Abstract
This article focuses on the Male External Catheter (MEC), on assessment, products, techniques and care. A MEC is indicated in male patient if other curative treatment options have either failed or are deemed unsuitable, perhaps on account of a patient being unfit for any other intervention or are requested by the patient. The usual scenarios are urinary incontinence without significant post-void residual urine, overactive bladder with urge UI and significant post-void residual urine in patients that are incapable or unwilling to perform IC or other treatment options, but without other complications of chronic urinary retention. Absolute and relative contraindications are listed.
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Doherty W. Urinary sheaths: assessment, prescription and evaluation. Br J Community Nurs. 2001;6(2):80–5.
Pomfret I. Back to basics: urinary sheaths. J Community Nurs. 2003;17:22–6.
Brodie A. A guide to the management of one-piece urinary sheaths. Nurs Times. 2006;102(9):49.
Lam T, Omar M, Fisher E, Gillies K, MacLennan S. Types of indwelling urethral catheters for short-term catheterisation in hospitalised adults. Cochrane Database Syst Rev. 2014;9:CD004013.
Cottenden A, Bliss D, Buckley B, et al., Management using continence products. In: ICUD Comm 20; 2013.
Ouslander J, Greengold B, Chen S. External catheter use and urinary tract infections among incontinent male nursing home patients. J Am Geriatr Soc. 1987;35(12):1063–70.
Byers P, Lyder C, McCray G, et al. Efficacy of condom catheters in controlling incontinence odor. Appl Nurs Res Elsevier. 1992;5:186–7.
Potter J. Male urinary incontinence—could penile sheaths be the answer? J Community Nurs. 2007;21:40–2.
Pascoe G. Transfix: a new range of all-silicone male incontinence sheaths. Br J Community Nurs. 2001;6(6):313–6.
Robinson J. Continence: sizing and fitting a penile sheath. Br J Community Nurs. 2006;11:420–7.
Pratt R, Pellowe C, Wilson J, Loveday H, Harper P, Jones S, McDougall C, Wilcox M. epic2: National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England. J Hosp Infect. 2007;65(Suppl 1):1–59.
Bath J, Fader M, Petterson L. Urinary sheaths and bags making an informed choice. Prim Health Care. 1999;9(7):17–23.
Golji H. Complications of external condom drainage. Paraplegia. 1981;19(3):189–97.
Saint S, Kaufman S, Rogers M, et al. Condom versus indwelling urinary catheters: a randomized trial. J Am Geriatr Soc. 2006;54:1055–61.
Banerji J, Shah S, Kekre N. Fibroepithelial polyp of the prepuce: a rare complication of long-term condom. Indian J Urol. 2008;24:263–4.
Yan H, Treacy A, Yousef G, Stewart R. Giant fibroepithelial polyp of the glans penis not associated with condom-catheter use: a case report and literature review. Can Urol Assoc J. 2013;7(9–10):E621–4.
Özkan H, İrkoren S, Sivrioğlu N. Penile strangulation and necrosis due to condom catheter. Int Wound J. 2015;12(3):248–9.
Bycroft J, Hamid R, Shah P. Penile erosion in spinal cord injury–an important lesson. Spinal Cord. 2003;41(11):643–4.
Palmero Martí J, Bonillo García M, Pacheco Bru J, Alapont Alacreu J, García Reboll L, Jiménez Cruz J. Necrosis of the skin of the penis as a complication of the use of a urine collector. Actas Urol Esp. 2003;27(2):155–8.
Kawoosa N. Isolated gangrene of the penis in a paraplegic patient secondary to a condom catheter. Indian J Surg. 2011;73(4):304–6.
Macaulay M, Broadbridge J, Gage H, Williams P, Birch B, Moore K, Cottenden A, Fader M. A trial of devices for urinary incontinence after treatment for prostate cancer. BJU Int. 2015;116(3):432–42.
Fader M. Review of current technologies for urinary incontinence: strengths and limitations. Proc Inst Mech Eng H. 2003;217:233–41.
Blok B, Pannek J, Castro Diaz D et al. EAU guidelines on neuro-urology. In: European Association of Urology; 2015. p. 1–43.
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Geng, V., Cobussen-Boekhorst, H., Lurvink, H., Pearce, I., Vahr, S., Mair, D. (2019). External Appliances. In: Liao, L., Madersbacher, H. (eds) Neurourology. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7509-0_28
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DOI: https://doi.org/10.1007/978-94-017-7509-0_28
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