What are the guidelines for at-home use of PureWick (urine collection system)?

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Last updated: June 3, 2025View editorial policy

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From the Research

The PureWick external female catheter system can be safely used at home with proper guidelines, as evidenced by high patient and caregiver satisfaction rates 1. To write an order for at-home PureWick use, consider the following guidelines:

  • Place the system with the wider collection end positioned between the labia and against the urethral opening, while the narrower tube end connects to the collection container.
  • Replace the wick every 8-12 hours or sooner if soiled or saturated.
  • Connect the tubing to a vacuum pump set at the recommended low pressure (usually 60-80 mmHg) 2.
  • Keep the collection container below the level of the patient to ensure proper drainage.
  • Monitor the skin for signs of irritation, applying barrier cream if needed.
  • Clean the perineal area daily with mild soap and water.
  • The system works best when the user is in a semi-reclined or lying position.
  • Maintain the vacuum pump according to manufacturer instructions, ensuring filters are changed regularly. This system helps prevent skin breakdown, urinary tract infections, and caregiver strain by providing a non-invasive way to manage urinary incontinence without the need for absorbent products or indwelling catheters, which is supported by studies showing reduced CAUTI rates and improved patient outcomes 3, 4. Key benefits of using the PureWick system at home include:
  • Reduced risk of catheter-associated urinary tract infections (CAUTIs)
  • Improved skin integrity and reduced risk of skin breakdown
  • Accurate quantification of urine output
  • Reduced caregiver strain and improved quality of life for patients and caregivers
  • Non-invasive and easy to use, with high patient and caregiver satisfaction rates 1.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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