A wide range of continence products is available, and this paper focuses on products to prevent incontinence (such as urinals and commodes) and to contain or manage urinary incontinence (such as absorbent pads, penile sheaths and urethral catheters). Drawing on results from published clinical evaluations at the Continence Product Evaluation Network at UCL and at other centres, the strengths and limitations of the major categories of incontinence products currently on the market are reviewed. It is concluded that, although products for continence have improved considerably over the last 20 years, there is considerable scope for the designer and engineer to improve on current products.
Incontinence. Causes, management and provision of services. J. R. Coll. Physicians, 1995, 29, 272–274.
2.
PeetS. M.CastledenC. M.McGrotherC. W.Prevalence of urinary and faecal incontinence in hospitals and residential and nursing homes for older people. Br. Med. J., 1995, 311, 1063–1064.
3.
RoeB.WilsonW.DollH.BrooksP.An evaluation of health interventions by primary health care teams and continence advisory services on patient outcomes related to incontinence. Health Services Research Unit, Oxford, 1996.
4.
Making the case for investment in an integrated continence service. Continence Foundation, London, 2000.
5.
Basic commodes: A comparative evaluation. Disability Equipment Assessment Report A5, Medical Devices Agency (UK), 1993 (HMSO).
6.
BallingerC.PainH.PascoeJ.GoreS.Choosing a commode for the ward environment. Br. J. Nurs., 1996, 5, 485–486, 499–500.
7.
MalassigneP.NelsonA. L.CorsM. W.AmersonT. L.Design of the advanced commode-shower chair for spinal cord-injured individuals. J. Rehabilitation Res. and Dev., 1995, 37, 373–382.
8.
NelsonA. L.MalassigneP.MurrayJ.Comparison of seat pressures on three bowel care/shower chairs in spinal cord injury. Sci. Nurs., 1994, 11, 105–107.
NazarkoL.Commode design for frail and disabled people. Prof. Nurs., 1995, 11 (2), 95–97.
11.
MacintoshJ.Realising the potential of urinals for women. J. Community Nurs., 1998, 12 (8), 14–18.
12.
FaderM. J.PetterssonL.BrooksR. D.CottendenA. M.Disposable, shaped bodyworn pads with pants for heavy incontinence: An evaluation. Disability Equipment Assessment Report IN.1, Medical Devices Agency (UK), 1998 (HMSO).
13.
Directory of continence products. Continence Foundation, London, 2001.
14.
Clarke-O'NeillS.PetterssonL.FaderM.DeanG.BrooksR.CottendenA. M.A multi-centre clinical comparative evaluation: Washable pants with integral pad for light incontinence. J. Clin. Nurs., 2002, 11, 79–89.
15.
GetliffeK. A.The characteristics and management of patients with recurrent blockage of long-term urinary catheters. J. Advd Nurs., 1994, 20, 140–149.
16.
ElvesA. W.FeneleyR. C.Long-term urethral catheterization and the urine-biomaterial interface. Br. J. Urol., 1998, 80 (1), 1–5.
17.
MorrisN. S.SticklerD. J.Encrustation of indwelling urethral catheters by Proteus mirabilis biofilms growing in human urine. J. Hosp. Infect., 1998, 39 (3), 227–234.
18.
GermanK.RowleyP.StoneD.KumarU.BlackfordH. N.A randomised cross-over study comparing the use of a catheter valve and a leg bag in urethrally catheterised male patients. Br. J. Urol., 1997, 79, 96–98.
19.
FaderM. J.PetterssonL.BrooksR. D.CottendenA. M.Catheter valves: A multi-centre comparative evaluation. Disability Equipment Assessment Report A22, Medical Devices Agency (UK), 1997 (HMSO).
20.
GoljiH.Complications of external condom drainage. Paraplegia, 1981, 19, 189–197.
21.
ThelwellS.SymonC.GayS.DeanG.CottendenA. M.FeneleyR. C. L.Penile sheaths: A comparative evaluation. Disability Equipment Assessment Report A15, Medical Devices Agency (UK), 1995 (HMSO).
22.
PetterssonL.FaderM. J.BrooksR. D.CottendenA. M.Self-adhesive sheaths. An evaluation. Disability Equipment Assessment Report IN6, Medical Devices Agency (UK), 2000 (HMSO).
23.
FaderM. J.PetterssonL.BrooksR. D.CottendenA. M.Sterile 500 ml leg bags for urine drainage. Disability Equipment Assessment Report A20, Medical Devices Agency (UK), 1996 (HMSO).
24.
FaderM. J.PetterssonL.BrooksR. D.CottendenA. M.Reusable female urinals: An evaluation. Disability Equipment Assessment Report IN.3, Medical Devices Agency (UK), 1999 (HMSO).
25.
FaderM. J.MooreK.PetterssonL.BrooksR. D.CottendenA. M.Hydrophilic coated catheters for intermittent self-: An evaluation. Disability Equipment Assessment Report IN.5, Medical Devices Agency (UK), 2000 (HMSO).
26.
Clinical practice guideline: Urinary incontinence in adults. Agency for Health Care Policy and Research, AHCPR Publ. 92–0038, 1992.
27.
MadjarS.RazS.GousseA. E.Fixed and dynamic urethral compression for the treatment of post-prostatectomy urinary incontinence: Is history repeating itself?J. Urol., 2001, 166, 411–415.
28.
EckfordS. D.JacksonS. R.LewisP. A.AbramsP.The continence control pad—a new external urethral occlusion device in the management of stress incontinence. Br. J. Urol., 1996, 77, 538–540.
29.
BrubakerL.HarrisT.GleasonD.NewmanD.NorthB.The external urethral barrier for stress incontinence: A multicenter trial of safety and efficacy. Miniguard Investigators Group. Obstet. Gynec., 1999, 93, 932–937.
30.
VersiE.GriffithsD. J.HarveyM. A.A new external urethral occlusive device for female urinary incontinence. Obstet. Gynec., 1998, 92, 286–291.
31.
TincelloD. G.AdamsE. J.BoldersonJ.RichmondD. H.A urinary control device for management of female stress incontinence. Obstet. Gynec., 2000, 95, 417–420.
32.
SandP. K.StaskinD.MillerJ.DioknoA.SantG. R.DavilaG. W.KnappP.RappaportS.TutroneR.Effect of a urinary control insert on quality of life in incontinent women. Int. Urogynec. J. Pelvic Floor Dysfunct., 1999, 10, 100–105.
33.
PetterssonL.FaderM. J.BrooksR. D.CottendenA. M.All-in-one disposable bodyworn pads for heavy incontinence: An evaluation. Disability Equipment Assessment Report IN.4, Medical Devices Agency (UK), 1999 (HMSO).
34.
PetterssonL.FaderM. J.BrooksR. D.CottendenA. M.Reusable pants with integral pad for light incontinence: An evaluation. Disability Equipment Assessment Report IN.7, Medical Devices Agency (UK), 2001 (HMSO).
PetterssonL.FaderM. J.BrooksR. D.CottendenA. M.Disposable pads for women with light incontinence: An evaluation. Disability Equipment Assessment Report IN.9, Medical Devices Agency (UK), 2002, in press.
37.
FaderM. J.PetterssonL.BrooksR. D.CottendenA. M.Non-sterile 500–700 ml leg bags for urine drainage. Disability Equipment Assessment Report IN2, Medical Devices Agency (UK), 1999 (HMSO).
