Why Some Men Prefer a Condom Catheter

A condom catheter is recommended for men that cannot control the release of urine. Many men prefer a condom catheter over an intermittent catheter for various reasons. A condom catheter, otherwise known as an external or Texas catheter, is a non-invasive option for men. Any man experiencing urinary incontinence can use a condom catheter. There is no prescription needed for this external catheter. Designed specifically for the male anatomy, the condom catheter is secured with straps or adhesives and connected to a tube attached to a urine drainage bag.

Hollister InView Extra Male External CatheterFeatures and Benefits of a Condom Catheter

A male external catheter provides an alternative to incontinence pads for men and can offer an improved quality of life. For various reasons, many men find that condom catheters offer several benefits over traditional intermittent catheters.


External catheters are much more comfortable than indwelling catheters because they are non-invasive.

Reduced UTIs

Urinary tract infections (UTIs) can be reduced by using an external Texas catheter.

Ease of application

The easiness of applying and removing the external catheter can be the primary motivation for many people. Once you’ve had an assessment and indicated the correct sizing, most people can apply and remove the sheath independently.

How to Choose a Condom Catheter

UltraFlex Silicone Self-Adhering Male External CatheterCondom catheters, much like all incontinence products, are not one-size-fits-all. Whether you are a man exploring more affordable catheter options or looking for a catheter better suited for your lifestyle, choosing the correct size external catheter is essential when purchasing. Proper sizing is crucial for safety reasons and can also give you peace of mind.

A male external catheter doesn’t have to be uncomfortable. One that is too small will feel too tight, and one that is too large will not fit securely enough to protect against leaks. Ensuring the right size male external catheter makes all the difference when managing incontinence.

A properly fitting male external catheter should be comfortable, odor-free, protect against leaks, and should fit snugly.  It is also essential to note that if you are allergic to latex, make sure you choose a silicone-based male external catheter.

The best way to get the proper sizing for a Texas catheter is to schedule an appointment with a nurse specialist that has experience in sizing and teaching men to use this type of catheter. Most primary care physicians have access to these types of nurses.

Adhesive and Non-Adhesive Condom Catheter Options

Urofoam External Catheter StrapsAnother option to consider when choosing a Texas catheter is the feature of adhesive and non-adhesive choices. Self-adhesive condom catheters like the UltraFlex Silicone Self-Adhering External Catheter are 100% latex-free and have adhesive material inside, providing a reliable bond for maximum wear time.

Non-adhesive condom catheters feature a strap made of foam material and a Velcro closure to hold the external catheter in place. The Dover External Catheter by Cardinal Health is a soft latex Texas catheter with a foam strap to help keep it securely in place.

External catheter straps can also be purchased separately to provide an added sense of security. The Urocare Uro-Strap Male External Catheter Strap is a convenient and affordable option that is fully adjustable for individual size requirements.

Condom Catheter Tips

  • If you are experiencing leaks with your male external catheter, it is likely to be a sizing issue.
  • Make sure to keep the urine drainage bag lower than the level of the external catheter to avoid backflow.
  • Condom catheters vary in shape and size depending on the manufacturer. Always check the specific manufacturer’s directions and fitting instructions.
  • Hygiene is essential. Always thoroughly wash your hands before applying and removing the male external catheter, ensuring it does not touch surfaces once opened.

Best-Selling Condom Catheters

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External Catheters for Men and Women

When men and women experience leakage from urinary incontinence, urinary retention symptoms, or have prostate problems, their doctor may bring up the use of an intermittent urinary catheter as a solution. For some, using an intermittent or indwelling catheter may not be an option due to frequent catheter-associated urinary tract infections or bladder stones. An external catheter for men and women may be just the right option for managing urinary incontinence.

What are External Catheters?

condom catheter with foam strapDoctors can treat urinary incontinence in men with a male external catheter, which is not like traditional catheters that insert into the bladder to drain urine. Thus, the male external catheter is often referred to as a Texas catheter or condom catheter because it is placed over the penis almost like a condom.

A female version of an external catheter is also available. We offer the PureWick Female External Catheter. This female external catheter allows for non-invasive urine output management for female patients.

Why an External Catheter May Be Needed?

For men and women that suffer from urinary incontinence, overactive bladder, or mobility issues, an external catheter may be the right choice. The external catheter is designed for those that can drain urine but cannot control when it is released.

Sometimes, an internal catheter is not an option due to frequent urinary tract infections (UTIs) or bladder spasms. External or condom catheters can be beneficial because they are less likely to cause urinary tract infections associated with frequent catheterization. Because male external catheters allow for more movement and are non-invasive, they can be a more comfortable option. Your doctor must size you for the fit to prevent leaks that can lead to skin irritation and breakdown.

Using adult diapers and pads makes the skin susceptible to damage from exposure to urine, but the female external catheter alternative wicks the urine away to keep the skin soft and dry. Female external catheters give females managing urinary incontinence a new and simple option.

How Does an External Catheter Work?

purewick female external catheter in handFor men, the difference between a standard condom and a male external catheter or condom catheter is that it has a plug at the end to attach a drainage tube so urine can pass into a collection bag or device that is typically attached to the leg. Unlike the standard condom, most male external catheters, Texas catheters, or condom catheters are self-adhesive.

For women, the external catheter uses a long cylinder with a top layer of absorbent fabric. This cylinder is then placed between the labia and laid against the urethra. The female external catheter uses a low-pressure suction design to pull the urine from the soft, absorbent fabric, through the cylinder, and into a designated container. The female external catheter can be held in place with adhesive pads while being used.

How Long Should an External Catheter Stay in Place?

Medi-Sol Adhesive Remover wipes for removing adhesive residue from external catheterExternal catheters for both men and women should be replaced and disposed of every 24 hours and are not meant to be reused. Remaining clean and sanitary is an essential step when using an external catheter. The chances of getting a UTI or skin infection are increased by leaving an external catheter in place for too long.

When removing an external catheter for men, apply a warm, wet washcloth over the condom catheter to help loosen the adhesive. After slowly rolling down the condom catheter, any leftover residue can be removed using an adhesive remover.

Urinary drainage bags can be reused. The urine collection bag should be emptied when it becomes approximately two-thirds full, and it is recommended to be thoroughly cleaned at least once per day. Cleanse the inside and outside of the bag, as well as the valve, with warm, soapy water. This will ensure to keep it sanitary as it hangs to air dry.

Does Medicare Cover External Catheters?

If you qualify for Medicare, make sure to do some research to ensure that the doctor you choose accepts Medicare. Medicare will not pay a claim for a clinician that is not enrolled. If your clinician is enrolled, Medicare will cover external catheters/urinary collection devices for both men and women who have permanent urinary incontinence and cannot use an indwelling catheter as an alternative.

A detailed list of all the supplies included in Medicare coverage related to external catheters for men and women can be found at the Center for Medicare & Medicaid Services.

External catheters for men and women can be an excellent alternative to indwelling catheters and help prevent catheter-associated urinary tract infections (CAUTI). For questions about any of the male and female external catheters we offer, our Product Experts are just a phone call away and happy to help. If you aren’t finding the external catheter you are looking for; we have access to so many home delivery medical supplies, we are sure to find options for you at a competitive price.

Popular External Catheters & Supplies

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