Coping with incontinence can be a huge challenge for people with limited mobility, but selecting the right protective products can go a long way toward making life easier, more comfortable, and more secure.
Choosing the right incontinence products is crucial for people with limited mobility,
who may find many of the 'standard' products inconvenient, uncomfortable, or even downright impossible to use.
Incontinence, or the inability to completely control the release of urine, is a common but seldom-discussed condition that effects tens of millions of people. It can effect both men and women of all ages, but those at highest risk are women over 50.
Pads, Liners, and Incontinence Pants
Protective pads and liners used in combination with special incontinence pants are an important part of most incontinence management strategies, but they can be invaluable for people with limited mobility. Incontinence underwear designed with side or drop-front openings are generally more convenient than ordinary pull-on styles, which can be awkward and difficult to put on and remove for people who use canes or crutches, or who depend on caregivers.
Pads and liners come in a wide variety of shapes and sizes and are designed to be worn inside of undergarments, providing a layer of protection against wetness. In most cases it is faster, simpler, and less physically challenging to remove and replace a soiled pad or liner than to make a complete change of underwear, which may be totally impractical for people with limited mobility.
Urinary Sheath Systems
For men who are bedfast, wheelchair bound, or who have severely limited mobility, external catheter systems known as urinary sheaths or condom catheters can be a viable part of incontinence management. These systems are based on a soft, pliable sheath that fits over the penis like a condom to collect urine. A length of flexible tubing connects the sheath to a drainage bag, which is generally affixed to the leg and is basically undetectable under ordinary clothing. In cases of extremely limited mobility the drainage bag can be attached to bed or wheelchair for easy caregiver access.
Because they can remain in place for extended periods of up to 12 hours or more, urinary sheath systems are a good choice for many men who have very limited mobility. However, these systems are not the right choice for everyone; some men experience skin irritation and discomfort, and men who have severely limited physical capability may require substantial assistance with both getting the sheath on and with emptying the drainage bag.
Penile Pouch Systems
Penile retraction, which is common among the very elderly, makes using a standard urinary sheath system impossible. However a variation known as a penile pouch system, in which the sheath is replaced by a small flexible pouch, can provide the same level of protection. Like the standard sheath system, a penile pouch can be worn for many consecutive hours and if fitted properly, can keep the wearer dry for extended periods.
These systems are more comfortable and easier to use than indwelling catheters, which makes them appropriate for home use. But most wearers require caregiver assistance, both with getting the pouch correctly affixed and with emptying the drainage bag.
