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A urine collection device or UCD is a device that allows the collection of urine for analysis (as in
medical Medicine is the science and Praxis (process), practice of caring for patients, managing the Medical diagnosis, diagnosis, prognosis, Preventive medicine, prevention, therapy, treatment, Palliative care, palliation of their injury or disease, ...
or
forensic Forensic science combines principles of law and science to investigate criminal activity. Through crime scene investigations and laboratory analysis, forensic scientists are able to link suspects to evidence. An example is determining the time and ...
urinalysis Urinalysis, a portmanteau of the words ''urine'' and ''analysis'', is a Test panel, panel of medical tests that includes physical (macroscopic) examination of the urine, chemical evaluation using urine test strips, and #Microscopic examination, m ...
) or for purposes of simple elimination (as in vehicles engaged in long voyages and not equipped with
toilet A toilet is a piece of sanitary hardware that collects human waste (urine and feces) and sometimes toilet paper, usually for disposal. Flush toilets use water, while dry or non-flush toilets do not. They can be designed for a sitting p ...
s, particularly
aircraft An aircraft ( aircraft) is a vehicle that is able to flight, fly by gaining support from the Atmosphere of Earth, air. It counters the force of gravity by using either Buoyancy, static lift or the Lift (force), dynamic lift of an airfoil, or, i ...
and
spacecraft A spacecraft is a vehicle that is designed spaceflight, to fly and operate in outer space. Spacecraft are used for a variety of purposes, including Telecommunications, communications, Earth observation satellite, Earth observation, Weather s ...
). UCDs of the latter type are sometimes called ''piddle packs''. Similar devices are used, primarily by men, to manage
urinary incontinence Urinary incontinence (UI), also known as involuntary urination, is any uncontrolled leakage of urine. It is a common and distressing problem, which may have a significant effect on quality of life. Urinary incontinence is common in older women ...
. These devices are attached to the outside of the penile area and direct urine into a separate collection chamber such as a leg or bedside bag. There are several varieties of external urine collection devices on the market today including male external catheters also known as urisheaths or Texas/condom catheters, urinals and
hydrocolloid A colloid is a mixture in which one substance consisting of microscopically dispersed insoluble particles is suspended throughout another substance. Some definitions specify that the particles must be dispersed in a liquid, while others exten ...
-based devices. External products should not be used by any individual who experiences
urinary retention Urinary retention is an inability to completely empty the bladder. Onset can be sudden or gradual. When of sudden onset, symptoms include an inability to urinate and lower abdominal pain. When of gradual onset, symptoms may include urinary incont ...
without
overflow incontinence Overflow incontinence is a concept of urinary incontinence, characterized by the involuntary release of urine from an overfull urinary bladder, often in the absence of any urge to urinate. This condition occurs in people who have a blockage of the ...
.


Description

A urine collection device allows an individual to empty their
bladder The bladder () is a hollow organ in humans and other vertebrates that stores urine from the kidneys. In placental mammals, urine enters the bladder via the ureters and exits via the urethra during urination. In humans, the bladder is a distens ...
into a container hygienically and without spilling
urine Urine is a liquid by-product of metabolism in humans and many other animals. In placental mammals, urine flows from the Kidney (vertebrates), kidneys through the ureters to the urinary bladder and exits the urethra through the penile meatus (mal ...
.


Condom catheters

Condom catheters, also known as male external catheters, urisheaths, or Texas catheters, are made of silicone or latex (depending on the brand/manufacturer) and cover the penis just like a condom but with an opening at the end to allow the connection to the urine bag. The sheath is worn over the penis and looks like a
condom A condom is a sheath-shaped Barrier contraception, barrier device used during sexual intercourse to reduce the probability of pregnancy or a Sexually transmitted disease, sexually transmitted infection (STI). There are both external condo ...
(hence the name). It stays in place by use of an adhesive, that can either be built into the sheath or come as a separate adhesive liner. The urine gets funneled away from the body, keeping the skin dry at all times. The urine runs into a urine bag that is attached at the bottom of the external catheter. During the day, a drainable leg bag can be used, and at night it is recommended to use a large-capacity bedside drainage bag. Male external catheters are designed to be worn 24/7 and changed daily – and can be used by men with both light and severe incontinence. Male external catheters come in several sizes and lengths to accommodate anatomical variation. It is very important that the male external catheter/urisheath fits well – both the diameter and the length. Different manufacturers have small measuring guides that can be used to measure what size is needed before ordering a sample. If the user does not get measured correctly leakage and skin irritation can occur.


Urinals

Urinal A urinal (, ) is a sanitary plumbing fixture similar to a toilet, but for urination only. Urinals are often provided in men's public restrooms in Western countries (less so in Muslim countries). They are usually used in a standing position. ...
s are a class of device that does not attach to the body. Instead, these external collection systems can be placed against the urinary opening during voiding and removed once voiding is complete. These are commonly used by hunters and sportsmen who may spend long periods away from a bathroom. These are not appropriate for men with urinary retention or who experience involuntary urine leakage.


Use


Managing incontinence

Penile external catheters/urisheaths combined with urine bags are preferred over absorbent products – in particular when it comes to 'limitations to daily activities'. Advantages also include discretion, less water retention at the skin surface, and the potential for 24 hour use. Complications can increase in severity and frequency over time. Up to 40% of condom catheter users will develop a urinary tract infection with long-term use. 15% of long term users may develop skin injuries, including inflammation, ulceration, necrosis, gangrene and constriction of the penis. Sizing can also prove difficult for some men, leading to dislodgement of the catheter and urine spillage during voiding (commonly referred to as pop-offs or blow-offs). 1.3% of condom catheter users will develop a bladder or renal stone requiring medical treatment. While the line of causation is not well established, urinary retention from inefficient elimination while catheterized may allow more mineral buildup and encourage crystal growth.


Urinalysis

Special UCDs exist for the collection of urine samples for subsequent urinalysis. They range from a simple plastic cup to elaborate devices designed to collect specific volumes or types of urine samples at various points in the micturition process.


Aircraft pilots

A common use of UCDs is in military
fighter aircraft Fighter aircraft (early on also ''pursuit aircraft'') are military aircraft designed primarily for air-to-air combat. In military conflict, the role of fighter aircraft is to establish air supremacy, air superiority of the battlespace. Domina ...
. Small aircraft such as fighter planes are not equipped with toilets, but pilots are sometimes required to fly them for several hours continuously. Since most people produce enough urine to fill their bladders after only a few hours under normal conditions, some method must be provided to allow a pilot to urinate without leaving their seat in the
cockpit A cockpit or flight deck is the area, on the front part of an aircraft, spacecraft, or submersible, from which a pilot controls the vehicle. The cockpit of an aircraft contains flight instruments on an instrument panel, and the controls th ...
. A UCD makes this possible. UCDs are also used on
spacecraft A spacecraft is a vehicle that is designed spaceflight, to fly and operate in outer space. Spacecraft are used for a variety of purposes, including Telecommunications, communications, Earth observation satellite, Earth observation, Weather s ...
and occasionally in other vehicles, for the same reasons. A typical UCD consists of a small container with a dehydrated
sponge Sponges or sea sponges are primarily marine invertebrates of the animal phylum Porifera (; meaning 'pore bearer'), a basal clade and a sister taxon of the diploblasts. They are sessile filter feeders that are bound to the seabed, and a ...
inside, connected to a tube that in turn is connected to a funnel-like orifice that is adapted to the user's anatomy. The user simply holds the funnel near or on their urethral opening and urinates into the tube, with the collected urine saturating the sponge (which may be impregnated with disinfectants and odor-control substances) and filling the container. UCDs are designed to be used in cramped quarters without requiring that the user rise from his seated position in the cockpit. In most cases, the user wears special clothing that can easily be opened to permit use of the UCD (e.g., special
zipper A zipper (N. America), zip, zip fastener (UK), formerly known as a clasp locker, is a commonly used device for binding together two edges of textile, fabric or other flexible material. Used in clothing (e.g. jackets and jeans), luggage and oth ...
s in
flight suit A flight suit is a full-body garment, worn while flying aircraft such as military airplanes, Glider (aircraft), gliders and helicopters. These suits are generally made to keep the wearer warm, as well as being practical (plenty of pockets), and ...
s). , technologies that did not require opening of the flight suit began to emerge, such as the "Advanced Mission Extender Device" (AMXD), which includes a pump for draining urine into a collection bag.


Spaceflight

The first American crewed mission did not utilise a urine collection device, with
NASA The National Aeronautics and Space Administration (NASA ) is an independent agencies of the United States government, independent agency of the federal government of the United States, US federal government responsible for the United States ...
having passed over the idea, as the MR-3 flight was expected to be too short for it to be necessary. Astronaut
Alan Shepard Alan Bartlett Shepard Jr. (November 18, 1923 – July 21, 1998) was an American astronaut. In 1961, he became the second person and the first American to travel into space and, in 1971, he became the List of Apollo astronauts#Apollo astr ...
faced a lengthy delay on the launchpad however, and was forced to urinate in his pressure suit. This short-circuited electrodes that had been designed to measure vital signs. A purpose built system was in place for MR-5 utilising a condom and an external storage container. Similar systems have been used in spaceflight since.


Stadium buddy

A stadium buddy is an apparatus that consists of a collecting bag fastened around the leg and tubing that attaches to a condom catheter. The hood attaches over the
penis A penis (; : penises or penes) is a sex organ through which male and hermaphrodite animals expel semen during copulation (zoology), copulation, and through which male placental mammals and marsupials also Urination, urinate. The term ''pen ...
but, unlike a condom, has a plug for the tube where the condom's reservoir tip would normally be. This apparatus allows an individual to "conveniently"
urinate Urination is the release of urine from the bladder through the urethra in placental mammals, or through the cloaca in other vertebrates. It is the urinary system's form of excretion. It is also known medically as micturition, voiding, ure ...
without having to make use of a restroom. Stadium buddies have been used by sports and concert attendees for over two decades, and are also used by pilots when flying aircraft too small to carry a restroom. Some aircraft have a tube in the seat for attaching to the condom catheter, and this tube drains out the bottom of the aircraft in flight.


See also

*Invasive methods of urine collection: **
Urinary catheterization In urinary catheterization, a latex, polyurethane, or silicone tube known as a urinary catheter is inserted into the bladder through the urethra to allow urine to drain from the bladder for collection. It may also be used to inject liquids used ...
**
Suprapubic cystostomy A suprapubic cystostomy or suprapubic catheter (SPC) (also known as a vesicostomy or epicystostomy) is a surgically created connection between the urinary bladder and the skin used to drain urine from the bladder in individuals with obstruction ...
* P-valve


References


External links


David Sedaris reads his essay about the Stadium Pal
(Stadium Pal is a brand of stadium buddy.)
GeeWhiz catheters
(a brand) {{DEFAULTSORT:Urine Collection Device Medical equipment Urine Urinary incontinence Urology