External Catheters

External catheters generally use some type of pouch collection, drainage tube, and collection bag for both men and women although the similarities end there.

Female External Catheters

The female external catheter is generally used by women who are restricted to bed rest or are incontinent and in a situation where restrooms are not readily available. The female catheter has an odor barrier skin with an opening that is attached to a collection pouch that is worn against the body. The pouch is then attached to the drainage tube which can either be attached to a collection bag worn on the body (typically not detectible under clothing), or to a collection bag if bed restricted. While female external catheters are more expensive than intermittent catheters they tend to be the choice for women who are bed ridden since bedside containers are available for collection purposes. The replacement pouches for bed ridden women can be worn many times for up to a week, making the purchase of replacement pouches a less costly option than bed pads.

Many women have found it difficult to find an external catheter that works perfectly, especially if they are bed ridden and find a need to keep the bed lined with a waterproof mattress cover. External catheters have also been proven for women in wheelchairs. Make sure you ask your doctor any questions you may have and work out the best solution for your situation.

Male External Catheters

The male external catheter is often commonly referred to as the condom catheter due to the way it is applied and worn. The part that touches the body is the only part that needs to be replaced making it relatively inexpensive when purchased in quantity. The male catheter is available in latex or latex-free varieties depending on your tolerance and comfort level. The condom like tube is connected to a drainage tube that is then either connected to a drainage bag that can be strapped to the leg or a bed side drainage bag. The leg drainage bag can rarely be seen under slacks for men in situations when restrooms are not readily available. For men that tend to be more active there is a jockey type strap external catheter available that will help keep the catheter in place during activities.

Male external catheters come in different sizes and materials and it is important to discuss with your doctor your daily lifestyle and needs to find out what will fit your needs the best. Since they come in different sizes you want to make sure that the fit is appropriate since some men have complained that the bands can be too restricting after extended wear and your doctor may need to order you another type or size.

External Catheter Complications

Most complications with external catheters occur when used incorrectly or for a longer period of time than intended. Some examples of complications that can occur are skin irritation, urinary tract infections (although these are less common than with intermittent or indwelling catheters), men may experience penile strangulation if the device is too tight and prevents proper function, constant wet skin may become soft and can be worn away by the catheter, and an allergic reaction to the materials may be possible; it is important to notify your doctor if you are allergic to materials that contain latex.

Frequent monitoring and proper hygiene should be done to prevent complications and infections as well as follow the advice given to you by your doctor. If you feel something is not proper seek medical attention.

The complications written here are not intended to take the place of any advice your medical professional may have given to you.

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