You are viewing a javascript disabled version of the site. Please enable Javascript for this site to function properly.
Go to headerGo to navigationGo to searchGo to contentsGo to footer
In content section. Select this link to jump to navigation

An automatic urine disposal system for urinary incontinence: A pilot study with long-term users for effectiveness and safety

Abstract

BACKGROUND:

Urinary incontinence is a common problem among the elderly and patients with neurologic disability. The conventional urinary incontinence aids, such as urine-absorbing diapers, pads, and indwelling catheters, frequently cause hygienic problems.

OBJECTIVE:

To study the safety and efficacy of a new automatic urine disposal system that can suction and store the urine in a separate container for future disposal.

METHODS:

An electromechanical urine disposal system that can collect and transport the urine and cleanse and air-dry the external genitalia was developed. The hygienic effects of using this system were studied in 8 participants after 3 months of use.

RESULTS:

The caregivers of all 8 patients reported improved hygiene of their patients. None of the patients suffered from decubitus ulcers, and skin erythema was absent in 4 patients, while markedly decreased in the other 4 patients when compared with the use of urine-absorbing diapers. Four patients experienced minor urine leakage that was manageable with concurrent use of either diapers or bed pads.

CONCLUSIONS:

The use of an electromechanical urine disposal system relieves the caregiver from night care, as the urine is automatically collected and stored for disposal the next day. The system improves the hygiene of the patient, as the urine is immediately suctioned and the external genitalia is cleansed and dried after urination.

References

[1] 

Brown JS, , Seeley DG, , Fong J. Urinary Incontinence in Older Women: Who Is at Risk? Obstet Gynecol. (1996) ; 87: (5): 715-721.

[2] 

Hellström L, , Ekelund P, , Milsom I, , Mellström D. The prevalence of urinary incontinence and use of incontinence aids in 85-year-old men and women. Age Ageing. (1990) ; 19: (6): 383-389.

[3] 

Leung Felix W, , John FS. Urinary and fecal incontinence in nursing home residents. Gastroenterol Clin North Am. (2008) ; 37: (3): 697-707.

[4] 

Chiang L, , Ouslander J, , Schnelle JF. Dually incontinent nursing home residents (clinical characteristics and treatment differences). J Am Geriatr Soc. (2000) ; 48: (6): 673-676.

[5] 

Lee SH, , Kang JS, , Kim J-W, , Lee SJ. Incontinence pad usage in medical welfare facilities in Korea. Int Neurourol J. (2013) ; 17: (4): 186-190.

[6] 

Saga S, , Vinsnes AG, , Mørkved S, , Norton C, , Seim A. What characteristics predispose to continence in nursing home residents? A population-based cross-sectional study. Neurourol and Urodynam. (2015) ; 34: (4): 362-367.

[7] 

Wang L, , Lansing B, , Symons K. Infection rate and colonization with antibiotic-resistant organisms in skilled nursing facility residents with indwelling devices. Eur J Clin Microbiol Infect Dis. (2012) ; 31: (8): 1797-1804.

[8] 

Fujimoto T, , Hashimoto T, , Sakaki H. Automated handling system for excretion. In Engineering in Medicine and Biology Society. Proceedings of the 20th Annual International Conference of the IEEE. (1998) ; 4: : 1973-1976.

[9] 

Nagoya K, , Kojima T, , Hosoya S, , Eda K, , Ando Y, , De-Liang G. Self washing underwear type toilet and its control method using humidity sensor and rotary valve with electric current control. INT J Appl Elctrom. (2008) ; 27: : 75-91.

[10] 

Macaulay M, , van den Heuvel E, , Jowitt FA, et al. Noninvasive continence management system: Development and evaluation of a novel toileting device for women. J Wound Ostomy Continence Nurs. (2007) ; 34: (6): 641-648.

[11] 

Jung YG, , Koh E, , Park S. Advances in urine and feces disposal systems for the treatment of incontinence. Information. (2015) ; 18: (4): 1463-1468.

[12] 

Wai AAP, , Foo SF, , Jayachandran M. Towards developing effective Continence Management through wetness alert diaper: Experiences, lessons learned, challenges and future directions. In Pervasive Computing Technologies for Healthcare (PervasiveHealth). 2010 4th International Conference on-NO PERMISSIONS. IEEE. (2010) : 1-8.

[13] 

Ishitsuka Y, , Kobayashi J, , Machida SUS. Patent No. 7,220,250. Washington, DC: U.S. Patent and Trademark Office. (2007) .

[14] 

Ishitsuka Y, , Kobayashi J, , Machida SUS. Patent No. 7,939,706. Washington, DC: U.S. Patent and Trademark Office. (2011) .