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Skin care and incontinence

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Male urinary system

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Skin care and incontinence

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People who experience urinary and/or fecal (bowel) incontinence are at great risk for skin breakdown, ulceration, and infection. Additionally, certain people are even more susceptible to skin breakdown, including those who have received radiation therapy to the perineum or who are confined to a wheelchair or bed.

Use of diapers and other containment devices may prevent the bedding and clothing from getting soiled, however they tend to keep the urine or stool in constant contact with the skin. Within a short period of time, the skin can become damaged. Special care must be taken to prevent skin breakdown by keeping the skin clean and dry.

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The skin and perineal area should be promptly cleansed after each incontinence occurrence. Cleanse the skin with a mild soap and water, rinse thoroughly, and gently pat dry. Frequent cleansing of the skin may cause drying and irritation. Moisturizing creams may be applied to keep the skin moist, however, avoid products that contain alcohol since this may further irritate the skin. If you are receiving radiation therapy to the skin or perineal area, consult with your radiation oncologist prior to using any creams and lotions.

Several skin cleansers are available that are specifically designed to cleanse and deodorize the skin without causing excessive dryness or irritation. These products include foams, non-aerosol sprays, and wet wipes (individual disposable towelettes). Follow the manufacturer's instructions on use of these products, since some of these products do not require rinsing. Be aware that some people may have allergies to the fragrances that are used in these products.

If there is constant exposure to urine or stool, you should consider using a skin sealant or moisture barrier to protect the skin. There are several creams or ointments that contain lanolin or petrolatum which forms a protective barrier to the urine or stool. Other skin care products (often in the form of a spray or a towelette) actually create a transparent film over the skin, thus protecting the skin from the caustic effects of urine on the raw skin.