ASSESSMENT OF INCIDENCE OF PENILE SKIN EROSION / ULCER IN PATIENTS WITH EXTERNAL CONDOM CATHETER URINARY DRAINAGE.

Abstract

INTRODUCTION: Condom catheter is a non-invasive catheter, which is used to drain the urine in male patients, with urinary incontinence, Poor mobility in bedridden status. The use of condom catheters promotes comfort level in patients; it is very easy to use and most importantly reduces the risk nosocomial infections as compared to indwelling catheters. METHODOLOGY: The study was conducted in Shri Mata Vaishno Devi Narayana Super Specialty Hospital over a period of 3 months, a total of 25 patients, who had condom catheterization, were included in the study after obtaining the informed consent from the participants. The clinical audit assessment was done for rst 45 days among 9 catheterized patients and in-service program was implemented among the nurses to improve the catheterization practices. Afterwards post audit assessment was done for next 45 days among 15 catheterized patients. RESULT: The ndings of present study revealed that the majority of the participants (55.55%) had mild (redness), followed by 22.22% had minimal epidermal skin erosion, 11.11% had GII pressure sores and no changes in the skin next was seen in 11.11% study subjects in pre audit phase. The encountered problems associated with condom catheter were improved in the post audit phase wherein no changes in the skin were seen in majority of the participants (87.5%) and 12.5% study subjects had mild redness with cases of Grade I or Grade II,pressure sores. CONCLUSION: The study concluded that the catheter should be changed after 24 hours, always assess the penile area before the catheterisation and correct size should be applied, re cleaning and drying is essential, application of additional adhesive should be avoided and the use of silicon condom catheter was recommended in case of prolonged catheterization to prevent the penile erosion / ulcers.