Hello. My name is Anita Francis and I'm a Continence Nurse Advisor.
In this video I will talk about what is a uridome and catheter,
and provide practical demonstrations on how they are to be applied.
Some men prefer to use a uridome, otherwise known as a sheath or condom drainage,
instead of a pad.
Uridomes are specifically designed for men to manage urinary continence
and are available in many brands, sizes and styles.
Uridomes are made of a flexible material which fit over the penis
and connect to a urinary drainage bag,
and either have band of adhesive on the inside
or a separate adhesive strip to secure them in position.
Standard and shorter length uridomes are available to suit individual needs.
Uridomes need to be fitted correctly to prevent leakage.
It is advisable for a continence nurse advisor to help with selecting and managing a uridome.
A uridome may be worn during the day, or at night, or for a 24 hour period.
Uridomes are a disposable item and a new uridome needs to be fitted after 24 hours.
The skin of the penis needs to be clean and dry and any hair trimmed
or protected from getting caught under the adhesive.
The uridome is rolled over the penis and the urinary drainage bag attached.
During the day, a leg bag is secured with elastic adjustable straps to the thigh or calf.
At night a larger capacity drainage bag is attached to the uridome,
and this is supported by a free standing floor stand
or plastic hooks which attach to the bed frame.
An alternative to a uridome system for day time use, is a portable urinal for men.
The cup fits firmly into the underwear and drains to a collection bag.
A urinary catheter is a hollow tube that drains urine directly from the bladder
into a drainage bag or is connected to a valve.
The catheter can be inserted into the bladder through the urethra,
the tube that carries urine to the outside, or sometimes the abdomen.
Urinary catheters will only be inserted on the recommendation from a doctor
or continence nurse advisor.
There are different types of catheters used depending on the individual's requirements.
Catheters are only to be used once and then thrown away.
Intermittent catheters are inserted into via the urethra to empty the bladder and then removed.
Some people living in the community may be taught by their health professional
to pass an intermittent catheter every 3 to 4 hours during the day.
Indwelling catheters are inserted by a doctor or continence nurse advisor,
via the urethra or abdomen and may be left in for a few days or weeks.
The health professional will recommend the time frame for this.
The urinary drainage bag that attaches to the indwelling catheter
is packaged sterile to prevent the risk of infection.
With the urinary drainage link system at night, the leg bag remains in place
and the overnight bag is attached to the leg bag.
The outlet tap of the leg bag is opened to allow the urine to flow into the overnight bag.
Indwelling catheters should always be supported by adhesive tape or an elastic adjustable strap.
Urinary drainage bags come as leg bags or overnight bags.
Legs bags are small capacity bags, for example 350 to 800 mills,
which are held in position by elastic adjustable straps on the thigh or calf.
Leg bags are usually worn during the day hidden under clothing.
They are available with different tubing length, according to the placement of the bag on the leg.
Leg bags have an outlet tap to drain the bag of urine.
Different types of outlet taps are available to suit the user or carer such as flip, sliding or twist taps.
Leg bags may also be supported by stretch mesh or cotton fabric holders.
Overnight bags are usually 2 litre bags and designed to be supported by plastic hangers
on the bed frame or on a stand.
There are 4 litre overnight bags and plastic bottles available for people who need a larger capacity.
There are various outlet taps available such a flip, sliding or twist taps.
Some overnight bags do not have an outlet tap and these are a cheaper option.
For more information, phone the National Continence Helpline on 1800 33 00 66.
It's a free, confidential phone service staffed by continence nurse advisors
providing information and advice on continence management,
funding schemes, continence services,
continence products and resources to anyone in Australia.
The Helpline operates Monday to Friday 8am to 8pm, Australian Eastern Standard Time.
Thank you for watching this video.