If you have been prescribed male external catheters for managing incontinence, or if you are considering this system, this article will walk you through how to wear this catheter most comfortably and how to get the longest possible wear time. There are many different types of condom catheters, and you may need to try out multiple brands and styles before finding the one that works best for you.
When they were first developed, condom catheters were literally condoms with the end cut off. That severed end connected to a drainage tube, which led to a collection bag placed away from the body. Over time, male external catheters have evolved into a more sophisticated design, although the premise is still simple. You can find condom catheters manufactured in multiple sizes, both with and without adhesive, and some additional features. Remember: external condom catheters should be changed at least once daily for good hygiene and skin protection.
7 Steps for Using a Male External Catheter
To start using a male external catheter correctly, follow these simple steps:
1. Choosing the right size is extremely important. Take the time to measure and determine the correct size for your needs. Having difficulty choosing the right size? A sizing guide can make this process easier: My Care Supplies MEC Sizing Guide
2. Trim any hair that might be in the way of the catheter before application.
3. Make sure your penis is clean and completely dry. Moisture on your skin or in the air can interfere with the adhesive seal. If you have recently showered, wait until athe room is no longer steamy and make sure your penis is completely dry.
4. Apply a skin prep sealant. Allow the sealant to dry and become slick, as this will help protect your skin from moisture and provide a layer that can be removed with the catheter.
5. Roll the condom catheter over the tip of your penis. Be sure to leave at least 3/4 inch of empty space between the end of the catheter and the head of your penis, to prevent rubbing. Those who are uncircumcised should keep their foreskin over the head of the penis to prevent serious swelling known as phimosis.
6. Slowly unroll the sheath with the adhesive-coated side towards your skin. Press the condom against your skin as you unroll. Once completely unrolled, grip your penis firmly for 10-15 seconds to make sure that the condom catheter is sealed in place with no wrinkles or air bubbles. Too many wrinkles in the sheath may indicate that the catheter is too big.
7. Many condom catheters are built with an excess of sheath. If the condom catheter does not fully unfurl, and a roll remains at the base of the penis, carefully cut the roll in multiple piaces to relieve pressure. You can also cut off the excess roll completely to prevent potential pressure sores at the base of the penis.
Adhesive Options for Latex Allergies
For those with a latex allergy, non-latex condom catheters are an excellent option. For people with spina bifida, non-latex condom catheters are particularly important. These non-latex options are frequently transparent, which provides another benefit: you can monitor the condition of your skin while it is being worn.
Another option is a condom catheter without adhesive. If you only need to wear a condom catheter during the day, you may wish to choose one without adhesive. For those who may experience intermittent leakage – for example if you recently had prostate surgery, or if you leak in between intermittent catheterization – either a reusable condom catheter secured with an inflatable ring or a self-adhesive catheter with a removable tip may be appropriate. This type of catheter can be quickly taken off and put back on every time you catheterize or need to urinate.