Condom Drainage/ Condom Catherization
It involves
the use of an external catheter or condom connected to a urinary drainage
system for incontinent males.
The condom
is a soft, pliable rubber sheath that slips over the penis. A strap of elastic
adhesive is placed around the top of the condom to secure it.
Purposes
·
To collect urine and control urinary incontinence
·
To permit the client physical activity while controlling
urinary incontinence
·
To prevent skin irritation as a result of urine
incontinence
Preliminary assessment
·
Identify male clients who require control of
incontinence
·
Assess client's mental status to determine ability to
cooperate with procedure
·
Inspect penis for irritation or areas of skin breakdown
from previous incontinence
·
Measure diameter of the penile shaft to determine
appropriate catheter size
·
Determine clients activity level and need for
continuous drainage system for urine collection
Equipment's
·
Urinary drainage bag with tubing.
·
Condom sheathe.
·
Drape (e.g. Sheet or bath blanket)
·
Clean gloves.
·
Basin with warm water soap. (to clean the perineum)
·
Wash cloth, towel, ( to clean the perineum)
·
Elastic tape/Velcro strip.(to secure condom catheter)
Preparation
•
Assemble the urinary drainage bag for attachment to
the condom sheath
•
Roll the condom outward onto itself to facilitate
easier application
•
This flap is applied around the urinary meatus to
prevent the reflux of urine
•
Position the client in either a supine or a sitting
position
Procedure:
Step
|
Rationale
|
Introduce
yourself and explain the procedure to the patient and provide privacy.
|
Reduces
anxiety and promotes cooperation.
|
Wash Hands
|
Prevents
transfer of microorganism
|
Raise the
head of the bed to a comfortable working height.
Assist client to supine position with thighs slightly
apart.
Place the
mackintosh with towel under the perineal area
Drape
client with sheet so that only the area around the genitalia is exposed
|
Provides
client with comfort and privacy.
|
Put on disposable gloves.
Provide perineal care and dry thoroughly. Clean the tip of
the penis first using a circular motion from the meatus outward.
Wash the shaft of the penis longitudinal manner from down
to top (straight strokes).
For an uncircumcised male, retract the foreskin and clean
the glans of the penis.
|
Removes secretions to
prevent skin breakdown.
Replacing
foreskin prevents ischemia or to penis
from application or catheter sheath to a retracted foreskin
|
Be sure
to replace the foreskin after cleaning. Dry the skin
|
Catheter
adheres best if skin is thoroughly dry.
|
Trim excess pubic hair from base of penis, if necessary
|
Excess hair
adheres to the condom adhesive, interfering with a good seal and would cause condom
removal to be uncomfortable
|
Apply & secure the condom
Grasp penis firmly with non - dominant hand. Apply
condom sheath by unrolling the sheath the length of the penis using dominant
hand. Leave 1 to 2 inches of space.
between the tip of the penis and the end of the
condom sheath. Secure the condom catheter with the Velcro strip.
|
Proper
placement of condom sheath allows for urine collection.
|
Swelling or
discoloration of penis indicates condom is too tight and should be removed
and reapplied in a larger size.
|
Tape reinforcement prevents disconnection of tubing of tubing as client
turns and moves.
Reduces spread of micro organism
Provides
warmth and promotes com fort
|
Observe
penis, 15 to 30 minutes after application of condom, for swelling or changes
in skin color
|
Swelling or
discoloration of penis indicates condom is too tight and should be removed
and reapplied in a larger size.
|
Document in
the client record about application of condom, the time & the
observations
|
|
COMMENTS