Problems associated with the use of external urinary collectors in the male paraplegic

Penile Encrustation Due to a Condom Catheter

“…As suggested by Johnson, 15 the following measures should be taken: 1) personnel should be trained in the application of condom catheter drainage systems; 2) the condom should be changed a minimum of every 24 hours, 3) the penis should be examined on every nursing shift for constriction, maceration, and ulceration; and 4) the condom should be examined for twisting and stasis of urine at the distal end of penis. Twisting or kinking in the drainage tube or collector can be prevented by placing two or three strips of tape longitudinally from the external catheter to the connecting tube or by placing a semirigid adaptor at the distal end of the external catheter 21 …”

An ergonomic appraisal of the use and functional efficiency of condom urinals in the male patient with spinal cord paralysis

“…Loss of sensation in the skin of the paraplegic causes a delay before the visible effects of wetting or the resultant odour informs him of his condition. Hall (1965), Pearman and Shah (1973) and Nanninga and Rosen (1975) listed design criteria for a male urinal or suggested modifications to the urinal relating to the problems of twisting or kinking of the drainage system. No satis factory solution to the problem of the condom becoming detached was provided although Nanninga and Rosen (1975) suggested that circumcision may be of some assistance.…”

“…Hall (1965), Pearman and Shah (1973) and Nanninga and Rosen (1975) listed design criteria for a male urinal or suggested modifications to the urinal relating to the problems of twisting or kinking of the drainage system. No satis factory solution to the problem of the condom becoming detached was provided although Nanninga and Rosen (1975) suggested that circumcision may be of some assistance. There was no serious complication relating to attachment of the urinal to the penis in this study but Nanninga and Rosen (1975) observed erosion of the base of the penis resulting in a urethral fistula.…”

“…No satis factory solution to the problem of the condom becoming detached was provided although Nanninga and Rosen (1975) suggested that circumcision may be of some assistance. There was no serious complication relating to attachment of the urinal to the penis in this study but Nanninga and Rosen (1975) observed erosion of the base of the penis resulting in a urethral fistula. This probably reflected concern over the problems of attachment of the urinal and attempts to overcome them.…”

“…Twisting of the condom or kinking of the drainage tube causing stasis of urine in the condom was observed by Nanninga and Rosen (1975) and seen to cause maceration of the penis due to contact with urine. The incidence of maceration of the penis may be largely influenced by the frequency of changing the urinal and the personal habits and hygiene of the patient when applying it.…”