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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

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.
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.