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Incontinence after Prostate Therapy (2024)
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==== Catheters ==== * '''May be necessary in patients with high volume pad usage suffering from skin excoriation, dermatitis, and cellulitis due to urinary leakage.''' * Also advantageous when the number or frequency of absorbent product changes is disruptive and/or financially prohibitive. ===== Condom catheter ===== * Effective method of urinary containment for men with severe incontinence. * In comparison to compressive devices, condom catheter systems are acceptable for patients with any degree of urge incontinence. Theoretically, this approach would also be superior to urethral catheterization due to the avoidance of mechanical bladder irritation. * '''Unsuitable for patients with''' *# '''A retractile phallus''' *# '''Skin excoriation''' *# '''Concomitant urethral stricture''' *# '''Poor manual dexterity''' *# '''A large glans/narrow phallus configuration''' *The condom or sheath varies based on the material (latex or silicone), length of adhesive surface, circumference, and overall length *'''Success of a condom catheter is wholly dependent on proper sizing.''' ===== Urethral catheter ===== * '''<span style="color:#ff0000">Last resort</span>''' in a patient who is unsuitable for alternative management * '''Suprapubic catheter drainage is not a solution for the patient with severe intrinsic sphincter deficiency, as urethral leakage will persist'''
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