18.5 Urology drainage bags

A wide variety of drainage systems are available. When selecting a system, consideration should be given to the reasons for catheterisation, intended duration, the patient's wishes, and infection control issues.

Urine drainage bags are available in a wide selection of sizes ranging from the 350ml to 2 litre bags. 2 litre bags are more commonly used in non‐ambulatory patients and overnight drainage.

When obtaining a urine specimen from a catheter, it is important that an aseptic technique via the sampling port is used. Samples must not be taken from the drainage bag.

Should a catheter maintenance solution be clinically required, a new sterile bag must be used after each solution used.

Outlet type (tap)

  • T-tap, slide action, or lever tap
    • Patients’ manual dexterity should be assessed to indicate appropriate operation of the various mechanisms

Inlet tube

  • Long tube – to be worn on calf
  • Short tube – to be worn on thigh
  • Adjustable tube – only with sheath systems

Leg bags

Sterile leg bags must be used with indwelling urinary catheters and should only be changed according to clinical need, or as per manufacturer's recommendation e.g. usually 5-7 days.

Bags must be emptied before they are full and as per manufacturers’ guidance, using a clean procedure and without breaching the closed system unless clinically indicated.

Prescription - 10 per box enough for 10 weeks supply. No more than one box of ten should be issued on alternate months (e.g. 6 x 10 boxes per year)

With T-tap

LINC-Flo (LINC Medical Systems Ltd)

(Sterile leg bag with T-tap)

  • Short tube + T-tap 10cm:
    • 350ml (LM350MD-T) (£21.50 = pack of 10)
    • 500ml (LM500MD-T) (£23.15 = pack of 10)
    • 750ml (LM750MD-T) (£23.11 = pack of 10)
  • Long tube + T-tap 30cm:
    • 500ml (LM500LD-T) (£23.15 = pack of 10)
    • 750ml (LM750LD-T) (£23.11 = pack of 10)
  • Adjustable tube + T-tap:
    • 500ml (LM500AD-T) (£23.15 = pack of 10)
    • 750ml (LM750AD-T) (£23.11 = pack of 10)
  • Direct inlet + T-tap:
    • 350ml (LM350SD-T) (£21.50 = pack of 10)
    • 500ml (LM500SD-T) (£23.15 = pack of 10)
    • 750ml (LM750SD-T) (£23.11 = pack of 10)

Notes

  1. Packs include overnight connector and elastic velcro straps, 10 pairs of straps per box of 10 leg bags

With slide tap

Prosys (Clinisupplies Ltd)

(Sterile leg bag with slide tap)

  • Short tube 10cm + slide tap (£26.84 = pack of 10):
    • 350ml (P350S)
    • 500ml (P500S)
    • 750ml (P750S)
  • Long tube 30cm + slide tap (£26.84 = pack of 10):
    • 350ml (P350L)
    • 500ml (P500L)
    • 750ml (P750L)

Notes

  1. Packs include 1 pair of non-latex gloves and soft elasticated cotton velcro straps per box of 10

With lever tap

Prosys (Clinisupplies Ltd)

(Sterile leg bag with lever tap)

  • Short tube + lever tap (£26.84 = pack of 10):
    • 500ml (P500S-LT)
  • Long tube + lever tap (£26.84 = pack of 10):
    • 500ml (P500L-LT)

Notes

  1. Packs include 1 pair of non-latex gloves and soft elasticated cotton velcro straps per box of 10
Libra (Great Bear Healthcare)

(Sterile leg bag with lever tap)

  • Short tube + lever tap:
    • 350ml (10100A) (£29.70 = pack of 10)
    • 500ml (10102C) (£30.15 = pack of 10)
    • 750ml (10106G) (£30.49 = pack of 10)
  • Long tube + lever tap:
    • 500ml (10104E) (£30.15 = pack of 10)
    • 750ml (10108J) (£30.49 = pack of 10)
  • Adjustable tube + lever tap:
    • 500ml (10105F) (£30.15 = pack of 10)
    • 750ml (10110L) (£30.49 = pack of 10)
  • Direct inlet + lever tap:
    • 350ml (10130G) (£29.48 = pack of 10)
    • 500ml (10131H) (£29.94 = pack of 10)
    • 750ml (10132J) (£30.26 = pack of 10)

Notes

  1. Packs include overnight connector and elastic non-slip velcro strap

Night bags

Bags should always be positioned below the level of the bladder to maintain an unobstructed flow and be emptied appropriately. Stands can be obtained from the bag manufacturers or dispensing contractors free of charge.

The night bag is attached to the leg bag and the leg bag valve opened to allow drainage into the night bag.

Reusable/weekly

Prescription - 10 per box enough for 10 weeks supply. No more than one box of ten should be issued on alternate months (e.g. 6 x 10 boxes per year)

With T-tap
Prosys P2000 (Clinisupplies Ltd)

(Sterile drainable night bag with T-tap)

  • 2 litre drainable bag + T-tap (P2000) (£12.42 = pack of 10)

Notes

  1. Bag with 90cm inlet tube, non-return valve, sample port connector, T outlet tap, and 1 pair of non-latex gloves
With lever tap
Prosys P2000-LT (Clinisupplies Ltd)

(Sterile drainable night bag with lever tap)

  • 2 litre drainable bag + lever tap (P2000-LT) (£12.42 = pack of 10)

Notes

  1. Bag with 90cm inlet tube, non-return valve, sample port connector, lever outlet tap, and pair of non-latex gloves
GB4 (Great Bear Healthcare)

(Sterile drainable night bag with lever tap)

  • 2 litre drainable bag + lever tap (10400W) (£14.35 = pack of 10)

Notes

  1. Bag with 100cm inlet tube, non-return valve, sample port, anti-kink tubing, and lever outlet tap
GB4 FOLD UP (Great Bear Healthcare)

(Sterile drainable night bag with foldable lever tap)

  • 2 litre drainable bag + lever tap (10402Y) (£15.03 = pack of 10)

Notes

  1. Bag with 100cm inlet tube with a foldable lever action tap, non-return valve, sample port, and star formed anti-kink tubing

Single use

Disposable / single use night bags may help reduce urinary tract infections.

Prescription - maximum of three boxes for one-months’ supply

Non-drainable
Prosys P2 (Clinisupplies Ltd)

(Non-sterile non-drainable night bag)

  • 2 litre non-drainable bag (P2) (£2.14 = pack of 10)

Notes

  1. Bag with 90cm inlet tube and non-return valve
GB2 (Great Bear Healthcare)

(Non-sterile non-drainable night bag)

  • 2 litre non-drainable bag (10300S) (£2.83 = pack of 10)

Notes

  1. Bag with 90cm inlet tube and non-return valve
Drainable
Prosys PSU2 (Clinisupplies Ltd)

(Non-sterile drainable night bag with slide tap)

  • 2 litre drainable bag + slide tap (PSU2) (£3.18 = pack of 10)

Notes

  1. Bag with 90cm inlet tube, non-return valve and slide outlet tap
GB3 (Great Bear Healthcare)

(Non-sterile drainable night bag with T-tap)

  • 2 litre drainable bag + T tap (10303V) (£3.51 = pack of 10)

Notes

  1. Bag with 90cm inlet tube, non-return valve and T outlet tap
GB3S (Great Bear Healthcare)

(Sterile drainable night bag with T-tap)

  • 2 litre drainable bag + T tap (10GB3S) (£6.09 = pack of 10)
  • 2 litre drainable bag + T tap (30GB3S) (£18.36 = pack of 30)

Notes

  1. Sterile bag with 90cm inlet tube, non-return valve and T outlet tap

Leg bag holders/sleeves

The use of support and other fixation devices helps to adequately secure the bag, which reduces the potential damage to the bladder neck and urethra.

All devices must be applied correctly and following manufacturer’s instructions to prevent kinks and occlusions in the catheter, which can cause bypassing or blockages. A patient’s leg must be measured to ensure the correct fit.

Some patients may prefer leg bag straps; however, they do not provide the best support and additional care must be taken to apply correctly to reduce the risk of restriction of the circulation to the limb, which may give rise to deep vein thrombosis, or tension and traction to the urethra. It is particularly an issue for patients with oedematous legs.

Prescription - 4 per packet, usage will depend on wear time and washing regime

URISLEEVE (Bard Ltd)

(Leg bag holder)

  • Small
    • 24cm – 39cm (150111) (£8.68 = 4 devices)
  • Medium
    • 36cm – 55cm (150121) (£8.68 = 4 devices)
  • Large
    • 40cm – 70cm (150131) (£8.68 = 4 devices)
  • Extra Large
    • 65cm – 95cm (150141) (£8.58 = 4 devices)

Leg straps (included in leg bag packs)

  • Orders of 10 leg bags will be accompanied by a set of leg straps. Individual sets are available on drug tariff.
Last updated: 30-11-2022

 

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