Treatment of Severe Incontinence-Associated Dermatitis Using Polymer Cyanoacrylate: A Report on Three Case Studies

Incontinence-associated dermatitis (IAD) is a painful skin condition resulting from prolonged exposure to moisture, friction, and irritants found in urine and feces. Category 2 IAD involves partial-thickness skin loss with open lesions, causing severe pain due to exposed nerve endings. Effective management in clinical settings is vital to alleviate discomfort and prevent secondary infections, though treatment options for severe IAD remain is limited despite its occurrence.

We report the successful management of Category 2 IAD involving the dermis and subcutaneous layers in 3 patients using a polymer cyanoacrylate. This intervention provided a protective barrier, shielding the skin from moisture and irritants while promoting healing. All patients exhibited significant improvement in skin condition and reported reduced pain within weeks of initiating treatment.

Each case demonstrated improvement in IAD, wound healing, and reduced pain. These case studies aim to inform clinicians about the potential benefits of polymer cyanoacrylate in the management of severe IAD.