Multi-National Phase III Vitala™ 12-Hour Wear Test

Inclusion Criteria: * Is of legal consenting age. * Is able to read, write, and understand the study, the required procedures, and the study related documentation. * Has signed the informed consent. * Has an end colostomy of at least 12 weeks duration with formed or semi- formed effluent. * Is able to wear a Natura® skin barrier wafer flange in size 45mm or 57 mm. * Is willing to remove and replace the skin barrier wafer after three days, more often if desired. * Has a stoma that protrudes no more than 2 cm at rest. * Has demonstrated success in wearing a traditional pouching system. (Investigator judgment) * Is willing to participate in the trial for a total of 215 days. (approximately 7 months) * Is willing to meet with the investigator for a total of 12 scheduled visits plus additional visits as deemed necessary by the investigator. * Has the ability to do complete self-care. Exclusion Criteria: * Has known skin sensitivity to any component of the products being tested. * Has a skin rating of "2" or greater according to the Skin Rating Scale. * Is receiving radiation in the area of the pouching system. * Is receiving chemotherapy other than a stable regimen of maintenance chemotherapy. * Requires a pouch belt while wearing Vitala * Requires convexity or a moldable skin barrier. * Has participated in a clinical study within the past 90 days.