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Condom cath problem. Considering indwelling cath

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    Condom cath problem. Considering indwelling cath

    Hi,
    I am C5/6 complete for 12 years. I have used a condom cath with J&J elastic tape for more than 11 years without many problems.
    Recently, I moved to San Mateo, CA from UT. Here, I feel much humidity compare to UT and my condom cath is leaking very often. I noticed that the elastic tape is not as sticky as it used to be. I am not sure J&J changed how they make the tape, or the humidity changed the stickiness of the tape.

    So, I am seriously considering an indwelling cath although I don't prefer it. Do you guys have any input about my condom cath problem, suggestion for the indwelling cath, and so on?

    Thank you for any feedback.

    #2
    Have you tried glue in place of tape?

    I find the condom + glue + skin prep. wipe is the most secure combination although the ready glued condoms seem to be much better than they were.

    This is a UK site but the information sheets and FAQs are very usefull......

    www.manfredsauer.co.uk

    Comment


      #3
      What kind of glue are you talking about? Is it medical glue for skin?
      Thanks.

      Comment


        #4
        Originally posted by JK View Post
        What kind of glue are you talking about? Is it medical glue for skin?
        Thanks.
        Yes, if you google the web site of your condom manufacturer I'm sure they will offer their own brand glue.

        Here's the Manfred Sauer offerings.........

        http://www.manfredsauer.co.uk/adhesives.asp
        Last edited by Timaru; 20 Dec 2008, 3:20 PM. Reason: spelling

        Comment


          #5
          I know humidity since I live near Houston.Try the skin prep with catheters that have the adhesive on the inside. Ymake sure it is dry when applying then you have to hold it for a minute to activate with the heat of your hand. To see which works best contact the companies-Bard,Hoiser ec & get them to send you some free samples. They all have websites you can email or all.
          WO


          CWO
          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

          Comment


            #6
            Try the rochester wide-band. It is the best I've ever worn, by far. The only time the adhesive starts to lose its stickiness is when I have a UTI. And even then its just around the top.

            Dave
            Dave

            Comment


              #7
              Thank you all.
              I went to a local medical supplies shop and bought a medical adhesive made by Holister. I will try it tomorrow morning and I really hope it works for me.
              The shop had a skip prep too, but I didn't feel it is sticky enough on my arm, so I bought the adhesive. $33. Oowaa... so expensive. I will order it on a web next time if this one works.
              I will also try skin-prep later. I will find rochester wide band from edgepark.com which has a contract with my insurance company.

              Comment


                #8
                JK, you wipe your penis with the skin prep. and allow it to dry before sticking on the condom, it's to protect your skin, it's not supposed to be sticky.

                Good luck, I'm sure you'll find the combo. that works for you.

                Comment


                  #9
                  Originally posted by JK View Post
                  Hi,
                  I am C5/6 complete for 12 years. I have used a condom cath with J&J elastic tape for more than 11 years without many problems.
                  Recently, I moved to San Mateo, CA from UT. Here, I feel much humidity compare to UT and my condom cath is leaking very often. I noticed that the elastic tape is not as sticky as it used to be. I am not sure J&J changed how they make the tape, or the humidity changed the stickiness of the tape.

                  So, I am seriously considering an indwelling cath although I don't prefer it. Do you guys have any input about my condom cath problem, suggestion for the indwelling cath, and so on?

                  Thank you for any feedback.
                  If your attempts don't work for you living in California go for a suprapubic cathether. That's what I have. The surgery is a minor procedure. I've had mine since 2/05 & very little problems. Make sure you take Detrol LA every day w/it so your bladder doesn't spasm. The catheter goes directly in to my bladder thru the abdomen right above the pubic bone. I wear a leg bag during the day & use a bed bag when in bed. I wish you the best.
                  I keep the catheter taped down to my abdomen with MEDIPORE Tape by 3M company. I use two sections of it. It's perforated between sections.
                  I keep the pubic hair shaved on both sides of my abdomen above the pubic bone up to my belly button. Before I put the tape over the catheter to tape it to my abdomen I fold a little section of the tape on each corner that way it makes it easier when you go take the tape off to put on a clean piece. I also keep a folded 4 X 4 gauze under the catheter where it goes into my bladder to catch any drainage from the stoma site. For some reason I still have drainage from the stoma site after almost 4 yrs.
                  Good luck ! I wish you well solving your problem.

                  Comment


                    #10
                    JK,
                    Welcome to northern California. I live in San Jose and am pretty familiar with San Mateo and hate to say that I don't believe humidity has anything to do with it. You want humidity? Go to Miami and then you'd know what it's really like.

                    Anyhow, I am assuming that you're using a condom with a leg bag. Though I seldom use a leg bag, when I do use one, I use a regular condom, roll it within an inch of the base of my penis, then use about an 8-inch strip of 3M Transpore tape (1-inch wide) to secure the condom against my penis with half the tape over the condom and the other half over the skin. I trim my bushes pretty good so that no hair interfers with the tape. I then give the area of taping a nice tight squeeze to ensure it's fully stuck.

                    At night time, I put on a drain bag and I do the same thing and rarely have I ever had a problem.

                    Here's a link to more info on the 3M tapes. They come in various widths:

                    http://solutions.3m.com/wps/portal/3...beB385P3RT67gl

                    Comment


                      #11
                      Condom Cath Solution

                      I tried the new Alpha Dry condom caths and love them. They have thier own built in reservoir that holds up to 600cc or you can still attach them to a leg bag/ foley bag. They come with Coban Tape which isn't thier own thing, we've found coban tape at our local Walgreens. It's very elastic and sticks to itself! It has worked 200% better for me! You could try the tape on your existing condom caths because i'm sure it would work for any condom caths not just Aplha Drys.
                      Ken

                      Guns don't kill people. Daddys with cute daughters do!

                      Comment


                        #12
                        I've used Coloplast-Mentor External Catheters Freedom Clear LS for approximately 5 years with no problems.

                        The Freedom Clear External Catheter by Coloplast-Mentor has an ultra-thin silicone sheath designed for comfortable, everyday wear. It is 100% latex-free and features a kink-resistant nozzle designed to eliminate catheter blow-offs. This catheter is self-adhering and applies easily by rolling on, there is no need for adhesive tapes. The thin silicone sheath increases comfort and breathability. The 100% latex-free silicone eliminates skin irratition and provides constant skin visibility.

                        This catheter comes in the following sizes which are identified by the associated product numbers:

                        Item # Size

                        5190 23 mm, Small
                        5290 28 mm, Medium
                        5390 31 mm, Intermediate
                        5490 35 mm, Large
                        5590 40 mm, X-Large

                        Here's a link for additional info on external catheters.
                        http://www.athomemedical.com/Externa...-Catheters.asp

                        Request samples from your provider.

                        Comment


                          #13
                          Hi Tprewitt,

                          Do you know if they charge extra for the X-Large (#5590) size?

                          Bob.
                          "Be kind, for everyone you meet is fighting a great battle." - Philo of Alexandria

                          Comment


                            #14
                            felieh,
                            Thank you for welcoming,.
                            As I said, I have used condom cath for more than 11 years and I think I know where to tape. I don't think your 3M tape will work for me. Because of erection / retraction of my penis, I need an elastic tape. I have been using J&J elastikon tape. http://www.allegromedical.com/wound-...e-p214836.html
                            It used to be much stickier. In Utah, I even had to tape it on my bed sheet before my caregiver applies it to my skin to reduce the stickiness. Here, no way.

                            BigK,
                            Does the coban tape stick to the skin too? If it only sticks to itself, I don't understand how it prevents the leaking?

                            I am also using a Coloplast Freedom condom. Let me see if a different type makes any big change....


                            I just ordered a skin-prep and a skin bond again. http://www.allegromedical.com/ostomy...e-p551823.html
                            Using a Hollister medical adhesive, it works better than nothing, but still leaks sometimes.

                            Merry Christmas to all!
                            Last edited by JK; 25 Dec 2008, 3:02 PM.

                            Comment


                              #15
                              I had been using Mentor External Catheters since being discharged from rehab in '82. They had just came out and gave me a case of 100 to try. Compared to a "Texas Catheter" it was night and day for reliability.

                              When Mentor sold the product line a few years back it resulted in many bad batches. I switched to UltraFlex made by Rochester and very satisfied. I just make sure that I am clean and dry when I put it on in the morning and compared to the Mentor External Catheters they are superior.

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