Condom urinal
The condom urinal (including urinary condom ) is a dissipative incontinence system as a tool in the care and treatment of in urinary incontinence is used suffering men. The common disposable systems made of latex or silicone have the shape of a condom with the option of connecting a hose. Compared to the supply of urinary catheters, they offer the advantage of easier handling and lower health risk, but are not suitable for all cases of necessary incontinence care.
Condom urinals are also used in diving and air sports as further areas of application.
Application and areas of application
A condom urinal is a male urinary drainage system that is not inserted into the urethra . Like a condom, it encloses the limb in a watertight manner and guides the urine into a collecting bag with a small tube. The system is not suitable for men with a small, retracted penis . Urinary incontinence is not cured, but its social consequences are compensated. Does the patient not have to visit B. catheterize because of a neurogenic voiding disorder , then condom urinals offer an alternative and are often perceived as less uncomfortable. Likewise, if necessary, the use of templates and pant diapers can be dispensed with if only urinary incontinence is present. In many cases, patients can be instructed to put on the condom urinals themselves.
The urinal has fewer harmful physical effects than a urinary catheter (ascending infections, ulcers, pain). It also provides a suitable alternative to absorbent incontinence products such as drip, templates and diapers . There are also external urine drainage systems for women that are similar in structure and functionality to the condom urinal.
In diving - especially in technical diving or diving in colder waters - a dry suit is often used. Since this is completely dry inside, urinating in a suit is not so easy. In addition to an adult diaper, a urinal valve in the suit offers the opportunity to urinate during the dive. Men have to use a urinal condom for this, for women there are similar constructions for sticking to the skin that has been freed from hair.
In aviation - especially paragliding, hang gliding and gliding - urinal condoms are suitable for being able to urinate on long cross-country flights.
history
The forerunners of the condom urinals used today were vessels for collecting urine and were described by Ambroise Paré (1510–1590) and Wilhelm Fabry (1560–1634) for supplying urinary incontinence in men. These vessels consisted of glass or a pig's bladder that were attached to the body with a strap. The penis was inserted into the opening of the vessels. It was only with the introduction of new materials ( rubber , rubber ) that better models that were more comfortable for the user could be produced. Around 1900, different models were already being offered for men, which were used in little changed form until the introduction of single-use materials. The multiple-use condom urinals were often made of latex in the past. The structure of these condom urinals was very complex, so the condom was fixed to the body in the genital area by means of special underpants or several straps or elastic straps. The urine bag was also made of latex and was attached to the thigh with straps. Today, condom urinals made of rubber or latex are practically no longer used because they are difficult to clean and also do not meet the discretionary requirements of "modern" people.
Single-use condom urinals
Modern condom urinals offer reliable protection if the correct size and shape are carefully selected. They are used together with a leg bag or a bed bag for night care. Condom urinals are made of latex and silicone . They are offered in two versions, the non-ready-to-use and uncoated and the ready-to-use condom urinals with a skin adhesive.
Latex condom urinals
Due to the high risk of a latex allergy , these condom urinals should only be used temporarily. Because of the increased skin irritation, they should not be worn for longer than 24 hours.
Silicone condom urinals
Silicone condom urinals for long-term care can be worn for up to 48 hours, as they are made from a special skin-friendly silicone material to prevent unnecessary skin irritation. These condom urinals also have a backstop that prevents urine from flowing back, protects the adhesive surfaces from moisture and thus prevents skin irritation. They are therefore preferable to latex models.
Mounting options
There are basically three options available for securely attaching a condom urinal to the penis.
Skin glue
In contrast to the non-influenceable adhesive coating on self-adhesive condom urinals, when using a skin adhesive from the tube or bottle, you can determine the amount, where and width of the adhesive to be applied. The water resistance of the skin adhesive enables the urinal to be worn while bathing and swimming without affecting the adhesive. However, if you take a long bath in very warm water, the adhesive strength can decrease. Different skin adhesives can be used to precisely adapt to the needs of the wearer, but attachment using skin adhesives is rarely used.
Double-sided adhesive tapes
In the case of latex intolerance, latex-based skin adhesives must not be used. In such cases, the adhesive tape, in addition to the latex-free skin adhesives, is the most suitable type of fixation. Adhesive tapes can also be helpful if the adhesive surface is insufficient. Some perceive the application of the adhesive tapes as the “clean” solution compared to the skin adhesive.
Self-adhesive condom urinals
Self-adhesive models are equipped with an adhesive layer on the inside. Due to the even application, the adhesion is usually better than with other fixation systems, and the application is easy to learn.
Skin texture and frequency of change
In order to achieve a sufficient adhesive effect on the one hand and to minimize skin irritation on the other hand, you should pay attention to a few points when using the skin adhesive. The skin should have a normal fat and moisture content, strongly moisturizing soaps and shower gels should be avoided, as well as oily bath additives and body lotions. The condom urinal should not be glued on immediately after a full bath, as the skin is then still saturated with moisture and the glue does not adhere well. The base of the penis and the immediate vicinity should be shaved regularly and this ensures better adhesion of the condom urinal.
The condom urinal is usually changed daily to two days, depending on the model used. In some cases, it is sufficient that the patient is only given a condom urinal at night. The urine is diverted into normal urine bags ; sterile urine bags are not necessary here, as is the case with indwelling catheters .
Condom urinals for multiple use
A recent development is a relatively stiff urinal condom made of silicone that has an inflatable ring on the inside. The ring is filled by a hand pump and holds the condom urinal on the penis. Despite the variably adjustable ring, the appropriate size for the penis diameter must be selected. For reasons of hygiene, such a condom urinal should only be used for multiple uses on a single patient.
External reusable urinary diversion system
An external, reusable long-term urinary drainage system is an alternative to absorbent aids and also to permanent catheterization or the conventional condom urinal for the supply of male urinary incontinence. There are external urinary drainage systems made of fine, highly elastic, comfortable silicone. They stick without sticking due to the high static friction between the silicone and the skin and can be easily put on and removed. They are reusable, can be cleaned daily with hot water and therefore help to avoid waste. A drain hose allows the urine to flow to the collection bag. This collection bag can be fixed to the thigh or lower leg using a leg posture.
literature
- Brigitte Sachsenmaier: Incontinence: Help, care, and care . Schlütersche, 1991, ISBN 3-87706-329-2 , p. 86-97 .
Web links
- Incontinence Self-Help eV - Information on condom urinals
- German Continence Society - German Continence Society
- How do I use a condom urinal? (Video)
- Recommendations for use by a wheelchair user
Individual evidence
- ^ A b Ina Pfitzer, Maren Asmussen-Clausen : Care techniques today: Understanding care activities step by step . Ed .: Ina Pfitzer. Elsevier, Urban & FischerVerlag, 2006, ISBN 3-437-27090-7 , pp. 245-246 .
- ↑ http://www.she-p.com
- ^ Brigitte Sachsenmaier: Incontinence: Help, care, and care . Schlütersche, 1991, ISBN 3-87706-329-2 , p. 86-97 .
- ^ Brigitte Sachsenmaier: Incontinence: Help, care, and care . Schlütersche, 1991, ISBN 3-87706-329-2 , p. 88-89 .
- ^ Brigitte Sachsenmaier: Incontinence: Help, care, and care . Schlütersche, 1991, ISBN 3-87706-329-2 , p. 90-92 .
- ^ Brigitte Sachsenmaier: Incontinence: Help, care, and care . Schlütersche, 1991, ISBN 3-87706-329-2 , p. 92 .
- ↑ External reusable long-term urinary diversion system