The Lacy Cummerbund product was designed to be an aid while engaged in procreation and some other short-term activities. The Cummerbund completely covers the pouch and was originally called a Sex Gard. The Cummerbund is available in black or white, is machine washable, and also comes in its own travel pouch. Sizes are in inches as needed for each individual waist size in addition to measurement around stoma level. The Cummerbund also has an inside pocket to hold your pouch therefore we need for you to tell us the location of your stoma. Should you not see your waist size listed below please specify your waist size in the comments section on the order form.