Penile Sheaths are an effective and popular way to manage urinary incontinence in men. Also known as Penis Pouches, Urinary Sheaths, condom catheters, uridomes or external catheters, they are an alternative to absorbent pads. They fit over the penis like a condom and are attached by a tube to a drainage bag (usually worn around the leg) and can be used during the day and during the night.
Penile sheaths can be worn for short periods, such as when you are going on a journey, watching a football match, etc so that urine can be collected until it can be conveniently managed. If incontinence sheaths are used for shorter periods, then a special medical wipe or spray may be needed to help you remove them.
There are many accessory products available which can be used to help protect the skin, increase adhesiveness if required and aid removal. Contact your Continence Advisor for more information.
What are Urinary Sheaths made from?
Urinary Sheaths are usually made of latex or silicone rubber. Most men prefer silicone sheaths over latex ones, especially if latex sensitivity is problematic. Also, silicone is transparent, allowing some visualisation of the skin without removing the sheath. However, this is not a substitute for periodic removal of the sheath and direct skin inspection.
Some sheaths are self-adhesive, and others have a separate adhesive or adhesive strip. Some sheaths can be fitted using an applicator; in some cases, this may be easier if you find it difficult to apply them by hand. (Bladder and Bowel)
Penile Sheath lengths and sizes
Incontinence Sheaths are available in various lengths and sizes. Most companies supply them with diameters in the range of about 20-40mm (in 5-10mm increments). This variation ensures that you have a sheath which is the correct size for you.
The incontinence Sheath will need to be big enough to allow natural movement of the penis but should also not be too loose as it may leak or come off completely. Before using a sheath system, you should ask for help from your health professional to ensure you use the correct size of the sheath and put it on properly.(Bladder and Bowel)
How do I put on a male Urinary Sheath?
A Urinary Sheath is an alternative male incontinence product. It fits over the penis like a condom and is connected to a drainage bag by a tube. It can be used both during the day and at night. Ensure the skin is completely dry before wearing a urinary sheath, and avoid the use of talcum powder.
The sheath can be:
- self-adhesive – that sticks directly to the penis
- non-adhesive – requires the use of adhesive glue on the penis or placing a double-sided adhesive strip around the penis, so the sheath adheres to it.
Always read the manufacturer’s fitting guide before fitting, as different brands of Sheath may vary.
How often should Penile Sheaths be changed?
Penile Sheaths should be changed every 24 hours. To help remove the Sheath, use warm soapy water and wash the penis and the surrounding area before putting on a fresh sheath. Follow the instructions that you receive with the Sheath and from your continence advisor. You should never remove dry and you should never pull the Sheath when you are trying to remove it. (NHS, Using Urinary Steaths)
A sheath is designed to channel urine away to a leg bag. This urine bag should be checked every 2-3 hours, and emptied when it’s around two thirds full. The leg bag should be changed at least once per week.
Penile Sheaths Frequently Asked Questions
The products discussed in this article should be discussed with a suitably qualified and experienced medical professional before making any changes to your bladder care routine. The following frequently asked questions may, however, answer some of your issues with urinary sheaths.
This article is offered as a guide, however if you experience any of the issues discussed in this article you should seek an appointment directly with your GP or healthcare practitioner.