A trial of devices for @entity322 following treatment for XXXX .

@entity1 @entity263 @entity322 @entity158
OBJECTIVE:        To compare performance of three continence management devices and absorbent pads used by @entity1 with persistent @entity322 (> 1yr) post treatment for @entity263 .        @entity1 and Methods        Randomised, controlled trial of 56 @entity1 with one year follow up.        Three devices were tested for three weeks each: sheath drainage system, body-worn urinal, penile clamp. Device and pad performance were assessed.        Quality of life (QOL) was measured at baseline and follow-up with the King's Health Questionnaire.        Stated (intended use) and revealed (actual use) preference for products was assessed        Value-for-money was gathered. RESULTS: Substantial and significant differences in performance were found:        Sheath: good for extended use (e.g. golf and travel) when pad changing is difficult. Good for keeping skin dry, not leaking, not smelling and convenient for storage and travel;        Body-worn urinal: generally rated worse than the sheath and was mainly used for similar activities but by @entity1 who could not use a sheath (e.g. retracted penis); not good for seated activities.        Clamp: good for short vigorous activities like swimming/exercise. Most secure, least likely to leak, most discreet but almost all @entity1 described it as uncomfortable or @entity158 .        Pads: good for everyday activities and best for night-time use. Most easy to use, comfortable when dry but most likely to leak and most uncomfortable when wet.        A preference for having a mixture of products to meet daytime needs; around two thirds of @entity1 were using a combination of pads and devices after testing compared to baseline. CONCLUSIONS:        This is the first trial to systematically compare different continence management devices for @entity1        Pads and devices have different strengths which make them particularly suited to certain circumstances and activities.        Most @entity1 prefer to use pads at night but would choose a mixture of pads and devices during the day.        Device limitations were important but may be overcome by better design.
