2 Accuseal night drainage adapters included. The Esteem synergy ostomy system utilizes an innovative Adhesive Coupling Technologythat 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 Esteem synergy pouch is easy to apply, easy to remove and is designed to fit on any shape abdomen. The built-in anti-reflux valve resists the back flow of urine. Two Accuseal Adapters are provided to facilitate connection to a Night Drainage System.