Hollister Karaya 5 Colostomy Pouches

The Karaya 5 line from Hollister is built around a simple idea familiar to long-time ostomates: a natural karaya gum skin barrier that swells slightly to hug the stoma, absorbs moisture, and helps protect peristomal skin from output. These are one-piece vinyl colostomy pouches, meaning the barrier and pouch come as a single integrated unit—no separate wafer to align, no coupling ring to click into place. For many colostomy patients, that's the whole appeal: fewer steps, fewer parts, a routine that's quick to master.

Because Karaya 5 is a pre-cut system, choosing correctly comes down to matching the pouch to your stoma. Measure your stoma at its widest point and pick the size that clears the edges without leaving much exposed skin. This collection spans a wide range—from small openings around 5/8" and 7/8" up through 1-3/8", 2", and 2-1/2" stomas—so most colostomates can find a close fit off the shelf.

You'll also see two decisions repeated across the range. Drainable versus closed-end: drainable pouches (like the 12" model 3229 for a 1-3/8" stoma, or the 16" model 3276 for a larger 2-1/2" stoma) open at the bottom for emptying and reuse through the day, while closed-end pouches such as the 7164 are meant to be removed and discarded—handy for predictable, formed output. Transparent versus opaque: clear pouches like the 3603 and 3609 let you monitor output and stoma condition, useful in the weeks after surgery, while opaque options offer more discretion once you know your pattern. Pouch length (12" or 16") lets you balance capacity against how much you want under clothing.

Karaya 5 is a classic, straightforward choice—no accessories required to get started. If you're comparing barrier types or one-piece versus two-piece designs, browse our full Ostomy Care selection to see how these pouches fit alongside other systems.