
External collection devices, such as external catheters (for example, FreedomCath), are urine storage products
that may be useful for short-term incontinence treatment in men.
Condom catheters are made of latex rubber, polyvinyl or silicone. They are
affixed to the shaft of the penis by adhesive, latex or foam strap devices,
and they are connected by a tube to a urine-collecting bag.
Other devices include external urinals, which consist of a collecting pouch
attached to an athletic supporter (for example, the McGuire urinal); these
devices usually can be connected to a leg bag. External catheters are
preferred over indwelling catheters for patients who do not have urinary
retention, yet these devices also may lead to
urinary tract infection.
In addition, external catheters may cause damage to the penis due to friction,
ischemia (insufficient blood flow), and obstruction.
To avoid complications, these devices should not be used improperly or for
prolonged time periods. External catheters usually are not recommended for
frail elderly individuals with mental disabilities or people with sensory
nerve loss.
Urine collection devices also are available for women, but more research is
needed to determine the effectiveness of these products. Some of the reported
side effects of these systems are reddening of the skin near the urethra and
itching in the pubic region.

Internal Collection Devices
An internal collection device, such as a catheter (a hollow plastic tube), may
be recommended for certain individuals to ensure that the bladder is emptied
on a regular schedule and does not overfill. Intermittent catheterization --
the periodic insertion of a catheter into the urethra, past the sphincter
muscle and into the bladder -- is performed at regular intervals each day
(usually every 3 to 6 hours).
These devices are usually used in managing cases of neurogenic and overflow incontinence.
Catheters used for intermittent catheterization range in size. Catheters
usually are attached to a drainage tube and/or bag. Since intermittent
catheterization completely empties the bladder, wetting accidents can be
avoided.
Intermittent catheterization poses a risk of infection because the catheter
must pass from the external environment to the internal environment of the
body. Therefore, hand washing is required before touching the catheter or
drainage bag. In addition, the catheter should be cleaned after each use.

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