Regarding "Small Details Make A Difference: Tail Closures" (Ostomy/Wound Management. 2004;50:12), the article criticized Velcro® because it catches on clothing, tends to become soiled, and is difficult to clean. In our worldwide experience with EasiClose (Coloplast Corporation, Marietta, Ga.), this has not been the case. Since 2000 when our company launched the original clampless pouch, thousands of users have reported extremely positive experiences. Moreover, we have clinical data showing more than 80% of users preferred our product's type of outlet to traditional drainable pouch closures.* If Velcro were as problematic as the author suggests, this would not be the case.... continue reading about Letters to the Editor: Balancing the Scales while "Making a Difference"