Male External Catheter with Integral Collection Chamber (A4326)

Name of the Procedure:

Common Names: Condom catheter, Texas catheter, urinary sheath
Technical/Medical Term: Male external catheter with integral collection chamber

Summary

A male external catheter with an integral collection chamber is a medical device used to manage urinary incontinence in men. It is a non-invasive option that fits over the penis like a condom and collects urine in a chamber attached to the device.

Purpose

This device is primarily used to address urinary incontinence, providing a reliable, non-invasive method for collecting urine without the need for an indwelling catheter. The goal is to maintain hygiene, prevent skin irritation, and improve the quality of life for men with urinary incontinence.

Indications

• Chronic urinary incontinence
• Overflow incontinence
• Men who are bedridden or have limited mobility
• Men recovering from surgery or with neurological conditions affecting bladder control

Preparation

• Ensure the genital area is clean and dry.
• Remove any hair in the area if necessary to improve adhesion.
• No specific fasting or medication adjustments are typically required.

Procedure Description

1. Selection: Choose the correct size of the catheter to ensure a comfortable fit.
2. Application:
   • Apply a skin protectant if recommended.
   • Place the catheter over the penis, ensuring it covers the shaft snugly but not too tightly.
3. Attachment:
   • Attach the catheter to the integral collection chamber.
4. Securing:
   • Secure any adhesive tabs as per the product instructions to keep the catheter in place.

No anesthesia or sedation is required.

Duration

Applying the device typically takes a few minutes.

Setting

This procedure can be performed at home or in a healthcare setting such as a hospital or outpatient clinic.

Personnel

Although it can be applied by patients themselves or caregivers, assistance from a nurse or medical professional may be beneficial initially.

Risks and Complications

• Skin irritation or allergies to adhesive
• Improper fit leading to leakage
• Urinary tract infection if not changed regularly
• Blood flow restriction if applied too tightly

Benefits

• Non-invasive and easy to use
• Maintains dry skin and reduces the risk of infections
• Enhances comfort and quality of life
• Allows mobility and reduces the need for frequent diaper changes

Recovery

No specific recovery time is needed. Regular device changes and hygiene maintenance are crucial. Follow-up appointments depend on the underlying condition but generally involve routine checks.

Alternatives

• Indwelling Foley catheter: More invasive but suitable for long-term use
• Intermittent catheterization: Involves periodically inserting a catheter to drain the bladder
• Absorbent products: Adult diapers or pads Each alternative has its pros and cons regarding comfort, risk of infection, and invasiveness.

Patient Experience

Patients may feel a mild snugness from the catheter. Initial use might require adjustment to get the right fit. Proper skin care is vital to prevent irritation. The comfort level generally increases with use, and effective pain management measures can include using barrier creams and regularly changing the device.