How do you deal with urinary incontinence in an 88-year-old man at night when the adult diapers leak even though they are not saturated?
My mom has tried the diapers but, if his "parts" are aimed to the right or left, the diapers leak anyway. He wakes up soaked every morning with the diaper not saturated.
A Texas catheter is the same thing as a condom catheter. These products need to be rolled over a penis and secured with a special tape at the base to keep it on then attached to a bag to collect the urine and empty it. These are not able to be used on women.
Indwelling catheters can be used on both sexes, either through the urethra (urine tube in the genitals) or a suprapubic catheter (a surgical opening made in the lower abdomen which opens to the bladder. The catheter is replaced every couple of weeks for sanitation. You insert the catheter into the "stoma" on the front of the lower abdomen-where the bladder would be. This option is better than the one in the genitals due to less trauma of the urethra (erosion happens as you move around).
My husband soaks the bed as well. I change him regularly during the day and before I go to bed. He is not mobile so using a commode is not possible. What I have found works as well as anything is an incontinence pad that states “overnight” or heavy duty. Hubby is also on diuretics which makes it worse. I put the pad over his man parts and put the diaper on top.
Here are some suggestions I have done with my dad. Is it possible to get him up once or twice a night to use the toilet, or change him? You can get adult 'diapers' that work like a baby diaper, with tabs on the sides - they are much easier to change by simply rolling him from side to side. I also use pads that are about 36" X 36" (from Amazon) that are easily washable, to prevent sheets from being soiled. Adding an extra 'pad' to the 'Depends' (like a sanitary napkin, but for incontinence) has been very helpful for my dad. Also, increase his liquid intake in the AM, decrease it in the PM hours. Best of luck!
Oh I have a leaky hubby! Sometimes I just think back to when I had kids in diapers, and come up with solutions. I was able to cut down a lot of the leakage by simply changing brands. While they all look very similar they are different. In the hospital they just used a Texas catheter, worked wonderfully! Just Google Texas catheter.
Just to set the record straight , a CONDOM catheter is a roll on condom with an open end that attaches to a tube, for drainage into a bag. You secure it with a piece of tape at the base of the penis. There is nothing "Indwelling". Any medical supplies store should carry them. The bag and tubing can be washed or rinsed out and a new condom can be attached for the next night. Put a piece of tape over part of the tubing or secure with a tubing clamp secured to the inner leg, to hold it in place as they sleep.
Yes, this has been a problem for awhile now. I think it is a different problem for men than it is for women. My mom said its hard to "aim" him properly and, even if she does, as he moves in the night, so do his genitals. He likes to sleep on his right side and often ends up aimed in the same direction so, the whole top (left) part of the diaper will be dry and the bottom (right) part and the bed will be wet. Women can't aim like that so they have different problems in this area. I did find one website with something that has a sheath and a bag that is not actually a catheter and is not inserted internally that she might try. Right now my stepdad is in the hospital/soon to be rehab from an infection from a surgery site incision so she is not dealing with this issue at all. Thanks for your help everyone!
Catheters should be a last resort according to my mother's doctor. He said as long as I can keep up with changing the diapers to avoid infection and/or skin breakdown, then no need for the catheter. It's been four years now and no infection, no skin breakdown yet.
Is he repositioning his legs in the middle of the night? My mother wears adult diapers with a booster pad insert and if she repositions her legs then she'll wake up with a dry diaper but urine all over her bed pad.
Are the diapers too big? You can double up on diapers or use booster pad inserts to maximize the space and give the whole area a good snug.
Has he always done this or is this a sudden, recent issue? He may be experiencing lower back pain, repositioning his legs in a frog-like/diamond-like stance will take the pressure off of his lower back nerves.
If he continues to wake up with a dry diaper and urine everywhere else, then I would contact his primary care doctor.
I agree with Suprise, that adding a pad should help. However - if it were me - I'd stick with a good fitted overnight "brief" with the added pad to keep things more tightly packaged. No pun intended.
Not to be indelicate- but it is what it is - any chance he's reaching inside at night to rearrange the package? I know that's a normal, natural "guy thing" that can happen even while asleep. That could be adding to the problem, if so.
Mthr's memory care told me to get the largest size diapers (not underpants) so they can fold them over and prevent leaks. You can also put the incontinence pads inside to fill the diaper area out more and keep things aligned.
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Indwelling catheters can be used on both sexes, either through the urethra (urine tube in the genitals) or a suprapubic catheter (a surgical opening made in the lower abdomen which opens to the bladder. The catheter is replaced every couple of weeks for sanitation. You insert the catheter into the "stoma" on the front of the lower abdomen-where the bladder would be. This option is better than the one in the genitals due to less trauma of the urethra (erosion happens as you move around).
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Is it possible to get him up once or twice a night to use the toilet, or change him? You can get adult 'diapers' that work like a baby diaper, with tabs on the sides - they are much easier to change by simply rolling him from side to side. I also use pads that are about 36" X 36" (from Amazon) that are easily washable, to prevent sheets from being soiled. Adding an extra 'pad' to the 'Depends' (like a sanitary napkin, but for incontinence) has been very helpful for my dad.
Also, increase his liquid intake in the AM, decrease it in the PM hours.
Best of luck!
There is nothing "Indwelling". Any medical supplies store should carry them. The bag and tubing can be washed or rinsed out and a new condom can be attached for the next night.
Put a piece of tape over part of the tubing or secure with a tubing clamp secured to the inner leg, to hold it in place as they sleep.
Is he repositioning his legs in the middle of the night? My mother wears adult diapers with a booster pad insert and if she repositions her legs then she'll wake up with a dry diaper but urine all over her bed pad.
Are the diapers too big? You can double up on diapers or use booster pad inserts to maximize the space and give the whole area a good snug.
Has he always done this or is this a sudden, recent issue? He may be experiencing lower back pain, repositioning his legs in a frog-like/diamond-like stance will take the pressure off of his lower back nerves.
If he continues to wake up with a dry diaper and urine everywhere else, then I would contact his primary care doctor.
Not to be indelicate- but it is what it is - any chance he's reaching inside at night to rearrange the package? I know that's a normal, natural "guy thing" that can happen even while asleep. That could be adding to the problem, if so.