netFormulary NHS
Coastal West Sussex
Local Health Economy Formulary
 Search
 Formulary Chapter 27: Continence Formulary - Full Chapter
Notes:

This formulary is a guide for all healthcare professionals that prescribe or request prescriptions for patients that require products due to either bladder or bowel dysfunction.

The intention is that this formulary must be used for all new patients and for current patients when a re-assessment of their needs is completed.

Product order forms can be accessed here.

The formulary will be reviewed on an annual basis and at this point any amendments or additions will be considered.

Where ever possible there is a continuity of product use between primary and secondary care, and this has been achieved by joint working on this formulary.

Items highlighted in red bold or italics within this formulary refer to those items intended for specialist use only. The term "specialist" refers to Bladder and Bowel Specialist Nurses, Urology Specialist Nurses and Urologists.

Other useful information/links
Bladder and Bowel Service:
North Team(Haywards Heath) 01444 475807
South Team (Worthing) 01273 265855
Fax: 01903 276939

Bladder and Bowel Foundation:
http://www.bladderandbowelfoundation.org/

Continence Foundation:
http://www.continence-foundation.org.uk/

 Details...
27.01  Urinary catheters
 note 

All patients with an indwelling urinary catheter need to be reassessed at each catheter change to see if they are suitable for a trial without catheter.

Choice of product depends on: 

  • Assessment
  • Patient choice
  • Local guidelines (SCT NHS Trust)

Smallest size that provides adequate draining should be used to avoid bypassing problems.

Only catheters that have a balloon filled with 10mls of sterile water should be used.

Male/standard length urinary catheters must always be used for men. Female length urinary catheters are suitable for ambulant female patients, but not usually for obese, bed or chair bound female patients. All patients with supra pubic urinary catheters should be re-catheterised with male/standard length catheters.

Long term catheters can stay insitu up to 12 weeks. All urinary catheters should be:

  • Prescribed in single units.
  • Prescribe 3 initially, but 2 on repeat.

The following urinary catheters are suitable for both urethral and supra pubic catheterisation.

27.01  Silicone Male / Standard length (add size to end of order code)
 note 
Rusch Brilliant Aquaflate

View adult BNF View SPC online View childrens BNF
First Choice

Gauge/Ch size 12-16
Order Code: DA3101

  • Blocking and bypassing problems common with long term catheters. Discuss management with Bladder and Bowel Service who may suggest alternative catheter.
 
Great Bear Silicone Foley

View adult BNF View SPC online View childrens BNF
Second Choice

Gauge/Ch size 12-16
Order Code: 4833-0512

  • Blocking and bypassing problems common with long term catheters. Discuss management with Bladder and Bowel Service who may suggest alternative catheter.
 
   
Rusch Brilliant Plus Aquaflate
(Cylindrical tip)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Gauge/Ch size 12-16
Order Code: 850081

  • Blocking and bypassing problems common with long term catheters. Discuss management with Bladder and Bowel Service who may suggest alternative catheter.
 
   
27.01  Silicone female (add size to end of order code)
 note 
Rusch Brilliant Aquaflate

View adult BNF View SPC online View childrens BNF
First Choice

Gauge/Ch size 12-16
Order Code: DA2101

  • Blocking and bypassing problems common with long term catheters. Discuss management with Bladder and Bowel Service who may suggest alternative catheter.
 
Coloplast Folysil All Silicone

View adult BNF View SPC online View childrens BNF
Second Choice

Gauge/Ch size 12-16
Order Code: AA75

  • Blocking and bypassing problems common with long term catheters. Discuss management with Bladder and Bowel Service who may suggest alternative catheter.
 
   
27.01  Hydrogel Male / Standard length (add size to end of order code)
 note 
Rusch Sympacath Aquaflate

View adult BNF View SPC online View childrens BNF
First Choice

Gauge/Ch size 12-16
Order Code: DH3101

  • Blocking and bypassing problems common with long term catheters. Discuss management with Bladder and Bowel Service who may suggest alternative catheter.
 
Bard Aquamatic Biocath

View adult BNF View SPC online View childrens BNF
Second Choice

Gauge/Ch size 12-16
Order Code: D2264

  • Pre-filled with sterile water.
  • Blocking and bypassing problems common with long term catheters. Discuss management with Bladder and Bowel Service who may suggest alternative catheter.
 
   
27.01  Hydrogel Female length (add size to end of order code) to top
 note 
Rusch Sympacath Aquaflate

View adult BNF View SPC online View childrens BNF
First Choice

Gauge/Ch size 12-16
Order Code: DH2101

  • Blocking and bypassing problems common with long term catheters. Discuss management with Bladder and Bowel Service who may suggest alternative catheter.
 
Bard Aquamatic Biocath

View adult BNF View SPC online View childrens BNF
Second Choice

Gauge/Ch size 12-16
Order Code: D2268

  • Pre-filled with sterile water.
  • Blocking and bypassing problems common with long term catheters. Discuss management with Bladder and Bowel Service who may suggest alternative catheter.
 
   
27.02  Long term indwelling catheters
27.02  Open ended silicone (add size to end of order code)
 note  This catheter is suitable for both urethral and supra pubic use and may be a useful alternative for patients who have repetitive bypassing and blocking problems.
Coloplast Folysil X-Tra

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Standard length only (long term catheter 12 weeks)
Gauge/Ch size 12-18
Order Code: AA8C

  • This catheter is suitable for both urethral and supra pubic use and may be a useful alternative for patients who have repetitive bypassing and blocking problems.
 
   
Bard Lubri-Sil - Male
(Hydrogel coated)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Male Catheter
Gauge/Ch size 12-18
Order Code: D1858

  • This is a suitable choice for patients who require a comfort catheter that is hydrogel coated, and is useful if the patient has a latex allergy.
 
   
Bard Lubri-Sil - Female
(Hydrogel coated)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Female catheter
Gauge/Ch size 12-18
Order Code: D1761

  • This is a suitable choice for patients who require a comfort catheter that is hydrogel coated, and is useful if the patient has a latex allergy.
 
   
27.02  Anti-infection urinary catheter (add size to end of order code)
27.02  Silver alloy coated catheter (add size to end of order code).
 note  Urinary catheter reduces bacterial adherence and minimizes biofilm formation.
Bardex I.C. Foley Catheter Male

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted Specialist
Male standard length (28 days only)
Gauge/Ch size 12S-22S
Order Code: D2365
 
   
Bardex I.C. Foley Catheter Female

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted Specialist
Female Catheter (28 days only)
Gauge/Ch size 12S-16S
Order Code: D2369
 
   
27.03  Lubricants to top
 note  The following lubricants come in disposable syringes with/without local anaesthetic for instillation into the urethra prior to catheterisation which can help reduce injury to the urothenium and subsequent risk of possible urethral damage.

Lubricants with anaesthetic should be used for both male and female urethral catheterisations. Prior to use any allergies, sensitivities or contra indications must checked with the patient. Lubricant only is required when carrying out supra pubic recatheterisation.

N.B. The first supra pubic recatheterisation carried out in the community must be at least 8 weeks post initial insertion of supra pubic siting carried out in secondary care.
27.03  Lubricant with anaesthetic (Prescribe 5 as single units)
 note 
Optilube Active 6ml (female)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 1160
Pack Size: 1

  • Prior to use any allergies, sensitivities or contra indications must checked with the patient.
 
   
Optilube Active 11ml (male)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 1161
Pack Size: 1

  • Prior to use any allergies, sensitivities or contra indications must checked with the patient.
 
   
Instillagel 6ml (female)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 40-006
Pack Size: 10

  • Prior to use any allergies, sensitivities or contra indications must checked with the patient.
 
   
Instillagel 11ml (male)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 40-011
Pack Size: 10

  • Prior to use any allergies, sensitivities or contra indications must checked with the patient.
 
   
27.03  Lubricant without anaesthetic
Optilube 6ml (female)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 1125
Pack Size: 1

 
   
Optilube 11ml (male)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 1126
Pack Size: 1

 
   
27.04  Catheterisation packs (prescribe one pack per catheter, on average 4 packs per year)
 note  Two layer system
layer 1 catheter removal kit
layer 2 catheter insertion kit (Cath-it requires syringe)

Cath-It 307-1034 
View adult BNF View SPC online View childrens BNF
Formulary

Glove size: S/M
Order code: 908410

  • Prescribe one pack per catheter (on average 4 packs per year).
 
   
Cath-It 370-1042 
View adult BNF View SPC online View childrens BNF
Formulary

Glove size: M/L
Order code: 908420

  • Prescribe one pack per catheter (on average 4 packs per year).
 
   
Cath-It 379-6935 
View adult BNF View SPC online View childrens BNF
Formulary

Glove size: L/XL
Order code: 908430

  • Prescribe one pack per catheter (on average 4 packs per year).
 
   
27.05  Urinary catheter valves (Prescribe 10 as single units every 8 weeks)
 note  May be used by patient with long term urethral or supra pubic catheters. Prior to a catheter valve being fitted the patient needs to have a risk assessment completed with includes the following points:

  • Have the cognitive awareness to remember to empty their bladder regularly.
  • Have the dexterity to use the valve.
  • Have an adequate bladder capacity.
  • If patient has had surgery recently consultant agreement has been sought.
  • Catheter valves must be changed weekly.
Prosys Catheter Valve

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: PCV3942
Pack Size: 5

  • Catheter valves must be changed weekly.
 
   
Great Bear Libra Lever Catheter Valve

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 10540A
Pack Size: 5

  • Catheter valves must be changed weekly.
 
   
27.06  Catheter restraining straps (Prescribe 5 as single units every 4 months) to top
 note  Restraining straps must be worn by all patients that have a standard urethral urinary catheter insitu and use a leg bag or are bedbound and use a bed bag to ensure that any traction from the catheter bag is absorbed by the strap. A restraining strap can also help prevent meatal damage. These products are washable and reused.

Abdominal catheter tube restraining straps for supra pubic catheters are available if recommended by a Bladder and Bowel Specialist Nurse, Urology Specialist Nurse or Urologist.
Great Bear Fix It (Leg strap)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 10644A
Pack Size: 5

 
   
Prosys Catheter Strap (Short)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 408-5536
Pack Size: 5

 
   
Prosys Catheter Strap (Adult)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 408-5544
Pack Size: 5

 
   
Prosys Catheter Strap (Abdominal)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 408-5551
Pack Size: 5

 
   
Simpla G Strap (Abdominal strap)

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted Specialist
Order Code: 383003
Pack Size: 5
 
   
Great Bear Fix It (Abdominal Strap)

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted Specialist
Order Code: 10645B
Pack Size: 5
 
   
Great Bear Fix It (Cut to fit length 150cm)

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 10647D
Pack Size: 5

 
   
27.07  Catheter maintenance solutions (Prescribe 10 at a time)
 note  These should only be used once a clear urinary catheter history is documented and a treatment plan has been written for that named patient. Plus it has been established that the patient may benefit from the planned use of a catheter maintenance solution to extend the life of urinary catheter as per treatment plan, or prior to the removal of a urinary catheter to dissolve crystal formation and prevent trauma.
Getcliffe et al (2000) suggest that two sequential instillations of a small volume are more effective than a single administration. BBraun Uro-Tainer Twin, have a twin delivery system allowing for this sequential administration.
Suby G Citric acid 3.23%
(Twin 2 x 30mls)
View adult BNF View SPC online View childrens BNF
Formulary Order Code: 9746609
Pack Size: 10
 
   
Solution R Citric acid 6%
(Twin 2 x 30mls)
View adult BNF View SPC online View childrens BNF
Formulary Order Code: 9746625
Pack Size: 10
 
   
Uro-Tainer Sodium Chloride 50mls
(for mechanical flush only)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: FB99849
Pack Size: 10

  • Use for suprapubic catheter change.
 
   
Uro-Tainer Sodium Chloride 100mls
(for mechanical flush only)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: FB99833
Pack Size: 10

  • Use for suprapubic catheter change.
 
   
27.08  Leg bag holders (Prescribe 4 as single units every 4 months)
 note 

To hold urinary catheter leg bag, so reducing the pull on the bladder neck and reducing urethral trauma. The sleeve can be worn on the thigh or on the calf but the area needs to be measured to ensure right size sleeve is ordered. Washable and reusable.

Ugo Fix Sleeve Leg Bag Holder (small)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 3005
Small 24-36cm
Pack size: 4

 
   
Ugo Fix Sleeve Leg Bag Holder (medium)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 3006
Medium 36-55cm
Pack size: 4

 
   
Ugo Fix Sleeve Leg Bag Holder (large)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 3007
Large 40-70cm
Pack size: 4

 
   
Ugo Fix Sleeve Leg Bag Holder (X large)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 3008
X Large 65-90cm
Pack size: 4

 
   
Ugo Fix Sleeve Leg Bag Holder (XX large)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 3027
XX Large 75-105cm
Pack size: 4

 
   
Great Bear Libra Leg Bag Holder (small)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 10660S
Small 30-45cm
Pack size: 4

 
   
Great Bear Libra Leg Bag Holder (medium)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 10660M
Small 45-65cm
Pack size: 4

 
   
Great Bear Libra Leg Bag Holder (large)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 10654L
Large 55-80cm
Pack size: 4

 
   
Great Bear Libra Leg Bag Holder (X large)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 10665X
X Large 65-90cm
Pack size: 4

 
   
27.09  Urinary catheter drainage bags (Prescribe 10 bags alternate months)
27.09.01  Leg bags
 note 

The bags may be worn either on the thigh or the calf and this will determine the length of the inlet tube. There are also different types of outlet taps and this must be a consideration if the patient is self-caring.  Urinary catheter bags need to be changed every 5-7 days. More frequently is not normally necessary and could put the patient at increased risk of infection by breaking the closed system more often than necessary.

Great Bear Libra Conform Leg Bags have three chambers which minimise audible noises of urine inside the bag. The weight of the urine is more evenly distributed, making the Libra bag more comfortable to wear and less noticeable.

27.09.01  Slide action tap to top
Prosys Long Tube 500ml

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: P500L
Pack size: 10

  • Prescribe 10 bags every 2 months.
 
   
Prosys Short Tube 500ml

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: P500S
Pack size: 10

  • Prescribe 10 bags every 2 months.
 
   
27.09.01  Lever action tap
Great Bear Libra Conform short tube 500ml leg bag

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 10114Q
Pack size: 10

  • Prescribe 10 bags every 2 months.
 
   
Great Bear Libra Conform long tube 500ml leg bag

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 10115R
Pack size: 10

  • Prescribe 10 bags every 2 months.
 
   
Bard Spirit short tube (10cm) 500ml leg bag

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: DSLB500S
Pack size: 10

  • Prescribe 10 bags every 2 months.
 
   
Bard Spirit long tube (30cm) 500ml leg bag

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: DSLB500L
Pack size: 10

  • Prescribe 10 bags every 2 months.
 
   
27.09.02  2 litre bags
27.09.02  Single use
 note 

Prescribe 3 packs per month. At night single use 2 litre bags should be attached to the bottom of the leg bag rather than drainable bags. The single use bags do not have any cost implications, when compared against drainable 2 litre bags but are recommended by infection control for use by all patients that have indwelling urinary catheters and require added drainage capacity overnight.

Great Bear Non Sterile Nightbag with non-return valve and single use T-tap slide action

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 10303V
Pack size: 10

  • Prescribe 3 packs per month.
 
   
Prosys Non Sterile Night drainage bag lever action 2 litre

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: PSU2
Pack size: 10

  • Prescribe 3 packs per month.
 
   
27.09.02  Drainable
 note 

Prescribe 10 bags every 8 weeks.  These 2 litre catheter bags would be for patients that are solely cared for in bed at all times, and do not use a leg bag. They need to be changed every 5-7 days.

Bard Uriplan drainage bag, 2L with 98cm inlet tube, non-return valve and tap outlet

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: D813131
Pack size: 10

  • Prescribe 10 bags every 8 weeks.
 
   
Bard Spirit Bed Bags, 2Lwith 120cm tube, lever tap, latex free sterile gloves and needle free sample port

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: DSBB2000
Pack size: 10

  • Prescribe 10 bags every 8 weeks.
 
   
27.09.03  Belly bags to top
 note 

Prescribe 3 every 12 weeks.  These are positioned on the abdomen. Urine drains into the bag by means of residual bladder pressure. Bag capacity is 1 litre. Bag needs to be changed every 28 days.

There are other types of catheter bags available that are useful for patients with disabilities please speak to the Bladder and Bowel Service for advice before prescribing:
South Team, Worthing 01273 265855 OR the North Team, Haywards Heath 01444 475807
Fax 01903 276939

Rusch Belly Bag 1000ml (short outlet tube)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: B1000
Pack size: 1

  • Prescribe 3 bags every 3 months (bag needs to be changed every 28 days).
 
   
Rusch Belly Bag 1000ml (short outlet tube with sample port)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: B1000P
Pack size: 1

  • Prescribe 3 bags every 3 months (bag needs to be changed every 28 days).
 
   
Rusch Belly bag with extra long (60cm) outlet tube
(useful for wheelchair users)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: B1000CT
Pack size: 1

  • Prescribe 3 bags every 3 months (bag needs to be changed every 28 days).
 
   
27.10  Miscellaneous catheter supplies
 note  Prescribe 10 as single items.
Ugo Fix Gentle Adhesive Catheter Clips

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 3004
Pack size: 5 clips

 
   
Simpla leg bag straps

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 380812
Pack size: 5 pairs

 
   
Great Bear bag straps calf

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 10622C
Pack size: 10

 
   
Great Bear Catheter leg bag straps

View adult BNF View SPC online View childrens BNF
Formulary Order Code: 10637T
Pack size: 10
 
   
Sterile water for injection 10mls
(plastic vials)
View adult BNF View SPC online View childrens BNF
Formulary Pack size: 10
 
   
Clinipod 
View adult BNF View SPC online View childrens BNF
Formulary

Pack size: 25 x 20mls

 
   
27.11  Intermittent urinary catheters
 note 

Need to be prescribed as single items.

There are a wide range of intermittent catheters and therefore each patient needs to be assessed individually so that the correct catheter is prescribed to meet their needs.

The practitioner that assesses the patient will be able to guide the prescriber as to what needs to be prescribed and the quantity that needs to be prescribed on a monthly basis (patients may require 6 to 8 catheters per day).

Please note:  The prescription for intermittent catheters may need to be changed, either in quantity due to patient’s needs, or as the patient becomes more skilled at intermittent self catheterisation the type of catheter requested may alter.

Please remember to change the repeat prescription, and delete the old repeat prescription, otherwise there can be a huge cost implication if the wrong catheter is prescribed for your patient.

27.11  Intermittent Self Catheterisation - Male
Teleflex Flocath Quick (Men)

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 851241
Pack size: 30

  • Patients may require 6 to 8 catheters per day.
 
   
Teleflex Liquick Base (Men)

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 630010-630016
Pack size: 60

  • Patients may require 6 to 8 catheters per day.
 
   
Wellspect Health Care Lofric Plus (Men)

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 904000 - 904800
Pack size: 25

  • Patients may require 6 to 8 catheters per day.
 
   
Optismooth (Men) 
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: OS4010-18
Pack size: 30

  • Patients may require 6 to 8 catheters per day.
 
   
27.11  Intermittent Self Catheterisation - Female
Clinimed Curan Lady

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: CL10-CL-14
Pack size: 30

  • Patients may require 6 to 8 catheters per day.
 
   
Braun Actereen Mini (Female)

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 228010E - 228014E
Pack size: 30

  • Patients may require 6 to 8 catheters per day.
 
   
Teleflex Liquick Base (Female)

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 630106 - 630114
Pack size: 60

  • Patients may require 6 to 8 catheters per day.
 
   
27.11  Intermittent Self Catheterisation with bags to top
Actreen Glys Set Male

(With bag)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 225208E - 227216E
Pack size: 30

  • Patients may require 6 to 8 catheters per day.
 
   
Actreen Glys Set Female

(With bag)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 227308E - 227316E
Pack size: 30

  • Patients may require 6 to 8 catheters per day.
 
   
Holister Advance Plus

(With bag)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 92084 - 92184
Pack size: 25

  • Patients may require 6 to 8 catheters per day.
 
   
Lofric Hydro-Kit (Male)

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 4200825 - 4201825
Pack size: 20

  • Patients may require 6 to 8 catheters per day.
 
   
27.11  Intermittent Self Catheterisation Tieman tip
Male Tiemann Tip 
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 851143
Pack size: 30

  • Patients may require 6 to 8 catheters per day.
 
   
27.11  Intermittent Self Catheterisation Male dilator
Ultra Smooth Metal Dilator

(Male)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: USMD08-18
Pack size: 25

  • Patients may require 6 to 8 catheters per day.
 
   
27.12  Sheaths and leg bags
 note 

Sheaths - prescribe 30 single items every 28 days.

Sheaths are a useful alternative method to manage urinary incontinence for men. However, it is essential that the sheaths are accurately sized and the appropriate drainage system is prescribed. It is recommended that sheaths are changed every 24 hours to relieve pressure and to allow for personal hygiene. There is a generic leaflet available that gives instructions on how to apply sheaths. (This leaflet is available from the Bladder and Bowel Service). There are several different companies listed below, but this is to accommodate for good sizing both for girth fitting and length fitting.

Leg bags - prescribe 10 bags every 8 weeks

Non-sterile adjustable anti-kink tubing leg bags for use with sheaths only.

Conveen Activa bag (listed below)is a small thigh bag (250ml capacity) that is useful for sheath use only when dribbling via the penis is experienced, when a supra pubic is insitu or if dribbling incontinence is experienced some of the time, and the patient doesn’t want to use an incontinence pad all of the time.

Great Bear Libra Sheath
(Standard )
View adult BNF View SPC online View childrens BNF
Formulary

Standard sizes: 24, 28, 31, 33, 35, 40mm

Order Code: GBLSS (add size required to end of order code)
Pack size: 30

 
   
Great Bear Libra Sheath
(Wide Band)
View adult BNF View SPC online View childrens BNF
Formulary

Standard sizes: 24, 28, 31, 33, 35, 40mm

Order Code: GBLSW (add size required to end of order code)
Pack size: 30

 
   
Great Bear Libra Sheath
(Pop on)
View adult BNF View SPC online View childrens BNF
Formulary

Standard sizes: 24, 28, 31, 33, 35, 40mm

Order Code: GBLSP (add size required to end of order code)
Pack size: 30

 
   
Prosys Flofit Urinary Sheath
(Standard )
View adult BNF View SPC online View childrens BNF
Formulary

Standard sizes: 24, 28, 31, 35, 40mm

Order Code: PSS<add size>STD/B    (add size required into order code)

Pack size: 30

 
   
Prosys Flofit Urinary Sheath
(Wide Band)
View adult BNF View SPC online View childrens BNF
Formulary

Standard sizes: 24, 28, 31, 35, 40mm

Order Code: PSS<add size>WIDEBD/B    (add size required into order code)

Pack size: 30

 
   
Prosys Flofit Urinary Sheath
(Pop On)
View adult BNF View SPC online View childrens BNF
Formulary

Standard sizes: 24, 28, 31, 35, 40mm

Order Code: PSS<add size>POPON/B    (add size required into order code)

Pack size: 30

 
   
Coloplast Conveen Security Plus Leg bags
(350ml 30cm tubing non sterile)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 5164
Pack size: 10

  • 10 bags every 8 weeks.
  • Non-sterile adjustable anti-kink tubing leg bags for use with sheaths only.
 
   
Coloplast Conveen Security Plus Leg bags
(350ml 50cm tubing non sterile)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 5165
Pack size: 10

  • 10 bags every 8 weeks.
  • Non-sterile adjustable anti-kink tubing leg bags for use with sheaths only.
 
   
Coloplast Conveen Security Plus Leg bags
(500ml 30cm tubing non sterile)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 5160
Pack size: 10

  • 10 bags every 8 weeks.
  • Non-sterile adjustable anti-kink tubing leg bags for use with sheaths only.
 
   
Coloplast Conveen Security Plus Leg bags

(500ml 50cm tubing non sterile)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 5161
Pack size: 10

  • 10 bags every 8 weeks.
  • Non-sterile adjustable anti-kink tubing leg bags for use with sheaths only.
 
   
Conveen Active bag 250ml

(7cm adjustable inlet tube)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 25501
Pack size: 10

  • Conveen Active bag is useful for sheath use only when dribbling via the penis is experienced when a supra pubic is insitu or if dribbling incontinence is experienced some of the time and the patient doesn’t want to use an incontinence pad all of the time.
 
   
27.13  Miscellaneous items (Need to be prescibed as single items as indicated in pack size)
Conveen prep wipes
(used prior to applying sheaths to add adhesion )
View adult BNF View SPC online View childrens BNF
Formulary Order Code: 62042
Pack size: 54 wipes 
   
ConvaTec Niltac Sting Free Medical Adhesive Remover

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: TR101
Pack size: 1 x 50ml

 
   
Great Bear Soft Skin No Sting Medical Adhesive Remover Aerosol

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 10380A
Pack size: 1 x 50ml

 
   
Hollister Retracted Penis Pouch

View adult BNF View SPC online View childrens BNF
Formulary Order Code: 9811
Pack size: 10
 
   
Premier pads 10cm x 20cm
(For rectal bleeding)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 2004
Pack size: 25

  • Maximum quantity to be prescribed at any one time = 100 pads.
 
   
Premier pads 20cm x 20cm
(For rectal bleeding)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 2006
Pack size: 15

  • Maximum quantity to be prescribed at any one time = 100 pads.
 
   
27.14  Afex System and accessories to top
27.14  Starter pack
 note 

Only prescribe this product if advised to by a Specialist Bladder and Bowel Nurse.                                                                         

A system that can be used by patients that have some voiding control or are urinary incontinent.

Afex Active Starter Pack

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: A100-Plus brief code
Pack Size: 1

  • Contains -  1 High receptacle, 1 pair of briefs, 1 reusable collection bag (500ml 4-6 weeks), 1 cleaning container, 1 cleansing solution, 1 instructional DVD.
  • Only prescribe this product if advised to by a Specialist Bladder or Bowel Nurse.
 
   
Afex Sedentary Starter Pack

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: A110-Plus brief code
Pack Size: 1

  • Contains - 1 low receptacle, 1 pair of briefs, 1 reusable collection bag (1200mls 4-6 weeks), 1 cleaning container, 1 cleansing solution, 1 instructional DVD.
  • Only prescribe this product if advised to by a Specialist Bladder or Bowel Nurse.
 
   
Afex Mobility Assisted Starter Pack

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: A120-Plus brief code
Pack Size: 1

  • Contains - 1 supersoft (90 -120 days) receptacle, 1 pair of briefs, 1 reusable collection bag(1200mls 4-6 weeks), 1 cleaning container, 1 cleansing solution, 1 instructional DVD.
  • Only prescribe this product if advised to by a Specialist Bladder or Bowel Nurse.
 
   
27.14  Briefs
 note  4 required per year.
Afex briefs (waist small 28-30 )
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A200- S-08
Pack size: 1

  • On average, 4 briefs per year.
 
   
Afex briefs (waist medium 32"-34")
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A200- M-08
Pack size: 1

  • On average, 4 briefs per year.
 
   
Afex briefs (waist large 36-38)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A200- L-08
Pack size: 1

  • On average, 4 briefs per year.
 
   
Afex briefs (waist XL 40-42)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A200- XL-08
Pack size: 1

  • On average, 4 briefs per year.
 
   
Afex briefs (waist 2X 44-46)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A200- 2X-08
Pack size: 1

  • On average, 4 briefs per year.
 
   
Afex briefs (waist 3X 48-50)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A200- 3X-08
Pack size: 1

  • On average, 4 briefs per year.
 
   
27.14  Urine collection bags
 note  9 required per year.
Afex urine collection bags
(500ml vented bag)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A400-V-08
Pack size: 1

  • On average, 9 per year.
 
   
Afex urine collection bags
(500ml unvented bag)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A400-B-08
Pack size: 1

  • On average, 9 per year.

 

 
   
Afex urine collection bags
(1200ml leg bag)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A400-L-08
Pack size: 1

  • On average, 9 per year.
 
   
Afex urine collection bags
(extra capacity)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A400-E-08
Pack size: 1

  • On average, 9 per year.
 
   
Afex urine collection bags
(2000ml bed bag)
View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A400-X-08
Pack size: 1

  • On average, 9 per year.
 
   
27.14  Receptacles
 note  3 required per year.
Afex low receptacle

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A300-L-08
Pack size: 1

  • On average, 3 per year.
 
   
Afex low supersoft receptacle

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A300-S-08
Pack size: 1

  • On average, 3 per year.
 
   
Afex high receptacle

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: A300-F-08
Pack size: 1

  • On average, 3 per year.
 
   
27.14  Extension tubes and stabiliser systems to top
Afex tube assembly complete
(9 per year)
View adult BNF View SPC online View childrens BNF
Formulary Order Code: A700-A-08
Pack size: 1
 
   
Afex tube stabiliser

View adult BNF View SPC online View childrens BNF
Formulary Order Code: A700-S-07
Pack size: 1
 
   
Afex collection bag stabiliser-high grip

View adult BNF View SPC online View childrens BNF
Formulary Order Code: A710-S-09
Pack size: 1
 
   
27.15  Anal plugs
 note 

Prescribe 20 at a time as requested.  Patient needs to have an assessment by an appropriate healthcare professional prior to being prescribed this product. Anal plugs are used for patients with ano-rectal incontinence problems - most suitable for neurogenic conditions with impaired sensation. Plugs can be left in place up to 12 hours, if inserted correctly, with reasonable degree of comfort.

Peristeen Anal Plug Small

View adult BNF View SPC online View childrens BNF
Formulary Order Code: 1450
Pack size: 20
 
   
Peristeen Anal Plug Large

View adult BNF View SPC online View childrens BNF
Formulary Order Code: 1451
Pack size: 20
 
   
27.16  Faecal collectors
 note 

Prescribe 10 at a time as requested.  Useful for bed bound patients experiencing semi-solid or liquid stools, protecting skin from irritating faecal discharge.

Hollister faecal collector
(50cm tubing non sterile 500ml)
View adult BNF View SPC online View childrens BNF
Formulary Order Code: 9822
Pack size: 10
 
   
Hollister faecal collector
(50cm tubing non sterile 1000ml)
View adult BNF View SPC online View childrens BNF
Formulary Order Code: 9821
Pack size: 10
 
   
27.17  Anal irrigations
 note 

If this option is to be considered for a patient, please refer the patient to either the Bladder and Bowel Service or Secondary Care for a specialist assessment prior to prescribing any equipment so that the patient is well informed about the procedure. If the patient is suitable for anal irrigation they will need to be taught the procedure which will normally be done in the community by the Bladder and Bowel Service. Patients usually need support from the Bladder and Bowel Service when they initially use the system.

27.17  Coloplast Peristeen Anal Irrigation
 note 

Please note: Catheters are single use only.  Water bag can be used 15 times (equals 1 month's use when irrigating every other day).  Lid and control unit can only be used 90 times (equals 6 months' use when irrigating every other day).

Peristeen anal irrigation
(1 control unit, 2 rectal catheters, 1 water bag, 1 strap set, 1 toilet bag)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 29121
Pack Size: 1

  • Catheters are single use only.
  • Lid and the control unit can only be used 90 times (equals 6 months' use when irrigating every other day).
  • Water bag can only be used 15 times (equals 1 month's use when irrigating every other day).
 
   
Peristeen anal irrigation
(1 control unit, 2 small rectal catheters, 1 water bag, 1 strap set, 1 toilet bag)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 29126
Pack Size: 1

  • Catheters are single use only.
  • Lid and the control unit can only be used 90 times (equals 6 months' use when irrigating every other day).
  • Water bag can only be used 15 times (equals 1 month's use when irrigating every other day).
 
   
Peristeen anal irrigation
(15 Rectal catheters, 1 water bag)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 29122
Pack Size: 1

  • Catheters are single use only.
  • Water bag can only be used 15 times (equals 1 month's use when irrigating every other day).
 
   
Peristeen anal irrigation
(15 small rectal catheters, 1 water bag)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 29127
Pack Size: 1

  • Catheters are single use only.
  • Water bag can only be used 15 times (equals 1 month's use when irrigating every other day).
 
   
Peristeen anal irrigation
(10 rectal catheters)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 29123
Pack Size: 1

  • Catheters are single use only.

 

 

 
   
Peristeen anal irrigation
(10 small rectal catheters)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 29128
Pack Size: 1

  • Catheters are single use only.

 

 

 
   
Peristeen anal irrigation
(1 set of straps)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted Specialist
Order Code: 29124
Pack Size: 1
 
   
Peristeen anal irrigation
(2 tubes and blue connectors)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted Specialist
Order Code: 29125
Pack Size: 1
 
   
27.17  Qufora IrriSedo Anal Irrigation to top
Qufora IrriSedo Mini System 15 irrigation set

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order code: 53601-015
Contains - 1 pump, 15 hydrophillic coated cones, 15 waste bags.

  • Patients usually need support from the Bladder and Bowel Service when they initially use the system.

 

 

 
   
Qufora IrriSedo Mini System 30 irrigation set

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order code: 53601-030
Contains - 1 pump, 30 hydrophillic coated cones, 1 cone bag.

  • Patients usually need support from the Bladder and Bowel Service when they initially use the system.

 

 

 
   
Qufora IrriSedo Cone System 15 irrigation set

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: QTM
Pack Size: 1

Contains - 1 pump, 1 water bag, 15 hydrophilic cones, 15 waste bags.

  • Patients usually need support from the Bladder and Bowel Service when they initially use the system.

 

 

 
   
Qufora IrriSedo bed system

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order code and sizes:

53201-015 (012mm)
53001-015 (021 mm)
53101-015 (030mm)

Contains: 1 Water bag with pump, 15 rectal catheters, 15 collection bags, 15 gel sachets.

  • Patients usually need support from the Bladder and Bowel Service when they initially use the system.

 

 

 
   
Qufora IrriSedo balloon system - Base set (Regular)

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order code: 58102-002

Contains: 1 control unit with velcro strap, 1 water bag, 2 hydrophilic rectal balloon catheters (regular)

  • Patients usually need support from the Bladder and Bowel Service when they initially use the system.

 

 

 
   
27.17  Braun IryPump Rectal Irrigation
 note 

A system which involves instilling water into the bowel via the anus using a soft cone. A benefit is the freedom...just touching a button pumps the water into the rectum.

Braun IryPump S Set

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 29120E
Pack Size: 1

Contains: 1 x electrical pump, water container, power supply, cone, tubing, irrigation sleeves, faceplate, stomacare belt, B.Braun petite mini pouch.

 
   
Braun IryCone (Cone and tubing)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 29220E
Pack Size: 1

 
   
Braun IryPump Water Container

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 29240
Pack Size: 1

 
   
27.17  Navina Smart Rectal Irrigation
 note 

A rectal irrigation system which would be useful for patients that have poor dexterity, especially in spinal injury patients and neurogenic bladder and bowel.

Navina Smart System
(Regular - for adult use only)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 69009
Pack Size: 1

Contains: 1 smart control unit with power adaptor and cable,  1 water container, 1 tube set, 2 rectal catheters (regular), 1 accessory set, 1 Navina case.

 
   
Navina Smart System
(Small)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 69010
Pack Size: 1

Contains: 1 smart control unit with power adaptor and cable,  1 water container, 1 tube set, 2 rectal catheters (small), 1 accessory set, 1 Navina case.

 
   
Navina Consumable Set
(Regular - for adult use only)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 69003
Pack Size: 1

Contains: 1 water container, 15 rectal catheters (regular).

 
   
Navina Consumable Set
(Small)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 69004
Pack Size: 1

Contains: 1 water container, 15 rectal catheters (small).

 
   
Navina Rectal Catheter Set
(Regular - for adult use only)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 68940
Pack Size: 1

Contains: 10 rectal catheters (regular).

 
   
Navina Rectal Catheter Set
(Small)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 68943
Pack Size: 1

Contains: 10 rectal catheters (small).

 
   
Navina Tube set 
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 69011
Pack Size: 1

Contains: 1 catheter tube, 1 water container tube.

 
   
Navina Smart Control Unit with Power Cable and Adaptor

View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Specialist
Order Code: 69014
Pack Size: 1

 

 
   
27.18  Continence appliances
 note 

Prescribe only one.  NB: Items with * need to have two litre drainable catheter bags also prescribed.  There are a range of reusable appliances that can be prescribed that patients can use to enable them to remain continent even if their mobility is poor or they are chair or bed bound.  Listed below are a range of products, but this is not extensive.  Please phone the Bladder and Bowel Service for further advice.  The phone numbers are at the front to this formulary.

Beambridge male draining jug with tap*

View adult BNF View SPC online View childrens BNF
Formulary Order Code: 6-50T
Pack size: 1
 
   
Beambridge bridge urinal

View adult BNF View SPC online View childrens BNF
Formulary Order Code: 6-18
Pack size: 1
 
   
Beambridge female saddle urinal

View adult BNF View SPC online View childrens BNF
Formulary Order Code: 6-26
Pack size: 1
 
   
Beambridge funnel *(male)

View adult BNF View SPC online View childrens BNF
Formulary

Order Code: 6-35
Pack size: 1

 
   
Beambridge lady jug *

View adult BNF View SPC online View childrens BNF
Formulary Order Code: 6-45
Pack size: 1
 
   
Manfred Sauer uribag (female)

View adult BNF View SPC online View childrens BNF
Formulary Order Code: URIbagF
Pack size: 1
 
   
Manfred Sauer uribag (male)

View adult BNF View SPC online View childrens BNF
Formulary Order Code: URIbag
Pack size: 1
 
   
 ....
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Amber

Initiation - Specialist only
Repeat Prescribing - Any care setting
Monitoring - As defined in Effective Shared Care Agreement (ESCA)
Comment - Prescribing under Coastal West Sussex Area Prescribing Committee approved Effective Shared Care Agreement (ESCA)only. The specialist must have obtained agreement from the primary care prescriber that they wish to enter into the ESCA before the transfer of prescribing responsibility.  

Black

Comment - Not routinely commissioned in any care setting. Deviation from this position may be considered by prescribers on an individual basis, where exceptional circumstances exist. Otherwise, funding via Individual Funding Request (IFR) only.  

Blue

Initiation - Specialist only
Repeat Prescribing - Any care setting
Monitoring - Any care setting
Comment - Specialist only initiation. May be prescribed in primary care once patient is stable as appropriate to the clinical condition (after a minimum of 1 month unless stated otherwise within formulary).  

Green

Initiation - Any care setting
Repeat Prescribing - Any care setting
Monitoring - Any care setting
Comment - Initiation and on-going prescribing may occur in any care setting. Where initiated in secondary or tertiary care a minimum of one months supply of medication should be provided by the initiating clinician even if prescribing responsibility is transferred earlier than this.  

Grey

Prescribing in approved, specialist tertiary care settings only.  

Non Formulary

Non-Formulary - Not to be routinely prescribed.   

Red

Initiation - Specialist or hospital only
Repeat Prescribing - Specialist or hospital only
Monitoring - Specialist or hospital only
Comment - These medicines should be prescribed by clinicians in a hospital setting only for the duration of treatment (primary care prescribing is not appropriate). Prescribing and monitoring should be retained within the hospital setting by an appropriate clinician and the medicines supplied by the hospital for the duration of treatment.   

OTC

Available to buy Over-The-Counter  

netFormulary