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I told myself I would reach out to as many people as I could about MALE CONDOM CATHETERS. Let me preface this by saying we take care of our aging parents in home. My dad used to be able to use a urinal overnight to pee and we would clean him up in the morning. Since he lost use of his left arm he was unable to stay dry overnight. We would change him at night before bed then in the morning. We used the best diaper we could find for overnight but he inevitably began to have sores on his bottom. This really depressed him because of the pain involved with those skin break downs.
The only way we knew to keep him dry was to get up several times throughout the night and place the urinal for him when he called out to us. This took a great toll on us. Whomever spent the night ended up groggy the next morning for work! After a year of feeling like we were doing nightly newborn feedings, I finally came across the male condom catheter and it has totally changed things for the better. Medicare and his secondary cover the cost of the supplies (urine bag, catheters, and wrap around his leg to keep it in place). Listen, you can have the best diaper but it will still get wet which means the skin will sit in urine. This is also the most comfortable dry way to sleep when you suffer from incontinence. We have been using these for at least 6 months now and have not had any UTI issues. Every caregiver of adult males should be alerted to this!!! I felt like we won the lottery when we saw how well they work. I wish our PCP had told us about this the moment my dad broke his hip. I read comments of the washing wet sheets and linens, and chucks and diapers that are purchased because of overnight leaks (we spent out of pocket for all of these items too!) If I knew about these condom catheters the moment my dad broke his hip we would all have been much better off. Please look into this as an option for overnight-and yes you can use this during the day as well!!!
God bless!
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Reply to HoustonPat
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All adult brand diapers leak.

In the situation you describe you’ve got two strikes against you.

First, the person is in a horizontal position and plain old gravity is working against the diaper - especially if the
urine is release in a heavy stream. The padding just can’t absorb it fast enough before the urine runs downwards. Diapers specifically made for sleep are a little better at handling this as usually the backside of the diaper has more padding and it also extends higher up. But what if the person is a side sleeper? Urine leaking out the leg holes is a problem even under the best circumstances. And - if you’ll notice, diapers specifically made for men and day use, usually have the majority of the absorbing padding up front and then it gets less as it goes between the legs and up the back side.

Second - and there is no delicate way to put this - well, there is but the point may get muddled - but you are dealing with a mans anatomy. The “man part” shifts and points in different directions during sleep - and goodness knows which way the urine is headed. Plus - men tend to adjust, pat and sometimes just hang onto the family jewelry in their sleep, subconsciously and often purposely. This also messes up the trajectory. Lastly, there is the man problem of “morning”... I’ll leave that one there, but I hope you know what I mean. Putting extra absorbing pads in the diaper does help “pack” the little rascal into place but any manhandling is gonna sabotage that strategy.

Sooo... your best bet is to minimize the hazard by putting down chux pads to protect the bottom sheets. However - I found that I had to lay down several and even then they often ended up in a wad at the foot of the bed. Limited fluids after a certain hour helps - but gotta watch for dehydration.

So basicly - in my opinion, it’s over all a no win situation. You may loose the war but win a lot of battles along the way with little tricks of the trade that help. But no. There is no perfect solution. Not that I have found in my 26 years of dealing with this issue. While I’ve personally never tried one with my loved one, I imagine even catheters have issues too - UTIs being among the more serious.
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Reply to Rainmom
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Abena brands are on Amazon. Delivery is free and takes about 2 days. I tried the Covidian brand but it is not the same. I have her on a subscription program for automatic delivery. The date can be changed if she runs out early They absorb a lot more liquid. I use the generic brands during the day. While you are at it, look at washable bed pads. Because my mom rolls a lot in a double bed, her staff requested the largest ones.
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Reply to MACinCT
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The 10 Best Adult Diapers of 2019


https://www.comfortplusonline.com/10-best-adult-diapers-2019/#overnight
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Reply to cwillie
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There are inserts that can be put in that will absorb more.
There are other brands that you can get through "medical supply" that may be more absorbent.
How well would he do with a condom catheter?
or
depending on when he goes to bed is 1 more trip to the bathroom possible before he goes into a deep sleep?
or
a beside, hand held urinal might be all that he needs to get him through the night without leakage.
Absorbent pads under him might also help if he does "spring a leak" ;)
I have to say no matter what I did for my Husband he was ALWAYS wet.

One of the things that might be happening is when he goes from sitting to laying down when he gets in bed that re-positioning from up right to prone allows the bladder to empty more fully.
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Reply to Grandma1954
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I think the brand I tried was Covidien. You can find them at medical supply places, sometimes for less than Amazon. I can only vouch for using them with a bm though. But they seem to do the job. I had good luck with Depends too, but again, only for the bm.
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Reply to Silverspring
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