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September 12, 1980

Total Distal Penile Necrosis Caused by Condom Catheter

JAMA. 1980;244(11):1238. doi:10.1001/jama.1980.03310110048030

RECOGNITION of the long-term sequelae of indwelling urethral catheters has led to the increasing use of condom catheter drainage systems in paraplegic and geriatric populations. We present a case of penile necrosis caused by condom catheter and submit recommendations for the care of condom catheter systems.

Report of a Case  An 86-year-old man was discharged from an outlying hospital after recovering from a stroke that resulted in a left-sided hemiparesis. Because of unpredictable voiding, a condom catheter was applied before his discharge from that hospital. The patient was sent home under the care of his wife and daughter. Four days after discharge, the patient was brought to our emergency room because the end of his penis had turned black (Figure). The patient's family had not changed his condom catheter; they had received no instructions regarding its care. A punch cystostomy was performed to divert the urinary stream, and, after appropriate