Types and Materials – External Urine Collection Devices

The shape and material of external urine collection devices (EUCD) have changed over the past 20 years. Historically, most EUCDs were made from latex that allowed for flexibility but also increased the risk of an allergic reaction. Latex-based sheath devices are still available but more recent ones are constructed from non-allergenic silicone. Most EUCDs are open at the distal end (tip) allowing urine to drain through attached tubing connected to a drainage bag. 

figure-1-materials2x_1.jpg

There are two broad categories, those that are single-use disposable products (in-place for only one to two days), and those that are reusable for multiple times.

If the EUCD has adhesive, prior to its application, the skin should be cleansed and pubic hair at the base of the penis in men and the perineum in women should be removed. The hair should be trimmed, not shaved, because shaving causes more irritation. The EUCD can be removed by loosening the adhesive with a warm, wet cloth. 

We are categorizing the types of EUCDs as follows:

table 1 external urine collection devices2x 1

Written by: Diane K. Newman, DNP, ANP-BC, FAAN, Adjunct Professor of Urology in Surgery, Research Investigator Senior, Perelman School of Medicine, Co-Director, Penn Center for Continence and Pelvic Health, Division of Urology, University of Pennsylvania, Philadelphia, Pennsylvania

Published Date: April 17th, 2020

Written by: Diane K. Newman, DNP, ANP-BC, FAAN
References: 1. Beeson, Terrie, and Carmen Davis. "Urinary management with an external female collection device." Journal of Wound, Ostomy, and Continence Nursing 45, no. 2 (2018): 187.
2. Cottenden, Alan, D. Z. Bliss, B. Buckley, M. Fader, C. Gartley, D. Hayder, J. Ostaszkiewicz, and M. Wilde. "Management using continence products." Incontinence (2013): 1651-1786.
3. Doherty, Willie. "The InCare Retracted Penis Pouch: an alternative for incontinent men." British journal of nursing 11, no. 11 (2002): 781-784.
4. Gray, Mikel, Claudia Skinner, and Wendy Kaler. "External collection devices as an alternative to the indwelling urinary catheter: evidence-based review and expert clinical panel deliberations." Journal of Wound, Ostomy, and Continence Nursing 43, no. 3 (2016): 301.
5. Newman, Diane K., and Alan J. Wein. "External Catheter Collection Systems." In Clinical Application of Urologic Catheters, Devices and Products, pp. 79-103. Springer, Cham, 2018.
6. Newman, D. K. "Devices, products, catheters, and catheter-associated urinary tract infections." Core curriculum for urologic nursing. 1st ed. Pitman: Society of Urologic Nurses and Associates, Inc (2017): 439-66.
7. Newman, D. K., and A. J. Wein. "Managing and treating urinary incontinence. 2009 Baltimore."
8. Newman, Diane K. "Internal and external urinary catheters: a primer for clinical practice." Ostomy/wound management 54, no. 12 (2008): 18-35.
9. Newman, Diane K. "Incontinence products and devices for the elderly." Urologic nursing 24, no. 4 (2004): 316-333.
10. Newman, Diane K., Mandy Fader, and Donna Z. Bliss. "Managing incontinence using technology, devices, and products: directions for research." Nursing Research 53, no. 6S (2004): S42-S48.
11. Newman, D. K. "The use of devices and products." American Journal of Nursing 3 (2003): 50-51.
12. Pomfret, I. "Penile sheaths: a guide to selection and fitting." Journal of Community Nursing 20, no. 11 (2006): 14.
13. Smart, Clare. "Male urinary incontinence and the urinary sheath." British Journal of Nursing 23, no. Sup9 (2014): S20-S25.
14. Wells, Mandy. "Managing urinary incontinence with BioDerm® external continence device." British Journal of Nursing 17, no. Sup4 (2008): S24-S29.
15. Vaidyanathan, S., B. M. Soni, G. Singh, P. Sett, E. Brown, and S. Markey. "Possible use of BioDerm External Continence Device in selected, adult, male spinal cord injury patients." Spinal cord 43, no. 4 (2005): 260-261.