Article
External Catheters

Exploring the Functionality of External Catheters: A Detailed Look

Angela Breslin, RN
June 12, 2024
0
min read

How Does an External Catheter Work?

Male external catheters, also called condom catheters, are simple devices to help manage urinary incontinence in men. They work by channeling urine away from the body into a collection bag. Here's how they work:

Mechanism

An external catheter fits over the penis like a condom. It is connected to a drainage tube that leads to a urine collection bag. The bag can be attached to the leg or placed nearby. This setup allows urine to flow into the bag, keeping the skin dry and reducing the risk of infections.

Urine Collection

Once the catheter is in place, urine flows from the bladder through the catheter and into the tube. It then collects in the bag. The bag can be emptied as needed, making it convenient for long-term use.

Skin Protection

One of the main benefits of external catheters is their ability to protect the skin. By directing urine away, these catheters reduce skin contact with moisture. This helps prevent skin irritation and infections, which are common issues for those with urinary incontinence.

Applying an External Catheter

  1. Cleanliness: Start by washing your hands and cleaning the penis with mild soap and water. Dry thoroughly.
  2. Sizing: Make sure to use the correct size for a secure and comfortable fit. Too tight can cause irritation, and too loose can lead to leaks.
  3. Application: Roll the catheter onto the penis, similar to how you would apply a condom. Ensure it is snug but not too tight. Attach the drainage tube to the catheter and connect it to the collection bag.

Maintenance

Daily care is crucial for the effective use of external catheters. Regularly check for leaks or signs of irritation. Clean the area and replace the catheter as recommended by your healthcare provider to maintain hygiene and effectiveness.

By following these steps, an external catheter can be a convenient and hygienic solution for managing urinary incontinence.

This section provides a clear and simple explanation of how external catheters work, incorporating necessary details on mechanism, urine collection, skin protection, application, and maintenance.

External catheters, often called "condom catheters" for men or "wick catheters" for women, provide a non-invasive solution to urinary incontinence. They collect urine through a device placed over the genital area and divert it into a collection bag, reducing skin contact with urine and lowering the risk of infections.

Overview

Urinary incontinence is a common issue that affects millions, especially in retirement-age individuals with chronic health conditions. It can significantly impact daily life and emotional well-being. External catheters offer a dignified, non-invasive solution to help manage this condition.

Urinary Incontinence

Those struggling with urinary incontinence know the challenges: frequent leaks, skin irritation, and the constant need to manage fluid without disrupting daily activities. This can be especially frustrating for retirement-aged individuals who value convenience and independence.

Non-Invasive Solutions

External catheters present a practical and non-invasive option. Unlike indwelling catheters, they don't require insertion into the bladder, reducing the risk of urinary tract infections. Devices like condom catheters for men and wick catheters for women offer comfort and effectiveness for daily use, allowing individuals to maintain their routine with ease.

What is an External Catheter?

An external catheter is a device designed to manage urinary incontinence without the need for insertion into the bladder. This makes it a non-invasive and convenient option for many men and women.

Definition

External catheters, sometimes called condom catheters for men, are worn outside the body to collect urine. They consist of a sheath that fits over the penis and connects to a drainage bag. For women, devices use a wicking mechanism to draw urine away from the body and into a collection container.

Types

There are several types of external catheters, each tailored to different needs and preferences:

  • Male External Catheters: Commonly known as condom catheters, these are available in various materials like silicone and latex. Silicone is hypoallergenic and flexible, making it ideal for those with latex allergies. Some come with self-adhesive properties for ease of use, while others require additional adhesive.

  • Female External Catheters: These devices use a wicking mechanism to draw urine away from the body. They often have a collection chamber that contours over the labia and an adhesive to keep them in place.

  • Bodyworn Products: These products are designed to be worn discreetly under clothing, offering mobility and convenience. They are suitable for individuals with limited mobility or those who prefer not to use traditional collection bags.

Usage

External catheters are used by individuals who can pass urine freely but cannot always control when it is released. They are particularly beneficial for:

  • Urinary Incontinence: When someone cannot control urine flow.
  • Stress Urinary Incontinence: Accidental leakage during activities like laughing or sneezing.
  • Overactive Bladder: Frequent and urgent need to urinate.
  • Limited Mobility: Convenient for those who cannot easily get to a bathroom.
  • Nighttime Urinary Frequency: Helps avoid getting up multiple times during the night.
  • Dementia: Assists caregivers in keeping their loved ones dry and clean.

Using an external catheter involves attaching the device to the penis or positioning it for female anatomy, connecting it to a drainage bag, and ensuring it is secure. Proper hygiene is crucial to avoid complications like skin irritation or infection.

External catheters offer a practical solution for managing urinary incontinence, allowing individuals to maintain their daily routines with ease and comfort.

How Does an External Catheter Work?

External catheters are designed to manage urinary incontinence efficiently and comfortably. They work by collecting urine externally, preventing skin contact, and ensuring hygiene. Let's dive into the different types of external catheters and understand how they manage urinary incontinence.

Types of External Catheters

Male External Catheters: Also known as condom catheters, these are worn over the penis. They are connected to a drainage bag that collects urine. These catheters are available in different materials like silicone and latex. Silicone catheters are hypoallergenic and flexible, making them ideal for sensitive skin. Latex catheters are more elastic but not suitable for those with latex allergies.

Female External Catheters: Devices like the QiVi Female External Catheter use a soft, flexible material to contour the labia and collect urine. A novel, derma-friendly adhesive helps secure the device at the less sensitive suprapubic region, reducing the risk of skin irritation.

Bodyworn Products: These include wearable devices that can be discreetly attached to the body, such as specialized underwear or adhesive patches. They offer convenience and mobility, especially for individuals with limited movement or those who prefer a more integrated solution.

How External Catheters Manage Urinary Incontinence

Mechanism: External catheters function by channeling urine away from the body into a collection bag. For male catheters, the device is rolled onto the penis, and for female catheters, it is positioned near the urethral opening. The urine is then diverted through tubing into a drainage bag, which can be attached to the leg or bedside.

Urine Collection: The collected urine is stored in a drainage bag that needs to be emptied regularly. It's crucial to clean the bag and tubing daily to reduce odor and bacterial buildup. For example, a mixture of 1-part bleach to 10-parts water can be used for cleaning.

Skin Protection: External catheters are designed to keep urine off the skin, preventing issues like incontinence-associated dermatitis. Ensuring the correct size and fit is essential to avoid leaks and skin irritation. Proper hygiene practices, including washing the hands and the application area, help maintain skin integrity.

Odor Control: Regular cleaning of the drainage bag and tubing helps manage odor. Using mild soaps and ensuring the collection system is thoroughly rinsed and air-dried can minimize unpleasant smells.

Comfort: Comfort is a key benefit of external catheters. Silicone catheters, for instance, offer flexibility and hypoallergenic properties, making them comfortable for extended wear. Female external catheters like the QiVi are designed to be worn for up to 24 hours without causing discomfort.

External catheters provide a practical and non-invasive solution for managing urinary incontinence. By understanding the different types and how they function, individuals can choose the best option for their needs.

Next, we'll explore the benefits of using external catheters, including reduced UTI risk, comfort, and ease of use.

Benefits of Using External Catheters

Comparing External and Internal Catheters

When it comes to managing urinary incontinence, both external and internal catheters have their own set of benefits and challenges. Let's dive into how external catheters stack up against internal ones in terms of reduced UTI risk, comfort, ease of use, and other key factors.

Reduced UTI Risk

One of the biggest advantages of external catheters is their lower risk of causing urinary tract infections (UTIs). According to Cleveland Clinic, 75% of hospital-acquired UTIs are linked to indwelling urinary catheters. External catheters are less likely to introduce bacteria into the urinary tract, significantly reducing the risk of infection.

Comfort

Comfort is a major factor for anyone dealing with urinary incontinence. External catheters are generally more comfortable because they are non-invasive. They sit on the skin rather than being inserted into the bladder.

Customer reviews often highlight comfort as a key advantage. One user mentioned, "It is comfortable & works like a charm in keeping the patient totally dry and clean."

Ease of Use

External catheters are easier to apply and remove compared to internal catheters. You simply roll them on like a condom or place them over the vulva. This makes them a convenient option for both patients and caregivers.

For example, condom catheters can be applied in a matter of minutes and are designed to be worn discreetly under clothing. This ease of use can be a game-changer for people who need to manage incontinence while maintaining an active lifestyle.

Infection Rates

As mentioned earlier, indwelling catheters are associated with higher infection rates. The risk of getting a UTI increases by 3-7% each day an indwelling catheter is in place. This makes external catheters a safer option for long-term use.

Comfort Levels

External catheters are generally more comfortable because they don't involve inserting a tube into the bladder. This reduces the risk of urethral injuries and discomfort.

Usage Scenarios

External catheters are ideal for people who need a non-invasive solution for urinary incontinence. They are particularly useful for those who are mobile and active, as they can be worn discreetly under clothing. Internal catheters, on the other hand, are more suited for patients who are bedridden or require continuous urine drainage.

By comparing these factors, it's clear that external catheters offer several advantages over internal ones, especially in terms of reduced UTI risk, comfort, and ease of use. Next, we'll delve into the proper application and maintenance of external catheters to ensure their effectiveness and longevity.

Proper Application and Maintenance of External Catheters

Daily Care and Replacement

Proper daily care and regular replacement of external catheters are crucial for comfort and to prevent complications like infections and skin irritation. Here’s how to do it right:

Application Techniques1. Clean and Dry: Always wash your hands and the penis thoroughly with mild soap and warm water before applying the catheter. Ensure the area is completely dry.2. Inspect: Check the skin for any signs of irritation, sores, or damage.3. Apply: Gently roll the catheter onto the penis, leaving a small space at the tip to prevent rubbing. Make sure it fits snugly but not too tight.4. Secure: Use the provided adhesive or a skin-prep sealant to secure the catheter, ensuring it stays in place.

Daily Maintenance1. Replace Every 24 Hours: External catheters should be replaced daily to maintain cleanliness and inspect for any damage.2. Inspect and Clean: Check the penis for irritation and clean the area with mild soap and water. Dry thoroughly before applying a new catheter.3. Use Adhesive Remover: If needed, use an adhesive remover to gently take off the old catheter without causing skin damage.

Hygiene Practices1. Wash Hands: Always wash your hands before and after handling the catheter.2. Mild Soaps: Use mild soaps to clean the skin around the catheter to avoid irritation.3. Dry Well: Ensure the skin is dry before applying a new catheter to prevent moisture-related issues.

Cleaning and Replacement Schedule1. Leg Bags and Drainage Bags: Empty the bags when they are half full. Clean the bags and tubing daily using a mixture of 1-part bleach to 10-parts water, then rinse with warm water.2. Daily Replacement: Replace the catheter every 24 hours. Most insurance plans cover 35 catheters per month, along with two leg bags, two bedside drainage bags, and connection tubing.

Troubleshooting Common Issues

Leakage1. Correct Sizing: Ensure you are using the correct size. A measuring guide can help determine the best fit.2. Secure Fit: Make sure the catheter is rolled down smoothly and securely, leaving a small space at the tip.

Skin Irritation1. Inspect Regularly: Check for any signs of skin irritation or breakdown daily.2. Adhesive Remover: Use a warm washcloth or adhesive remover to help loosen the adhesive when removing the catheter.3. Natural Foreskin Position: If uncircumcised, always leave the foreskin in its natural position to avoid damaging penile tissues.

Secure Fitting1. Proper Adhesive: Use a skin-prep sealant to ensure the adhesive sticks to the sealant, not your skin.2. Check for Damage: Inspect the catheter daily for any tears or damage.

By following these daily care tips and troubleshooting common issues, you can maintain the effectiveness and comfort of your external catheter. This proactive approach will help you avoid complications and ensure a more comfortable experience.

Next, we'll address frequently asked questions about external catheters, including how long you can wear them and how to keep them secure.

Frequently Asked Questions about External Catheters

How long can you wear an external catheter?

You should replace a male external catheter every day. This helps keep the skin healthy and prevents infections. Regular inspections ensure the catheter is working well and not causing any damage.

For female external catheters, the replacement schedule may vary depending on the specific product and usage. Always consult your healthcare provider for personalized advice.

What are the common problems with external catheters?

Leaks: If you notice urine leaking around the catheter, it could mean it's not fitted correctly or there's a blockage.

Discomfort: Any discomfort or pain might indicate that the catheter is too tight or not applied correctly.

Skin Issues: Regularly check for any signs of skin irritation, redness, or sores. If you cannot feel your penis due to nerve damage, it's especially important to visually inspect the area regularly to ensure a proper fit.

If you experience discomfort when removing the external catheter, consider using an adhesive remover. Wrapping a warm washcloth around your penis prior to removal can also help loosen the adhesive.

How to ensure an external catheter stays in place?

Adhesive Techniques: Use a good adhesive to keep the catheter in place. If you experience discomfort when removing the catheter, consider using an adhesive remover. Wrapping a warm washcloth around your penis before removal can also help loosen the adhesive.

Proper Sizing: Ensure the catheter fits well. A catheter that is too tight can cause skin irritation, while one that is too loose may lead to leaks. It's essential to find the right fit for comfort and functionality.

Skin Prep: Clean your penis and the area around it, but make sure it’s dry when you attach the adhesive or use the skin glue. This helps the adhesive stick better.

By addressing these common questions, we aim to help you use external catheters more effectively and comfortably.

Next, let's explore the benefits of using external catheters and how they compare to internal catheters.

Conclusion

Recap

We've delved into external catheters, shedding light on their functionality and benefits. External catheters, often referred to as "bodyworn products," offer a non-invasive solution for managing urinary incontinence. They work by collecting urine externally, thus avoiding the complications associated with internal catheters.

We've discussed how external catheters work, emphasizing their mechanism of urine collection and skin protection. These devices are particularly beneficial for individuals with urinary incontinence, stress urinary incontinence, overactive bladder, and other conditions that make controlling urine flow challenging.

ProMed DME

At ProMed DME, we are dedicated to providing high-quality medical supplies that enhance the quality of life for our customers. Our range of external catheters is designed to offer comfort, ease of use, and reliability. We understand that every individual's needs are unique, which is why we offer a variety of options to suit different preferences and medical conditions.

Whether you are a healthcare provider looking for the best solutions for your patients or an individual seeking a comfortable and effective way to manage urinary incontinence, ProMed DME has you covered. For more information on our products and how they can benefit you, visit our external catheters page.

Managing urinary incontinence doesn't have to be a struggle. With the right tools and support, you can lead a comfortable and active life. Thank you for choosing ProMed DME as your trusted partner in healthcare.

View Resource

Discover the ProMed Advantage
& Try Our Products

We offer free shipping and legendary customer service to ensure you receive the
best DME products for your needs.