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Related Experiment Videos

Condom versus indwelling urinary catheters: a randomized trial.

Sanjay Saint1, Samuel R Kaufman, Mary A M Rogers

  • 1Center for Practice Management and Outcomes Research, Ann Arbor Department of Veterans Affairs Health Services Research and Development Center of Excellence, Ann Arbor, Michigan, USA. saint@umich.edu

Journal of the American Geriatrics Society
|July 27, 2006
PubMed
Summary

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Condom catheters significantly reduce the risk of infection and death compared to indwelling urinary catheters, especially in men without dementia. Patients also reported higher satisfaction with condom catheters.

Area of Science:

  • Urology
  • Infectious Disease Prevention
  • Geriatric Medicine

Background:

  • Urinary tract infections (UTIs) are a common complication in hospitalized patients requiring urinary collection devices.
  • Indwelling urinary catheters are associated with significant risks, including infection, discomfort, and mortality.
  • Alternative devices like condom catheters may offer a safer option for urinary management.

Purpose of the Study:

  • To compare the efficacy and safety of condom catheters versus indwelling urinary catheters in preventing adverse outcomes.
  • To assess patient satisfaction with both types of urinary devices.
  • To investigate the impact of dementia on the outcomes associated with each catheter type.

Main Methods:

  • A prospective, randomized, unblinded, controlled trial was conducted at a Veterans Affairs Medical Center.

Related Experiment Videos

  • Hospitalized men aged 40 and older requiring a urinary collection device were randomized to receive either a condom catheter or an indwelling catheter.
  • Adverse outcomes (bacteriuria, symptomatic UTI, death) and patient satisfaction were monitored. Dementia status was recorded for subgroup analysis.

    • Main Results:

    • Condom catheter use was associated with a lower incidence of adverse outcomes (70/1,000 patient-days) compared to indwelling catheters (131/1,000 patient-days), though not statistically significant initially (P=.07).
    • After adjusting for risk factors, condom catheter use significantly reduced adverse outcomes (P=.04).
    • Patients without dementia using indwelling catheters had a significantly higher risk of bacteriuria, symptomatic UTI, or death (HR=4.84, P=.01) compared to those using condom catheters. Condom catheters were also reported as more comfortable and less painful.

    Conclusions:

    • Condom catheters are a safer alternative to indwelling urinary catheters, reducing the risk of bacteriuria, symptomatic UTI, and death.
    • The protective effect of condom catheters is particularly pronounced in male patients without dementia.
    • Condom catheters offer improved patient comfort and reduced pain compared to indwelling devices.