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Urologic Devices

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Clinical Application of Urologic Catheters, Devices and Products

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Abstract

Much focus of textbooks and lectures is on surgical and pharmacologic interventions for urinary incontinence (UI). What is lacking is a comprehensive description of urologic devices that are part of the anti-incontinence treatment armamentarium. Many sufferers of UI do not wish or need invasive treatments, and these devices are excellent therapeutic answers for their problem. For others, these can be diagnostic tools to decide whether or not more invasive treatment is the answer. This chapter provides a comprehensive catalog of the many urologic devices available including penile external occlusive clamps, internal urethral occlusive devices or plugs, urostomy appliances, intravaginal support and occlusive devices and toileting assistive devices.

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Authors and Affiliations

  1. The Permanente Medical Group, 3600 Broadway, Suite #40, Oakland, CA, 94611-5641, USA

    Donna Y. Deng

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Correspondence to Donna Y. Deng .

Appendices

How to Use A Penis Clamp Patient Education Tool

What Is a Penis Clamp?

A penis clamp is a device used by men with urinary incontinence (unwanted leakage of urine) to stop urine leakage. It is also called a “penile compression clamp.” It is placed around the penis and prevents urine leakage by putting pressure on the urethra on the underside of the penis. The clamp should only be used intermittently, only when you are awake and only for a few months, until replacement or resolution of urinary incontinence.

What Does a Clamp Look Like?

There are several kinds of clamps. Most clamps have flexible pads made of foam or silicone that are inside the clamp, against the penis. The pads can be shaped to fit your penis. The outside is made of metal or hard plastic. Here are pictures of a few types of clamps.

How Do I Put on a Clamp?

Open the clamp and place it around your penis, about halfway down the shaft. The hump side or ball of the clamp is placed on the underside of your penis. There are several ways to close the clamp depending on the kind of clamp you are using. Some have metal notches on the side to adjust the tightness, while others have a strap that is wrapped around the penis to compress the urethra. Compress the clamp using the method specific to that clamp (e.g., closed with a Velcro™ strap, insert catch through spring wire loops, or compression with use of a ball). To remove: release the mechanism that is compressing the clamp. It should spring open. If it has a Velcro™ strap, simply take off the strap.

  • If you do not release the clamp every 2–3 hours or more often, you may develop a bladder infection.

  • Do not use the clamp at night when asleep.

  • Do not compress or squeeze any clamp so tight that it stops blood circulation in your penis.

  • When you take off the clamp, look at your penis for any skin openings. Stop using the clamp if you develop a skin reaction or irritation, pain, swelling, open sores, or signs of poor circulation.

  • Most clamps can be washed with mild soap and water. Do not use bleach or any other detergent. Those that have foam pads need to be air dried after washing and before being reused.

Putting on the Finess™ Barrier Device Patient Education Tool

  • The best position to put on the Finess™ Barrier Product is sitting on the toilet with legs spread.

  • Open the package, take out the “fin” and peel off the cover on the adhesive side.

  • If this is the first time applying the barrier device, use a hand mirror to locate the meatus. With your non-dominant hand (the one you do not write with) separate the labia and identify the meatus (opening to the urethra). It is found below the clitoris and above the opening to your vagina.

  • Hold the device by the fin with the narrow (pointy) tip pointed up and the wider side towards the opening to your vagina. You may find it helpful to place a fingertip at the opening of the vagina and place the device in front of the finger.

  • While keeping the inner and outer folds of the labia spread, place the flat adhesive side of the barrier directly over the meatus.

  • Once in place, use a mirror to make sure the device is in the correct position. If positioned correctly, apply pressure over the center of the device so as to create a seal over the opening of the meatus.

  • Remove the device when you need to urinate by gently peeling it off the meatus. Discard a used device as these are one-time disposable devices. The device should only be used for a few hours, not continuously.

  • The device should be removed during sexual activity and when showering, as water will loosen the adhesive seal.

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Deng, D.Y. (2018). Urologic Devices. In: Clinical Application of Urologic Catheters, Devices and Products. Springer, Cham. https://doi.org/10.1007/978-3-319-14821-2_7

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  • DOI: https://doi.org/10.1007/978-3-319-14821-2_7

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