BECAUSE of the many psychosocial problems initiated by a neurogenic bladder, there was a need to develop a pediatric urine collecting device. Our urologists1 have preferred this to surgical diversion of the urine for boys, who are naturally endowed with a convenient "spiggot". Penile clips and pressure pads in the perineum to compress the urethra2 have been tried, but with both, pressure ulcerations have occurred.
We have not used the Stevens or Chailey urinals,2 because of the difficulty in obtaining them. We found that most urinals are designed for adults and are relatively unsatisfactory because of the following reasons:
They are too bulky and do not fit properly in pubic area.
Urine leaks from under the penile collector of the child if he is at all active.
Use leads not only to leakage, but to secondary pressure ulcerations.
They are too difficult to apply, particularly if the child is wearing braces.