Colleen: I am a 79 year old male and relative new with my ileostomy appliance. I may have to have for the rest of my life, just don't know at this time. I am 6' 5" tall and was not able to reach the inside of a toilet while sitting, so I had to figure something else, I found flushable dog poop bags and a cup that will accomadate the bag, then I either hang the cup around my neck so it fits the bottom of my pouch or place the cup on something solid and discharge my pouch, then flush all. I can also sit on a toilet, depost into the pouch and flush the bag, have not plugged up a toilet yet, At home I use medical table that adjusts up and down, on the table I place a plastic container and adjust all to fit the bottom of pouch, then simple make my deposit, clean out the container and move on. Would all this information is there anything you have learned over the years that would help me? Thanks, Terry