Which catheter care technique helps reduce skin irritation for male patients with long-term catheterization?

• A. Proper securing (e.g., using a securement device) and routine perineal care; maintain drainage bag below bladder level.
• B. Leaving drainage bag above bladder level
• C. Not performing perineal care
• D. Loose securing with tape

Answer: (A)

Minimizing traction, moisture, and contamination at the catheter site is key to preventing skin irritation in men with long-term catheters. Securing the catheter properly with a securement device reduces tugging and movement that can irritate or tear the skin around the meatus. Routine perineal care keeps the skin clean and free from urine and bacteria, reducing moisture buildup that leads to irritation and infection. Keeping the drainage bag below the bladder level prevents backflow and leakage onto the skin, further reducing skin contact with urine.

Leaving the bag above bladder level can cause backflow and more skin exposure to urine; not performing perineal care increases contamination and irritation; loose securing with tape can allow movement and friction, promoting skin trauma. Together, proper securing, regular cleansing, and correct bag position protect skin during long-term catheterization.