Name of the Procedure:

Male External Catheter, with or without Adhesive, Disposable, Each (HCPCS A4349)

• Common Names: Condom catheter, Texas catheter
• Medical Term: Male external urinary catheter

Summary

In layman's terms, a male external catheter is a device used to manage urinary incontinence in men. It is worn like a condom over the penis and collects urine into a drainage bag, eliminating the need for an indwelling catheter inside the urinary bladder.

Purpose

The primary purpose of a male external catheter is to manage urinary incontinence and maintain urinary hygiene. The goals are to provide a non-invasive urine collection method, reduce skin irritation and infection risks, and enhance the patient's comfort and quality of life.

Indications

Male external catheters are suitable for individuals experiencing urinary incontinence due to conditions such as:

• Spinal cord injuries
• Prostate enlargement
• Post-surgical recovery involving the urinary tract
• Neurological disorders like multiple sclerosis or Parkinson's disease This procedure is appropriate for patients who can maintain the catheter in place without causing significant discomfort or skin damage.

Preparation

No specific diagnostic tests or extensive preparation is typically required. However, patients should:

• Clean and dry the genital area to prevent infections.
• Follow any specific instructions provided by their healthcare provider regarding skin care and hygiene.

Procedure Description

1. The genital area is cleaned and dried thoroughly.
2. An appropriate-size catheter is selected.
3. The catheter is rolled over the penis, similar to a condom.
4. If using an adhesive variety, ensure the adhesive is securely applied to avoid leakage.
5. The catheter is connected to a drainage bag for urine collection.
6. Regular checks are made to ensure the catheter is properly positioned and no skin irritation occurs.

No anesthesia or sedation is required for this non-invasive procedure.

Duration

Applying the male external catheter typically takes 5-10 minutes.

Setting

The procedure can be performed at home, in a hospital, outpatient clinic, or a long-term care facility.

Personnel

A healthcare professional, such as a nurse or a trained caregiver, usually assists in initial applications. Subsequent applications can often be managed by the patient or a family member after appropriate training.

Risks and Complications

• Skin irritation or ulceration
• Urinary tract infections (UTIs)
• Catheter dislodgment or leakage
• Allergic reaction to adhesive material

Complications can be managed by proper skin care, regular monitoring, and using hypoallergenic products.

Benefits

• Non-invasive and more comfortable compared to indwelling catheters
• Reduced risk of UTIs compared to internal catheters
• Convenience for patients and caregivers
• Improved quality of life and hygiene

Benefits are often realized immediately upon proper application and use.

Recovery

No recovery time is needed. Patients should:

• Ensure regular catheter changes as recommended by their healthcare provider.
• Maintain proper genital hygiene.
• Monitor for any signs of skin irritation or infection.

Follow-up appointments may be necessary to assess skin condition and overall effectiveness.

Alternatives

• Indwelling urinary catheters: More invasive, higher risk of infections but suitable for long-term use.
• Absorbent pads or adult diapers: Non-invasive, but may be less comfortable and less effective for managing large volumes of urine.
• Intermittent catheterization: Involves inserting a catheter multiple times a day, reducing infection risk compared to indwelling but more invasive than an external catheter.

Patient Experience

Patients may initially feel some discomfort or awkwardness when first using the catheter. However, once accustomed, it generally offers a comfortable and convenient way to manage urinary incontinence. Pain management is typically not necessary, and comfort measures include ensuring the correct size and proper application of the catheter. Regular monitoring will ensure a better and more comfortable experience.