Esteem Synergy Urostomy Pouch with Accuseal Tap with Valve. Standard length, 10.3″ Transparent with 1-sided comfort panel. Small stoma opening (matches to skin barrier). Esteem synergy is a two-piece ostomy system with an innovative resealable adhesive coupling technology that connects the pouch to the skin barrier. It provides the low-profile of a one-piece system with the versatility of a two-piece system. Packaging: 10/Box (Each box contains 2 Accuseal night drainage adapters).