I just have some few concerns about condom catheters. Is it really okay for a patient to wear them 24/7? The patient is a quad paralysis and uses a condom cath rather that a urostomy or foley. Also, at the base of the penis, a wound has already formed because the rim of the condom is digging into the skin. There is a bandage covering it but still all the moisture and no air circulating is slowing the healing process.
I have read multiple posts and article about putting on a condom cath. I didn't feel comfortable doing it at first because my patient always gets erect when it's washed and all the skin prep is wiped on his skin. He is a "grower" so when it is erect, it was easier to put. I've read on multiple posts that I should just hurry and put it on ASAP. That's what I've been doing. He had a natural reaction and I just do my job ASAP, period.
I mean, I don't do any excessive effort to make sure the patient gets erect, but he has been ill for a couple of days, and is unable to get erect when he is washed, etc. He is smaller and shorter and he isn't happy on how the condom fits, and there is a lot of excessive condom rolled at the base of the penis. He wants the condom replaced when he is mildly erect, etc. He doesn't say it like that but that's were he is going when he asked me to redo the condom catheter.
At this point, a friend/family member was the one who placed it for me since they are more familiar with this and have been doing it a lot before home health was on board and are okay with erection, etc. I just don't like the idea that I have to do "intentional" stimulation. It made me feel unsafe and I don't want to get in trouble.
I have been okay with natural bodily functions, such as incontinence, sudden passing of gas, pt erection of genitalia or nipples, body odor, etc.
I have known this pt for quite a long time. He is a quad, and I am 100% sure that this is not a "suspicious" activity coming from him. He has had multiple accidents when his cath fell off and had to sit in his pool of urine, which is why he is scared and angry.