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Female external urinary collection device; pouch, each

HCPCS code

Name of the Procedure:

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


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.


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.


  • 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).


  • 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.


The setup procedure typically takes about 5-10 minutes.


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


  • 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.


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


  • 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.


  • 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.

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