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. Urostomy pouches feature a tap at the bottom to empty urine. The built-in anti-reflux valve resists the back flow of urine.