Name of the Procedure:

Common Name(s): Urinary suspensory with leg bag
Medical Term: Urinary suspensory device with leg bag, each

Summary

A urinary suspensory with a leg bag is a medical device designed to aid individuals who have trouble controlling their bladder. It involves using a flexible tube to channel urine from the bladder into a bag attached to the leg, allowing for discreet and convenient urine collection.

Purpose

Medical Conditions or Problems Addressed:

• Urinary incontinence
• Mobility restrictions that prevent frequent bathroom visits
• Post-surgical urinary retention control

Goals or Expected Outcomes:

• Improved quality of life by preventing involuntary urine leakage
• Allowing greater independence in day-to-day activities
• Reducing skin irritation and infections associated with incontinence

Indications

Symptoms or Conditions:

• Frequent and uncontrolled urine leakage
• Inability to fully empty the bladder
• Urinary retention

Patient Criteria:

• Individuals with chronic incontinence
• Post-operative patients experiencing temporary urinary issues
• Patients with mobility limitations

Preparation

Pre-Procedure Instructions:

• Proper personal hygiene, especially in the genital area
• Patients may be asked to avoid certain foods or drinks that irritate the bladder
• Training on device usage and maintenance

Diagnostic Tests:

• None typically required for device application
• Assessment of urinary problems and skin conditions

Procedure Description

1. Hygiene: Clean the genital area thoroughly.
2. Applying the Suspensory: Secure the suspensory device around the genital area.
3. Attaching the Tube: The flexible tube is connected from the suspensory to the leg bag.

4. Securing the Leg Bag: Attach the leg bag to the lower leg using straps or holders.

   Tools and Equipment:

   • Urinary suspensory with adjustable straps
   • Flexible urinary tube
   • Leak-proof leg bag with straps

Anesthesia or Sedation:

• None required

Duration

The application of the device typically takes around 15-30 minutes.

Setting

The procedure can be performed at:

• Outpatient clinics
• Home health care settings

Personnel

• Nurses
• Medical Assistants
• Caregivers trained in device application

Risks and Complications

Common Risks:

• Skin irritation or rash where the device contacts the skin
• Mild discomfort or irritation from the tube

Rare Risks:

• Urinary tract infections (UTIs)
• Device malfunction or leakage
• Allergic reactions to materials

Benefits

Expected Benefits:

• Immediate relief from incontinence
• Enhanced independence and mobility
• Reducing the risk of skin complications from prolonged wetness

Recovery

Post-Procedure Care:

• Regular cleaning of the device and surrounding skin
• Monitoring for signs of infection or irritation

Expected Recovery Time:

• Immediate adjustment, ongoing usage

Restrictions and Follow-Up:

• Regular check-ins with healthcare providers to monitor skin health and device efficacy

Alternatives

Other Treatment Options:

• Absorbent pads or adult diapers
• Medication for bladder control
• Surgical interventions (e.g., bladder suspension surgery)

Pros and Cons:

• Pads/Diapers: Easier to use but less discreet
• Medication: Can help some but not all patients, with potential side effects
• Surgery: Lasting solution but involves significant recovery and risks

Patient Experience

During and After the Procedure:

• During: Some initial discomfort or unfamiliarity while the device is fitted
• After: Potential for minor discomfort; most patients adapt quickly

Pain Management and Comfort Measures:

• Proper fitting to minimize discomfort
• Regular monitoring and adjustments by healthcare professionals