Optimising outcomes in condom catheter use for male urinary incontinence

Male urinary incontinence is a debilitating yet often overlooked condition. While medical treatments are available, some men may choose to manage the condition rather than opt for treatment. For these individuals, the choice of continence product is influenced by many factors including personal preference, comfort and discretion. The condom catheter, or external urinary catheter, is a non-invasive device designed to manage male urinary incontinence. It consists of a flexible sheath worn over the penis, that is connected to a drainage system. It is primarily indicated for patients with urinary incontinence who have the ability to void spontaneously but require continuous collection of urine for comfort, hygiene or skin protection. Condom catheters should be avoided for long-term use in patients with impaired sensation or high risk of skin breakdown without careful monitoring. Adverse effects are typically minor but can include skin irritation, maceration, pressure necrosis, allergic dermatitis and urinary tract infections. Rare complications include penile ischaemia, oedema and urethral injury from improper sizing or application. This article includes guidance for safe use such as appropriate sizing, secure but non-constrictive application, daily changes and regular inspection of penile skin. Proper hygiene, moisture control and patient or caregiver education on technique and complication recognition are essential. Overall, condom catheters offer an effective, low risk alternative to indwelling catheters improving comfort and quality of life for suitable patients.