Name of the Procedure:

Common name: Female external urinary collection device
Technical term: A4328 - Female external urinary collection device; pouch, each

Summary

A female external urinary collection device, commonly referred to as a urinary pouch, is a non-invasive method for collecting urine. This device is designed to be attached externally to the female body to channel urine away from the skin and into a collection bag or pouch.

Purpose

The primary purpose is to manage urinary incontinence by providing a comfortable and efficient way to collect urine without the need for catheterization. This can help prevent skin irritation and infections caused by prolonged exposure to urine.

Indications

• Symptoms of urinary incontinence, such as loss of bladder control.
• Patients who are bedridden or have limited mobility.
• Conditions making it difficult to use traditional methods (e.g., indwelling catheters).

Preparation

• Clean the genital area thoroughly.
• Dry the area to ensure adhesiveness.
• No special fasting or medication adjustments are typically required.

Procedure Description

1. Cleaning: Begin by cleaning the genital area with warm water and mild soap.
2. Drying: Pat the area dry carefully to remove all moisture.
3. Application: Place the urinary collection device over the genital area. It may have adhesive edges or be secured using a strap system.
4. Connection: Connect the device to a drainage bag if it’s not already attached.
5. Monitoring: Monitor the device for proper placement and function, ensuring no leakage.

Duration

The setup procedure typically takes about 5-10 minutes.

Setting

The device application can be performed in various settings, including hospitals, outpatient clinics, nursing homes, or even at home.

Personnel

• Primarily caregivers or nurses.
• Occasionally, patient education might be needed whereby patients can eventually manage it themselves.

Risks and Complications

• Skin irritation or breakdown due to improper use.
• Urinary tract infections if the device is not kept clean.
• Leakage if the device is not positioned correctly.

Benefits

• Non-invasive and reduces the risk associated with indwelling catheters.
• Improved quality of life by managing incontinence discreetly.
• Reduced skin irritation and infections.

Recovery

• Minimal recovery needed as it is a non-invasive device.
• Ongoing use may require regular skin checks and device adjustments.
• Immediate improvement in management of urinary incontinence can be expected.

Alternatives

• Indwelling urinary catheters.
• Absorbent products like pads and adult diapers.
• Behavioral techniques and bladder training.

Pros of Alternates:

• Indwelling catheters provide longer-term management.
• Pads and diapers are easy to use without technical knowledge. ##### Cons of Alternates:
• Catheters carry higher infection risks.
• Pads and diapers can cause skin irritation and are less discreet.

Patient Experience

• During: Patients may feel discomfort initially until they get accustomed to the device.
• After: Minimal discomfort, with improved hygiene and discretion in managing urinary output.
• Pain Management: Generally not required. Comfort measures include regular skin checks and proper re-application of the device.