time
• Less suitable for liquid or high-volume output
• May be inconvenient if output increases unexpectedly
  

How to Choose Between Drainable and Closed Bags

As UOAA emphasized, selecting a pouching system depends on your medical needs and daily routine. The key to a successful experience is finding a system that provides a secure, leak-resistant seal while fitting your stoma type and activity level.

• Output Consistency: Closed ostomy pouch is most suitable for fully formed or thicker bowel movements. Drainable ostomy pouch is often better for thinner or more frequent output.
• Frequency: If your output is less frequent and you only need to change your bag once or twice a day, a closed bag may be sufficient.
• Physical Activity: Many people switch to closed pouches for exercise or water activities to gain extra security.
• System Configuration: Both types are available in one-piece and two-piece systems, which offers further customization for your comfort.

The right ostomy pouch is often chosen based on output, comfort, and everyday routines. With appropriate pouch size, regular care, and supportive accessories, ostomy management can become a more routine part of daily life over time. For an overview of available ostomy care products, you can visit Carbou to start your ostomy journey!