External catheters, also sometimes referred to as condom catheters, Texas catheters, penile sheaths, or urinary sheaths, are an invaluable part of incontinence management for millions of men.
There are many variations of external catheters available and styles, materials, and other details vary by manufacturer. The most common catheter system configurations use a soft, flexible latex, polyvinyl, or silicone sheath that fits over the penis like a condom and is affixed with some type of adhesive, which is often “built into” the shealth itself. A length of tubing connects the sheath to a drainage bag, which is generally affixed to the leg with adjustable straps.
In addition, a variation designed for use by men with a retracted penis (common in the elderly) is available. This variation uses an adhesive urinary pouch, much like an ostomy pouch, that is affixed at the base of the penis.
Like all aspects of incontinence management, these systems have both advantages and disadvantages and may not be suitable for every person or every situation.
- small, discreet, and easily concealed under everyday clothing
- far less invasive and generally safer than internal catheters
- cost-effective over long term
- allows for more flexibility than incontinence clamps, which must be released regularly according to a strict schedule. Average wear times vary greatly, generally ranging from 12 to 48 hours.
- keeps wetness away from body, protecting skin and clothing
- can be used in combination with special briefs, diapers, pads, or incontinence pants to provide maximum security and leak protection
- can be of great value to people with limited mobility
Disadvantages:
- can take some time and practice to learn to use efficiently
- may lead to allergic reactions or skin irritation caused by the material used in the sheath or the adhesive
- twisting, kinking, compression or other disturbance of the sheath tip or connecting tube can interfere with urine flow. In some cases this can lead to “backflow”, which loosens the sheath and can lead to leakage.
- not all men find them comfortable
As with all incontinence management tools, there are some important factors to take into consideration. Sheaths come in a variety of sizes, and using the correct size is essential to getting the most from the product. Sizing differs among manufacturers, so be sure to consult the sizing tables for the product you are considering.
Learning to use a sheath system can take some time and may require some initial training. Consult with your physician before using this type of system.
