Which of the following is NOT a customized pouching solution type for fistulas?

• A. Floating stoma
• B. Troughing
• C. Bridging
• D. Saddle bagging

Answer: (A)

When managing fistulas with a pouching system, the goal is to redirect or capture fistula output and protect the surrounding skin. Troughing creates a channel around the fistula opening so effluent drips into the pouch while keeping the skin dry. Bridging uses a flexible bridge over the fistula to seal it and prevent leakage onto peristomal skin. Saddle bagging adds a secondary bag or extension to collect fistula output alongside the main pouch. A floating stoma, however, is a surgical stoma configuration rather than a pouching modification designed to manage fistula output. It isn’t a customized pouching solution type for fistulas, which is why it’s the correct choice.