Urinal systems

There are additional appliances available on prescription that may help an individual to retain continence such as urinals and bedpans. 

Male funnels may be helpful for individuals to direct urinary flow into the toilet.

Female urinals, to which a non-sterile catheter leg bag can be attached, are available on prescription. These should be replaced on a six monthly basis.

Female

Beambridge Saddle Urinal (Beambridge Medical)

• Order code 6-26 (£15.47)
• Total useable unit volume = 750ml.

Bridge Urinal (Beambridge Medical)

• With Tap, order code 6-18T (£15.47)
  • Can be used with or without a Drainage Bag
• Without Tap, order code 6-18 (£15.47)
  • Must be used with a Drainage Bag
• Total useable unit volume without a bag = 400ml.

Male

Male Draining Jug (Beambridge Medical)

• With Tap, order code 6-50T (£15.47)
  • Can be used with or without a Drainage Bag
• Without Tap, order code 6-50 (£15.47)
  • Must be used with a Drainage Bag
• Total useable unit volume without a bag = 400ml.

Catheterisation gels

There has been much controversy around the use of anaesthetic gel versus lubricant. Currently the use of lubricating gel is recommended, but an anaesthetic gel might be considered where there is a history of difficult catheterisation, autonomic dysreflexia or by patient request.

Optilube (Optimum Medical)

• 6ml, 11ml syringe (£0.98, £1.03)

For all children / young people please refer to the Paediatric Bladder and Bowel Care Specialist Nurses.

Notes

1. The Bard catheter pack only contains a lubricating gel so an additional prescription will need to be obtained for lignocaine gel. Please refer to the current local organisational policy.

Catheter patency (maintenance) solutions

Catheter patency solutions is the term referred to in the British National Formulary (BNF). The group of medicinal products have previously been referred to as Bladder Washouts and Catheter Maintenance Solutions.

Chlorhexidine or mandelic acid catheter patency solutions are not recommended

Please refer to section 7.4.4 Bladder instillations and urological surgery for product information

Potential Adverse Reactions

These may include:

• Bladder irritation
• Urinary tract infection
• Patient discomfort
• Haematuria

Catheter retainer devices

These retainer devices are for extra support and comfort, and help to keep the catheter in place. The leg or abdomen should be measured to ensure the correct size is ordered. Abdominal straps may be cut to fit the leg.

StatLock (Bard)

• FOL0102DT (£13.84 = 5)

GB Fix-It Strap (Great Bear Healthcare Ltd)

• Short - 10646C (£15.36 = 5, £3.07 each)
• Adult – 10644A (£15.36 = 5, £3.07 each)
• Abdominal – 10645B (£16.81 = 5, £3.36 each)

Catheter valves

These may be used as an alternative to a leg bag. Valves should be changed every 7 days. They may be attached to a night bag to allow drainage overnight.

During the day the valve will need to be opened at regular intervals as per patient assessment.

It is essential that a full assessment is carried out prior to valve use, ensuring that the patient fully understands. Cognitive function and dexterity need to be considered when assessing for a catheter valve.

If the patient has no bladder sensation please discuss with the Bladder and Bowel care team.

Catheter valves should be changed every 5-7 days. No more than one packet (5) should be prescribed every month

Prosys sterile catheter valve (CliniSupplies Ltd)

• PCV3942 (£10.17 = 5, £2.03 each)