The colostomy plug: a new disposable device for a continent colostomy

Area of Science:

• Medical Devices
• Gastroenterology
• Surgical Appliances

Background:

• Colostomy management presents challenges in maintaining fecal continence and managing flatus.
• Existing colostomy appliances may not fully address issues of odor, noise, and patient comfort.
• There is a need for discreet and effective colostomy control solutions.

Purpose of the Study:

• To describe a new disposable device for colostomy control.
• To evaluate the efficacy and usability of this novel colostomy plug system.

Main Methods:

• A two-piece system comprising an adhesive base plate and a disposable, carbon-filtered colostomy plug.
• The plug, made of open-cell plastic, is water-soluble film-packed for immediate expansion upon insertion.
• Clinical evaluation conducted in 53 patients to assess performance and application duration.

Main Results:

• The device achieved fecal continence and odor-free flatus passage in 90% of patients.
• Median application period before obstruction by mucus or feces was 8 hours (range 5-24+ hours).
• Application duration was longer in patients using bowel irrigation; others used nighttime colostomy bags.

Conclusions:

• The disposable colostomy plug is an effective device for managing colostomy output.
• It significantly improves fecal continence and controls flatus odor and noise.
• The device offers a promising alternative for colostomy care, enhancing patient quality of life.