Urine diversion/collection gizmos for male wheelchair users

Standard

A few months ago we featured devices to assist women re-direct urine if they can’t sit on the toilet. This month we look at how men solve the problem and we teamed up with DMD Pathfinders members to find out what worked for them.

Solutions

If you can get close, a urine re-director (also called a director) might work. They are basically a funnel and tube design which extend your urine stream and channel it into the toilet or collection bottle. Many of the devices for women are also suitable for men (either stand alone or with a unisex adaptor) who can control when they urinate – so check some of those out for a possible solution.

You local community continence nurse/advisor will also be a great source for advice and maybe providing some equipment as part of their NHS service.

In this blog we look at some of the gadgets and gizmos that can take your urine stream in a better or different direction.

You can find these on our Pinterest board: https://www.pinterest.com/criptical/urination-devices/

Please Note we do not sell these products – merely provide information and an example of where they can be purchased. Other retailers may be available.

Collection devices

These are bottle and containers where you pee directly into them. Also called portable urinals.

Uribag_Male_Travel_Urinal__1200ml_An example is the Uribag. These devices may have a lid to store the urine for disposal later, or are meant for instant disposal down the toilet. This retails for around £20-£25 and has a snap lock seal so it won’t leak when carrying it around.

Different brands hold different amounts of urine and all are made to be washed and reused.

*Most accessible toilets in the UK only have a small finger rinse basin and may not be deep enough or tall enough to rinse these devices or use a urinal wash/scrub brush.

A 750 ml Uriwell urinal is available at the time of writing for £5.95 from Completecareshop.  (Vat excluded for use by disabled people).

Topper_Male_UrinalPlastic, urinals that don’t fold are also available from many sources. This one is called the Topper and you can also buy a non spill adaptor to help when using it. These sort of bottles cost around £4-5.

Sheaths

Sheaths are more suited for men who have good skin around their penis. If your skin is damaged then this might not be for you. They are useful in that they can usually be used for up to 24 hrs and their are many types to try.

sheathSome useful advice is provided on this website.They are like little ‘cups’ or thicker condoms that secure to your penis with
tape (or an adhesive that is already part of the cup/device). Rather like a condom, you need a size that fits well.

A tube connects to the end that drains into a bag or other collection device. When you need to go – you just go!

A very simple solution, that comes in many sizes, shapes and materials.  Size is key – if your penis size varies then you may need a few sizes – e.g for hot and cold days or different times of the day.

Many also have features that help with applying them, preventing kinks in tubing and leak free attachments – so shop around and search for words:

  • urine sheath
  • uridom
  • condom catheter
  • external catheter

Other features include how to overcome problems with high flow that might ‘blow off’ the sheath and applicators for carers to help with. Some also help with dribbles and have valves on.

conveenPopular options are the Convene range  by Coloplast. You can see videos on how to use these and ask for a free sample of their products on their web-site. (Also known as Coloplast Convene Urisheath products).

This is pSurepSure and comes in 11 sizes, available on prescription. Also available with a Smartflow valve so you may not need a drainage bag if you just dribble/leak.

Other brands of sheath include:

  • Transfix, Clear Advantage, Clear Advantage Aloe and Clear Advantage Spirit (Rochester Medical for full product guide)
  • Comfort Plus (Latex free and many sizes)

Accessories / skin care products available from www.manfred-sauer.co.uk or on prescription include:

  • Skin adhesives in 8 strengths (Brush in a jar, long nozzle tube, spray types)
  • Skin preparation to disinfect and increase adhesion – roll on applicator.
  • Hydrocolloid liners
  • Skin preparation wipes and pre cut pubic hair protector cloths.

Body word urinals

worn_urinalThese are an alternative to the sheath but are held in place by underwear and a belt / strap system. They drain into a bag strapped to the thigh.

Hints and tips from men at DMD Pathfinders:

Almost everyone said how critical is was to get gravity on your side to avoid getting wet. Tilting your wheelchair forward can help to create a downward slope.

Robert Watson has a superb tip for sheath users:

 I find if I have my chair tilted forward a good amount the pee goes down the tube fine, but if I was to pee with my chair tilted/reclined quite far then a lot of it would just come back on me. The other thing I find is if I tilt back quite far too soon after peeing then I usually end up being wet. So what I do is tilt far forward to pee and then give myself about 30 minutes before tilting fully back again, I find that seems to give enough time for all the pee to have gone fully down the tube. You can tilt back slightly after you’ve finished peeing but don’t tilt fully back until after about 30 minutes, otherwise there’s a pretty high chance of you ending up wet.

If you tilt, raise or recline in your chair – check the tubing will extend to your different positions and not kink.

Make sure the part of the leg bag that connects with the pipe is not pinched. A restriction in the tubing can cause back flow.

If using a sheath, make sure it has good skin contact and hasn’t worked loose.

Experiment – it might take some adjustment to find a method that’s right for you.

Using the correct size and type of sheath, tube position and length are key.

found it only seemed to work if the tube went over the top of my thigh with the bag attached to the outside of my calf. I get the bags with adjustable length tubing to cut to perfect length without any excess. The sheath has to be applied to clean dry skin and has to seal completely when sticking, avoid hairs and talc! I don’t need to tilt at all or depend on gravity. I use the Simpla Trident T2 Leg Bag, 750ml, Adjustable with Conveen Optima Urisheaths, short length.

[Mark Chapman]

Combining leg bags with protective underwear might work well.

Re-directing Urine – Gadgets and Gizmos, part 1

Standard

When you can’t get to the toilet to pee – what do you do? If you can get close, a urine re-director (also called a director) might work. They are basically a funnel and tube design which extend your urine stream.

Whiz®

If you can stand easier than sitting – women might use a urine director to pee whilst standing. If you can’t get near to the loo – you might want to direct or re-direct into a container or storage device.

In this blog we look at some of the gadgets and gizmos for women that can take your urine stream in a better or different direction – and how to use them. In the next part we will look at items specific to men.

You can find these on our Pinterest board: https://www.pinterest.com/criptical/urination-devices/

* Please Note we do not sell these products – merely provide information and an example of where they can be purchased. Other retailers may be available.

Urine Directors

Directors allow you to pee standing – directing the flow of urine into a toilet or collecting vessel.

They come in many different shapes and some are rigid whereas others are totally flexible. Many come in materials that are suitable for people with allergies e.g to latex.

You can choose from the sort you use once and throw away – or the more popular ones which you rinse, dry and fold away for next time.

For some of them, you can re-direct the urine into a storage device (urinal), down the toilet via an extension pipe or into a urine bag (bags can also have a gel that soaks up the urine and turns it to a solid for easy disposal).

How to use them

If you have some mobility and a level of dexterity, grip and balance – these may be an option for you. There are some important things to take not of – many people have been unhappy with devices wondering why urine won’t flow uphill!

So…

Wash them before and after use – many come with a storage bag.

  • TIP: If you use a wheelchair and can not shuffle forward, to the edge of your seat then, due to most having a downward spout, you will not be able to get the correct angle – and urine will not flow downwards using gravity (it will gather in the cup and then spill backwards or over as you remove it) – remember these are gravity, urine channeling devices.
  • TIP: Key to all of these is maintaining a back seal at all costs – or you will dribble or overflow backwards. This one what I personally found difficult with weaker arms and fingers.
  • TIP: You need an extension tube long enough to reach near the toilet or container without causing splashing! Sometimes you can extend with a pipe from a DIY shop – be aware that the narrower the pipe, the more the urine could backup into the cup and spill – so choose a spout with a wide diameter.

If standing, you will need to be able to stand with your legs apart and hold the director under and close to your body at a specific angle whilst urinating.

To use them whilst sitting, you need need to be able to shuffle right to the edge of a seat that is not contoured to hug your pelvis. You need to be able to pull aside knickers and hold the director at the correct angle – using gravity to ensure flow goes down towards your receiving vessel.

All devices suggest practicing in the shower or bath – however if you use a shower/bath chair/stool – the position and firmness of the seat is very different to balancing on the edge of a wheelchair cushion – so practicing might be difficult. It will give you an idea of the angle required and whether you can hold it though.  A lot will also vary depending on how rigid or flexible the director is.

LadyP: RRP £9.95 from http://www.cleanseatuk.comLadyP_Female_Urination_Device

  • Disposable: No
  • Features: Round edge seal, grip loop
  • Material: Silicone, flexible, soft, medical grade
  • Accessories: Yes, protective case, extension tube, urine absorbent pouch can be purchased (or a gift pack)
  • Colour choice: 4 colours

 

Whiz Freedom: £9.99 from http://www.whizproducts.co.uk

Whiz®

  • Disposable: No
  • Features: Hydrophobic, anti bacterial, foldable.
  • Material: Thermo Plastic Elastomer, medical grade.
  • Accessories: Connecting tube extension available, organza bag, plastic  bag.
  • Colour Choice: No
  • Other: Available on NHS prescription

 

Shewee: £6.00 from http://www.shewee.com

The_Original_Shewee

  • Disposable: No
  • Features: Hydrophobic, anti bacterial, foldable.
  • Material: Unknown.
  • Accessories: Extension pipe and carry case available
  • Colour Choice: Yes
  • Other: Available on NHS prescription

 

 

GoGirl – £11.98 on Amazon by http://www.go-girl.com

GoGirl even produces T-shirts and lip-balm and tattoos for their products if you want to share how wonderful it is – they has a very good marketing campaign. The proof is in the testing so here are the details if you want to give it a try. They have a useful video on how to hold and use the device.

GoGirl_-_Created_for_women_s_convenience

Picture Source : http://www.go-girl.com

  • Disposable: No
  • Features: See picture
  • Material: Silicone, medical grade.
  • Accessories: Extension tube and plastic carrying bag
  • Colour Choice: Lavender or Khaki

 

 

 

Freshette: £ varies from £20 to £100 from different retailers. http://www.freshette.com or buy direct from the US.

I have tried these as they have been around since the early 1980’s, and they are reviewed by many as the best and most robust to handle – but they are difficult to purchase in the UK – so shop around if it looks like this might be the one for you or buy at a good price from the US.  The design has been ‘improved’ since the first edition

Freshette

  • Disposable: No
  • Features: Anatomical contouring.
  • Material: Hard plastic
  • Accessories: Extension tubes of varying lengths and carry case available.
  • Colour Choice: No

 

 

 

The Pibella Comfort – €19 from http://pibella.ch

The claim is you can use this device sitting in a chair or laying on a bed. My own experience said I either have faulty anatomy, position or angle because I had no luck with this smaller devices – but it’s a very individual thing.

You ideally need to use these smaller ones right next to your urethra (i.e. parting the labia) and again getting the angle right. Diagrams are provided and a video to help.

Pibella__the_great_female_urination_system_-Urine_director_for_ladies_Pibella_–_Made_for_woman_«_Pibella

  • Disposable: No
  • Features: Water repellent, boil-proof
  • Material: Plastic (Polypropylene).
  • Accessories: No – comes with a lid though.
  • Colour Choice: No

 

EZwee – US product but worth mentioning $14.95

For use sitting, standing or lying down.

 

EZwee_Urination___Adult_Incontience___Unisex_Portable_Urination_Cup___BioRelief

  • Disposable: No
  • Features: Contouring.
  • Material: Plastic with rubber cover
  • Accessories: Collection bag
  • Colour Choice: No

 

 

 

 

P EZ- Estone:  £2.55 from Amazon (Also sold as the SODIAL(R): £1.63

 

  • EstoneDisposable: No
  • Features: Anatomical contouring.
  • Material: TPR (plastic)
  • Accessories: No
  • Colour Choice: No

 

Disposable urination cones

Below is just one example of many disposable urination cups and funnels. They are essentially a disposable, anatomically shaped cone that you put in the bin (not flush) after use.

P-Mate – £3.99 for 5 from http://www.pmate.co.uk

 

P-mate

  • Disposable: Yes
  • Features: Recycled
  • Material: Waxed cardboard
  • Accessories: No
  • Colour Choice: No

 

 

Do you have a 3D printer?  – Print your own device – the ChickD!ck

 

http://www.thingiverse.com/thing:320207The_ChickD_ck_Female_Urination_Device_by_heytiger_-_Thingiverse