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Medical Forum / Diseases and Disorders / Prostate Cancer / February 2006

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Test report: ActiCuf incontinence pouch

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I.P. Freely - 07 Feb 2006 04:20 GMT
Remember the offer for us to test the ActiCuf urinary incontinence aid from
Sam at http://www.gturological.com ?

It's no joke, guys; it's the real deal, and it works. I got paid to test
thousands of new products and write 'em up for magazines years ago, so this
test was right up my alley. Read and learn of one of the first really new
innovations in years in our hassle-laden world.

First impression out of the package:

Nice, small, flat, low-profile; it's going to hide easily.

It's a soft, light, flat, paper, squeeze-mouthed, coin purse.

There's no thick foam padding like what I expected, and it takes some
serious squeeze pressure to open it; clamp it on two stacked fingers and it
feels TIGHT! If you think I'm sticking THIS into THAT and releasing the bear
trap, you're nuts. I want to catch any stray dribble, not cut off
circulation and, ultimately, what's left of my manhood.

But what the hell . the website says it's comfortable, and we KNOW websites
don't lie.

So after a couple of stiff belts, I squeeze the bear trap open wide, insert
all the way, take a deep breath, release the bear trap slooooooowly, and .
holy cow; I don't feel it at all. It's all in the geometry of the "bear
trap"; it can exert a lot of "pinch" pressure when wide open, but the
pressure isn't even noticeable down at operational range. And I'm guessing
most guys needing these things only THINK their operational, slightly
compressed diameter is going to challenge it.

Bottom line: BEYOND comfortable. In fact, I couldn't even feel it a minute
after clamping it on. No, it didn't leave me numb; it just didn't pinch.

Slip test:

If it's that comfortable, won't it slip off accidentally if it gets heavy
with leakage? Tug . tug . yep, it sure could . but only if you plan on
carrying a pint of urine in that 3-ounce pouch while you go jogging. It
takes some serious tugging to get it to slip AT ALL - nothing you'd ever
experience unless your family dog gets a good grip on it - and even when it
does slip, there's no discomfort at all. This thing is SECURE. And, LORDY,
but it feels good to get back into boxer shorts!

Blood circulation test:

Now, it's great when a penis fills to the bursting point with blood;
everybody involved enjoys it . unless it doesn't empty when the time comes.
If this pinching action lets blood in but not out again, we have a problem,
Houston. So let's give it the acid circulation test now that I've had it on
for an hour or so: give the business end a goose to test its senses ...
strictly as a clinical circulation test, I swear: OOOOOH . that felt GOOD!
It passed that test, too ... and I'll be back in a few minutes.

The Potty Test:

Ya squeeze the clamp, remove the pouch, take care of business, reverse the
procedure, and walk away. Anyone who notices in a public restroom is
watching WAY too closely. Three hands would help (you're holding three
things unless you're sitting down), but it works fine with two. And it's
small enough to conceal adequately with your hand if you walk over to the
trashcan to throw it away. If even that's not discreet enough for you, just
use a stall.

Wear test:

I've worn it for several hours in my first trial, including a moderate
exercise and physical therapy routine with extensive stooping and bending.
Once again, I forgot I was wearing it. If the instructions didn't say not to
wear it to bed, I would have. It may as well not be there, it's so
comfortable. What else can I say?

The leak test:

Most of my leaking is in the evenings, standing around doing nothing.
Frequent very small squirts, just enough that I need a little absorbency.
Pads provide that, but provide no assistance in preventing the leaks.

The modest squeeze of the Cuf assists a little in detecting and averting
these small leaks.

The ultimate test: The Gym.

Today it went to the gym for my biweekly, three-to-four-hour, full-tilt,
non-stop, gut-busting workout involving most types of equipment in a HUGE
gym. (Darn RIGHT I took a diaper in my gym bag as backup, but I had no need
for it.) Once again, I forgot I was wearing it  . until I dropped trou in
the locker room: "So what are YOU staring at, buddy? Here . catch!"  ;-)

Or maybe you could scream, "AAAAAAGH! What the hell's THAT?" (Paint some
little beady eyes and glue a little fur and a tail on it if you want to try
that one.) Or just surreptitiously remove and discard it with a wave of the
hand, as I did.

And finally the street test: how obvious is the Cuf?

Anyone who can spot this device in a pair of slacks or shorts is looking at
my crotch WAY too closely. It's just not visible.

Unless you guys can think of something I missed, I rate this the ActiCuf a
9.5 in performance (if it had PREVENTED leaks with its pinch action, as its
instructions almost imply, it would have gotten a 10). It definitely would
not have worked in the days when I was completely flooding the Depends
Tsunami model 2-3 times a day, but it's neither intended nor advertised to
handle major incontinence. But at $5 EACH -- 10 times the cost of a 24-hour
diaper and 20 times the cost of a pad -- you'd better have a really, really
good motivation to avoid pads or diapers.

Let's compare the ActiCuf directly with its competition. What advantages
does it have over pads or diapers?

Easier and more discreet than pads or diapers to change and dispose of. (Try
cramming a diaper in a restroom trash can without self-consciousness!)

Dryer than pads or diapers if you don't overfill it. I could wear one
ActiCuf now for 24 hours in comfort and confidence as long as I check it
whenever I go to the bathroom. (It turns pale blue when damp with urine, so
you have some degree of indication how you're doing on the current refill.)

Speaking of confidence . most pads have a fallout risk; these don't.
Wherever you go, it follows.

And speaking of comfort . these are certainly more comfortable than diapers,
and even more so than pads since pads require Jockey shorts.

BOXERS RULE!

It doesn't show beneath your clothes, as diapers may.

No more sweaty groin in warm weather or rooms.

You can carry a few of these in any pocket unnoticed; they're far less bulky
than packaged pads.

ActiCuf disadvantages?

A TINY bit more hassle at the urinal until you master the one-handed abra
cadabra (you'll master it in two days). I just turn my back to others in the
locker room, but it might pique your cell-mate's attention in jail.

Five bucks a pop - 10 times the cost of a diaper and 20 times a pad's cost.

Unless you're totally satisfied with less expensive pads in EVERY scenario
you face, this Cuf is a great addition to your arsenal. I think it's a
wiener .  er, a winner . if you ever wish to pay $5 for any or all of that
impressive list of advantages for an hour or a day. But I'm guessing the
price of these great products will come down when demand increases, as I'm
sure it will. They WORK!

I.P. Freely
judamd@aol.com - 07 Feb 2006 16:32 GMT
Well, I.P., you beat me to my promised review of the ActiCuf which is
fine since your talent for expression exceeds mine by a mile.
Everything you say about it pretty much matches my impression.  It does
work as advertised.  My only concern is the $5 /item which will keep me
from trashing my old friend, the pads.  Still, they do work and they
are, as you say, a great addition to the arsenal.

One side note, the brochure includes a form to be filled out by your
physician who apparently can prescribe these things in such a manner
that Medicare will cover the cost.  Interesting, I wonder if my doc can
do the same for my pads.  Of course this just transfers the cost from
those who use this stuff to those who don't.  Besides, many of us
aren't eligible for Medicare (yet).  Would it work for any insurance?

Dave Perry
I.P. Freely - 07 Feb 2006 17:54 GMT
> the brochure includes a form to be filled out by your
> physician who apparently can prescribe these things in such a manner
> that Medicare will cover the cost.  Interesting, I wonder if my doc can
> do the same for my pads.  Of course this just transfers the cost from
> those who use this stuff to those who don't.  Besides, many of us
> aren't eligible for Medicare (yet).  Would it work for any insurance?

i hadn't tried insurance (or the VA) for my diapers or pads, as I keep
thinking -- and still think -- I'll be out of them soon. It's about time I
found out, especially since either of my cancers has the potential for
keeping me in them for a long time. It shouldn't take long to find out from
Google, our insurance providers, a Medicare office, etc.

I.P.
Ron B - 07 Feb 2006 18:34 GMT
Super great report  from I.P. and a nice assist to Dave for mentioning
the Medicare/insurance coverage aspect.

As the 'wet cat' guy (you're stuck with that forever I.P. :-), that was
a really fine analysis.

Sort of...if YOU like 'em for leaks...they GOTTA be good.

But the $5 each issue is puzzling.

Sort of high, don'tcha think?

Just asking...if small drips are the problem...why wouldn't a small
feminine pad in the jockeys be FAR more economical and do as good a job?

Cuz...if you dripped MORE than that...you'd be using a new one each day.

True...it would cost less than Starbucks...but still.

Best of health,

Ron B.

Chicago
I.P. Freely - 07 Feb 2006 21:16 GMT
> As the 'wet cat' guy (you're stuck with that forever I.P. :-)

Well how would YOU like this in your pants?
http://www.vote4jokes.com/html/Wet-Cat.html

I.P.
judamd@aol.com - 07 Feb 2006 21:48 GMT
I don't use feminine things at all because even though my drips are
small, there are a lot of them throughout the day especially if I'm
doing a lot of walking, more than what a feminine pad can contain.  One
men's pad will last all day and is usually rather full when I take it
off.

I never wore an ActiCuf more than about 8 hours.  The clamp reduced the
leaks to the point that even the small attached pouch was enough the
contain my drips.  In fact, I think I dripped the most while putting
the thing on and taking it off.  I suppose I could have reused the same
one the next day but I was reluctant to stick old Willie into the cold,
crusty used one.  
Dave Perry
Sam - 08 Feb 2006 00:16 GMT
Hi IP, Dave, Ron,

Are you kidding me? That was way beyond my expectations, I had no idea
that a real product tester was reviewing this product. Wow!  Thank you
very much for the feedback and the nice review.

I do have a couple of followup questions for you based on your
experience with the product:
(1)  How many Acticufs do you think that you would use per day?  How
does that compare to your present solution?
(2)  Assuming that pricing was acceptable, would it replace your
present management solution -- or compliment it?
(3)  How much do you think you spend on managing incontinence per day,
month, or year with your present solution?

Also, It seems like many are new to reimbursement, so I will make a new
post and share what I know with everyone -- hopefully, it will save you
guys a few bucks.

- Sam
I.P. Freely - 09 Feb 2006 00:18 GMT
"Sam" <wrote
> Hi IP, Dave, Ron,
>
> I had no idea that a real product tester was reviewing this product.

Welllll, sort of, if you count everything from Tomahawk cruise missiles to
Star Wars lasers to windsurfing gear. But then testing is testing (i.e.,
what's it s'posed to do? How well does it do it?).

> (1)  How many Acticufs do you think that you would use per day?  How
> does that compare to your present solution?

A year ago I drowned several cats (2-3 Depends Keggers) a day; Now, at 15
months post-op, I could get by on one or two ActiCufs a day ... $5-$10 vs 50
cents for a diaper or 25 cents for a pad. I could AFFORD the Cuf (partly
because my life expectancy dropped significantly 15 months ago), but I'm
cheap.

A caveat for my case: I retired may years ago; I don't report to an office,
haven't worn a suit in minnyminny years, and don't plan on going to any more
proms. Thus no one's going to notice my diapers. If I still felt compelled
to work, I'd probably much appreciate a fresher, more discreet ActiCuf most
days ... except that a pad is almost as discreet (maybe even a desirable
enhancement for some men even if it IS false advertising; can you IMAGINE
some lady's disapointment, especially considering the other issues often
accompanying incontinence?) at 1/20 the cost.

> (2)  Assuming that pricing was acceptable, would it replace your
> present management solution -- or complement it?

Complement, maybe almost replace especially in hot weather. The Cuf is an
excellent product; at a better price (or if there's a reason for a uro to
prescribe it specifically and insurance would pay for it) I'd usually prefer
an ActiCuf now that I'm down to ounces of leakage on the BAD days.

> (3)  How much do you think you spend on managing incontinence per day,
> month, or year with your present solution?

Now, $20/month. A year ago, at least $50 a month plus a lof of hassle. But
then I'd have needed an ActiBucket a year ago.

I.P.
DP - 07 Feb 2006 18:30 GMT
I had gone to the web site and looked into this product when it was offered
here.  It was refreshing to have a person making a legitimate offer of a
product that has a use to this group.  Sure beats the SPAM we usually see.
I have no need for the product (thankfully), but did think it looked good
but pricey.  As with many products, increased production and sales lower the
per unit cost and repay the set up costs.  Glad it worked for you, and at
the price it may be a good item for occasions that warrant it. After all,
when you put on your best suit or tux, you do not want a wad of padding in
the way.  Thanks for the review, written in a great style.

Dale P
Denver, CO
 
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