• Extra Large- fits up to 3½" stoma. • 10 tail closures per box. • Transparent. • Combines benefits of one- and two-piece systems. • Easy to apply and remove. • Innovative Adhesive Coupling technology. Esteem synergy Straight Drainable Pouch With One Sided Comfort Panel utilizes an innovative Adhesive Coupling Technology that connects the pouch to the skin barrier and eliminates the need for plastic rings that have to be snapped or locked together. The Esteem synergy ostomy system has a flat, flexible adhesive foam ring on a pouch that securely connects with a clear, flat, flexible plastic landing zone flange on a skin barrier. The product referenced on this detail page is sold be 10/Bx.