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Urinary catheters: what type do men and their nurses prefer?

S Saint1, B A Lipsky, P D Baker

  • 1Department of Medicine, University of Michigan Health System, Health Services Research and Development, Ann Arbor Veterans Affairs Medical Center, 48109-0376, USA. saint@umich.edu

Journal of the American Geriatrics Society
|December 11, 1999
PubMed
Summary

Patients and nursing staff prefer condom catheters over indwelling ones for comfort. However, condom catheters have issues with dislodgement and leakage, indicating a need for improved designs for male incontinence management.

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Area of Science:

  • Urology
  • Geriatrics
  • Nursing

Background:

  • Urinary catheter use is common, but comparative risks and benefits of different types remain unclear.
  • Understanding patient and staff perceptions is crucial for optimizing urinary catheter management.

Purpose of the Study:

  • To compare patient and nursing staff beliefs regarding the advantages and disadvantages of condom catheters versus indwelling urinary catheters.

Main Methods:

  • A survey was conducted with male patients using condom or indwelling catheters and nursing staff at a Veterans Affairs medical center.
  • Convenience sampling yielded high response rates: 90% from 116 eligible patients and 92% from 107 eligible nursing staff.

Main Results:

  • Patients with condom catheters reported greater comfort and less pain and activity restriction compared to those with indwelling catheters.

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  • Nursing staff perceived condom catheters as less painful, less restrictive, and easier to apply, but also noted higher rates of dislodgement and leakage.

    • Conclusions:

    • Both patients and nursing staff favor condom catheters for comfort, despite acknowledging dislodgement and leakage issues.
    • Development of a more secure condom catheter could significantly enhance the management of male urinary incontinence.