• The online Community for people with spinal cord injury, their relatives and friends

  • The online Community for people with spinal cord injury, their relatives and friends

  • The online Community for people with spinal cord injury, their relatives and friends

  • The online Community for people with spinal cord injury, their relatives and friends

  • The online Community for people with spinal cord injury, their relatives and friends

The condom catheter

Passing urine with a condom catheter

The urine is drained into the bag using reflexes – this means rhythmical tapping (triggering) on the lower abdominal region above the pubic bone triggers the drainage of the bladder. This drainage technique only works in the case of spastic cystoparalysis.

How does triggering work?

Triggering enables a stimulation of the reflex arc1 – thus the emptying of the bladder can be controlled manually. This drainage technique stimulates the stretch receptors situated in the bladder walls. The bladder is contracted and is emptied. No mechanical pressure is required to stimulate the stretch receptors. The triggering equates to slow drumming.

The triggering continues until the bladder begins to empty and starts again as soon as the urine stops to flow. This might take up to ten minutes. How effectively the bladder is emptied, depends on the contraction of the bladder, the opening of the neck of the bladder, but also on the relaxation of the sphincter.

Initially, the bladder should be emptied in regular intervals of 3 – 4 hours. Later, the emptying can be adapted individually:

  • If you feel that your bladder is full or
  • If your body shows signs of a full bladder, such as goose bumps, sweating, headache, spasms or certain – individually different – sensations in the abdominal area.

The right product

Before the first application of a condom catheter, the right size has to be determined using a measuring tape, in order to make sure the condom is not too big or too small. There are a variety of adhesives, condoms, self-adhesive condoms and urine bags available on the market. If you experience problems with any of your material, alternatives can be found. The material needed can be obtained from companies specialised in incontinence articles or medical stores.

Important points

Make sure the urine bag is positioned below the bladder (bladder level) to ensure an unimpeded urine flow. The tube should never be bent.

As a precaution please ensure the proper fit of the condom and that the urine bag sits right after each transfer.

Hygiene

Whether you choose silicone or latex – the condom needs to be changed every 24 hours. Your personal hygiene is an important element with regard to keeping your skin healthy and thus enabling a long-term application of condom catheters.

16 170 04 Blasen Darmmanagement EN Seite 05

What do I need to do if no urine flows?

Please make sure the condom is not twisted. Review your fluid intake during the past hours. Try to feel whether your bladder is hard (= full) or not. If this is the case and there’s still no urine flow after the next triggering, please empty the bladder using a disposable catheter or consult your GP.

Triggering or a full bladder causes a headache. What might be the cause?

In most cases, the headache results from an extremely elevated blood pressure, caused by a dysfunction in the autonomic nervous system. This is also called autonomic dysregulation.

In the case of a severe headache or if no urine flows, it is important to empty the bladder immediately, possibly by means of a disposable catheter. In the case of a recurring headache, please consult your GP or urologist.

What do I need to do in the case of pain or burning in the urethra / bladder?

This might be the first signs of a urinary tract infection. Do a Nephur test. If the test is positive and / or the pain does not go away, please consult your GP.

What can I do if the penis skin is reddened?

In most cases, this is a fungal skin infection. If the skin is still red after a few days, despite good personal hygiene, please consult your GP.

What can I do if the penis skin is open or injured?

If the skin injury is not too big, a condom may still be applied using an extremely thin protective strapping. If the open skin does not heal within a few days, please consult your GP.

What can I do if the condom catheter suddenly does not fit any more?

Make sure you still use the right condom size – you might need a smaller condom. Very scaly, dry skin might reduce the adhesive effect. Please note that there are different types of condoms with different adhesives.

Check whether your penis “retracts into the abdominal area”. This is called “retracted penis”, and can lead to the condom slipping off. If this happens, contact a specialist condom supplier (i.e. neuro-urologist) or your GP.

1 Reflex arc = direct connection between the motor and sensory nerves in the spinal cord. Direct responses to stimuli are controlled via it, e.g. if you touch a hot stove, you will pull your hand away reflexively.

Comments (0)

There are no comments on this topic yet.
Be the first to comment!

Rate this post

Forum
Most Recent Answers
5254 odyssita
Explaining what life with a chronic disability is like
Hi cAro, all the best for your research! I am very curious to hear about the results once they are being published. Thank you for researching this...
6 odyssita 2018-05-02
5169 Wheelie
Scewo
Good news for all who would like to try out the Scewo by themselves: according the Scewo constructors, the feedback on their invention was so...
5 Johannes 2018-03-12
Ask the Expert
Most Recent Answers
3 Dr._Hans_old 2015-07-20
3 Dr._Hans_old 2015-05-07

Blog
Most Recent Blog Posts
Wheelchair chefs: the success stories
Disabilities matter but ambition rules
0
lorenzo.deluigi 2020-07-22 In News
Make to Care, a competition promoting innovations
Which one of these four innovative projects convinces you the most?
0
kitwan 2020-07-02 In Society
Wheelchair users’ game of thorns
The fight for personal space, safety and independence
0
Wiki
Most Read
Anatomy and physiology of respiration
Breathing is the most normal thing in the world for us. We hardly think about it, even though we breathe in and out about 20,000 times per day. We breathe more when we are active and exerting ourselves, and we breathe less when we are...
Social skills increase quality of life
Today strawberry yogurt is on Anna’s* grocery list. In front of the dairy section she notices that she cannot reach the yogurt sitting in a wheelchair. Many stressed people are rushing through the crowded store during rush hour and she does not...
Mobilisation / Transferring
What do I need to consider with regard to the shoulders? The shoulder is the most heavily-strained joint with regard to mobilisation – that applies to sitting up and transferring. It is therefore important to protect the shoulders whenever it is...

About the Community
Most Recent Topics
2020-07-16 In Latest
Free masks for high-risk patients with SCI
People with high-level tetraplegia, paraplegics of higher age and those with pre-existing health conditions are more susceptible to a severe development of COVID-19. For this reason, the European...
0
2020-07-03 In Latest
A COVID inspiration porn?
Over three months since the COVID-19 declared pandemic, many countries are still debating whether to make wearing face masks compulsory to help prevent the spread of the disease. Noam Gershony, an...
0
2020-06-08 In Latest
The world’s first MSc program in disability, design and innovation
Disability innovation is more than just a good idea. We’ve heard enough stories how disability innovations can go wrong with unrealistic expectations and insufficient market research. This needs to...
0

Contact

Swiss Paraplegic Research
Guido A. Zäch Strasse 4
6207 Nottwil
Switzerland

This email address is being protected from spambots. You need JavaScript enabled to view it.
T 0800 727 236 (from Switzerland, free of charge)
T +41 41 939 65 55 (from other countries, charges apply)

Be part of the Community – sign up now!