FR2502944A1 - TRIM FOR EXTERNAL MALE CATHETER - Google Patents

Abstract

GASKET FOR MOUNTING AN EXTERNAL CATHETER SLEEVE ON A PENIS, THANKS TO WHICH THE SLEEVE IS FIXED ON THE ROD IN A LIQUID-TIGHT MANNER. IN THE MAJORITY OF ITS ACHIEVEMENTS, THE TRIM INCLUDES ALTERNATIVELY OPPOSED BRANCHES 12, 14, 18 SHAPED IN A SINGLE PIECE WITH A COMMON CENTRAL PORTION 20. AMONG THE VARIANTS, A SINGLE BRANCH MAY BE CITED IN EACH OF THE OPPOSITE DIRECTIONS, TWO BRANCHES. IN ONE DIRECTION AND A SINGLE INTERMEDIATE BRANCH IN THE OPPOSITE DIRECTION, OR SEVERAL BRANCHES IN EACH OPPOSITE DIRECTIONS. THE BRANCHES ARE SUITABLE TO SURROUND THE VERGE INDIVIDUALLY AND, WHEN THEY ARE WIRED, THEY CAN COOPERATE MARGINALLY WITH ADJACENT BRANCHES, COVER ADJACENT OR SPACED EDGES.

Description

Trim for external male catheter.

  The sheaths of male catheters, for example those associated

  urine collectors, were initially placed

  on the penis directly on the skin of the penis, the oven-

  reau being retained by a relatively tight winding of tape around the outside of the sheath mounted on the rod. This procedure has been improved by using a filling or a filling cushion arranged around the penis and

  attached to it by adhesive or otherwise. The over-

  outer face of the lining, normally covered with an adhesive, in turn receives the sheath, the function of the lining being to allow it to be sealed

  liquid the sheath on the penis, while protecting the penis.

  U.S. Patents 3,863,638 and 4,187,851 describe

  examples of fitting sleeves using fittings.

  In the aforementioned first patent, the lining consists of a relatively wide strip wound at least one and a half turns around the penis, the width of the strip extending over a sufficient distance along the penis to function

  cushion between the sheath and the penis.

  In the aforementioned second patent, the lining consists of

  a relatively narrower strip of material which is coiled

spiral around the penis.

  The present invention relates to a filling or a filling cushion which is significantly improved compared to known fillings, in particular with regard to its application and removal, the reduction of skin irritations, the maximum contact surface of the filling. and scabbard, while reducing the contact between the lining and

  skin, and and improved liquid tightness of the oven-

reau on the rod.

  To achieve these goals, a basic form of trim

  of the present invention comprises branches directed alter-

  natively in opposite directions to each other and extending

  in one piece of a common central portion. The branches

  are parallel to each other and surround the periphery

  only the penis, at least the branch closest to the glans extending completely around the penis to form with

  it a continuous tight seal. When placed above

  around the penis, the branches may touch each other along their lateral edges, may overlap on these edges or may in fact be laterally spaced from each other to provide spaces between their edges. In each case, the surface of adhesion to the skin can vary without significantly varying the height of the lining receiving the outer sheath, which makes it possible to reduce the adhesive contact with the skin and to increase the height of the lining receiving

the scabbard.

  The branches are adapted to wrap in opposite directions around the penis, allowing to position more

  easily trim and simplify assembly and in-

  raising. For example, the fact that the branches are direct

  in opposite directions allows you to apply force to the lining in opposite directions both during application and removal of the lining, which tends to stabilize the penis and is less likely to to break up

the skin.

  Alternatively, the thickness of the garment can be reduced as desired

  niture to allow the marginal portions to overlap, one can envisage any reasonable number of branches directed alternately in opposite directions to each other, and one cannot

  use adhesive only on selected portions of

faces applied to the skin.

  In other variants, a strip of thickness is used.

  stable, to allow, thanks to variations in thickness

  laterally adjacent portions of these strips, in effect

  kill several sealing towers around the yard

  tinsel of the glans, while obtaining a smooth exterior of a

  significant height to receive the scabbard.

  In another variant, a filling is used comprising several spaced bands, thanks to which, when it is rolled up

  around the rod, we have the full height of the gar-

  niture facing the sheath to make the oven cooperate-

  rod with the rod over the entire height of the rod covering the sleeve, while simultaneously substantially reducing the adhesive contact surfaces with

the skin of the penis.

  In each case, the lining has, along its height,

  separate portions which may include long portions

  tudinal of different widths and / or different lengths

  gueurs, or bands, legs, etc ... individuali-

sées.

  The material of the packing must be elastically compressed

  ble, deformable and waterproof. As examples of suitable material for the lining, reference may be made to the two above-mentioned Patents. As other materials, mention may be made of "Gelskin" which is a trademark for a crosslinked polyoxyethylene sheet, comprising a light polyethylene canvas, and possibly a tear sheet.

  distributed by Spenco Medical Corporation.

  It is also possible to use a sheet based on Basra gum and other generally hydrophilic polymers.

  them, such as polyurethane foam.

  The invention will be better understood on reading the description.

  detailed description, given below by way of example only, of several preferred embodiments, in conjunction with the accompanying drawing, in which: FIG. 1 is a perspective view of a gasket according to the present invention; FIG. 2 is a perspective view showing the filling with the curved branches, suggesting how to wind the filling; Figure 3 shows the trim wrapped in position around a yard;

  Figure 4 shows a sheath mounted on the winding lining.

  lée; FIG. 5 shows a variant in which the laterally aligned branches are wider than the opposite branch; Figure 6 shows a packing in which the branches

  laterally aligned are narrower than the oppo- branch

  sée; Figure 7 shows a packing in which the lower branch is longer than the other branches;

  Figure 8 is a perspective view showing the coil-

  ment of the trim of Figure 7 around a rod with the lower branch completely surrounding the rod; Figures 9 and 10 show a lining, respectively unwound and wound, in which the central branch laterally covers the two outer branches; Figures 11 and 12 show a packing, both

  unwound and wound, similar to the filling of the fig-

  res 9 and 10, in which the central part of the central branch has no adhesive on its side applied to the skin, the adhesive only appearing on the marginal portions covered with this branch; Figure 13 shows a packing in which the central branch is thinner than the two opposite outer branches; Figure 14 is a detail in section through the packing of Figure 13 as it appears when wound; FIG. 15 is a detail in section similar to FIG. 14, in which the central branch is thicker than the two outer branches; FIG. 16 shows a packing in which the two outer branches have internal marginal portions which are hollowed out over their entire length to receive the overlapping marginal portions of the central branch; Figure 17 is a detail in section through the packing of Figure 16, as it appears when rolled up; FIG. 18 shows a filling in which the overlapping lateral portions of the three branches have recesses over the entire length to provide internal and external surfaces without detachment in the rolled filling; Figure 19 is a detail in section through the packing of Figure 18 wound; Figures 20 and 21 show a packing, both unwound and wound, in which the interval between the laterally aligned branches is greater than the

  width of the opposite central branch, whereby when

  that it is rolled up, spaces are provided laterally on each side of the central branch;

  Figure 22 shows a variant of the packing of the fig-

  re 20, in which the central branch is substantially wider than the two outer branches, the interval being enlarged accordingly to allow the lateral spaces to be preserved during the winding of the lining; FIG. 23 shows a packing comprising only two laterally offset opposite branches; Figures 24 and 25 show fittings having multiple laterally spaced opposite parallel branches; FIG. 26 shows a gasket made up of multiple parallel branches laterally aligned, with spaces or gaps between them, and connected together at their opposite ends; Figure 27 shows a gasket with separate side portions of varying thicknesses and lengths

  to allow the winding to have an external surface

smoother;

  Figure 28 shows the trim of Figure 27 partial-

  coiled; and Figures 29 and 30 schematically show variants

of the packing of figure 27.

  Reference is made more particularly to FIGS. 1 to 4, which show a basic shape of the lining 10, and the

way to use it.

  The lining 10, formed by a strip of a single piece of a

  elastically compressible and deformable material, and hydrophilic

  or hydrophobic, has three elongated branches. The branches

  ches 12 and 14 are parallel to each other and are laterally

  spaced apart to define an interval between them 16.

  The branch 18 is parallel to the branches 12 and 14 and extends

  throws in the opposite direction to these, and laterally

  between them to align with the interval 16. The extremes

  respective internal mites of the branches 12, 14 and 18 are formed in one piece and constitute a common central portion 20. The thickness of the lining is constant over its entire length. The branch 18 has a width practically equal to that of the interval 16. The width of the branches 12 and 14 is the same and is identical to that of the branch 18 and to that of the interval 16. As a variant, as is seen in Figures 5 and 6, although having the same width, the branches 12 and 14 can be either wider or more

  narrow, that the branch 18 and that the interval 16, the branch

  che 18 and the interval 16 having the same width. In

  other variant not shown, the three branches have

  one of different widths. In these variants, the inter-

  valle 16 preferably has the same width as the branch

unique 18.

  As will be noted in Figures 2, 3 and 4, the lining must be wrapped directly on the penis or penis

  22, above the head or the glans 24, the sheath of the ca-

  theter 26 being unrolled on the glans and surrounding the garniture

  coiled ture 10. This thus serves both as a means to protect the penis and as a means for positively fixing

  sealingly the sheath 26 on it.

  Given the equal width of the interval 16 and of the branch 18, the fact that the branches are directed in opposite directions and do not overlap laterally facilitates the application of the filling on a normally flaccid rod,

  the branches being wound in opposite directions.

  This largely avoids puckering and bulging

  the filling material when applied, and it is particularly important to apply the filling correctly and evenly the first time to avoid

  to have to remove it and reapply it with a risk of injury

significantly not the skin.

  As will be noted in particular in FIGS. 3 and 4, the

  length of individual branches allows for complete

  the penis and cover at least the central portion of the lining to ensure positive peripheral contact with the penis. The degree of overlap varies of course

with the dimension of the rod.

  The lining 10 is intended to adhere to both the penis 22 and the sheath 26. Although it is normally provided by an adhesive layer on the face of the lining 10 in contact with the skin, the adhesion to the skin penis can be obtained by the use of a filling material or

  a lining coating which tends to adhere naturally

  really to the skin. Although it is also normally

  obtained by an adhesive coating or layer, the adhesion

  the outer face or sheath side of the lining 10 can be obtained by adhesive cooperation between the material of the lining or of a coating placed on it

  and the scabbard material itself.

  Although the width of the branches may vary, it has been found that the total width of the applied lining 10 provides

  a substantial adhesive contact surface between the lining

  ture and the sheath to avoid any risk of slipping or misalignment of the sheath, especially in cases where the sheath must be worn relatively long. It has also been found that it is possible to remove the lining while minimizing the risk of injuring the skin by using relatively narrow strips which, except for the common central portion 20, can be individually unrolled.

  In FIGS. 7 and 8, the lining 28 differs from the lining

  ture 10 in that the lower branch 30 of the pair of

  laterally spaced branches is longer than the other branch

  che 32, and also longer than the branch directed in the opposite direction 34. The lining 28 must be placed on the rod 22 with the branch 30 closest to the glans 24. This branch 30 will normally be the only one whose length is sufficient for completely surround the rod 22 and in fact provide a complete circumferential seal, as can be clearly seen in FIG. 8. The two other branches,

  32 and 34, have their free ends ending at a pe-

  tite distance from the common central portion 36, thus leaving spaces 38 where there is no adhesive contact with

the skin of the penis.

  The complete encirclement of the penis by the lower branch

  and the adhesion of this branch into a complete ring assu-

  re a positively liquid-tight seal, preventing uri-

  do not go up between the rod and the sheath of

  recovery. At the same time, although not encircling complete-

  The rod, the coiled branches 32 and 34 constitute an outer face of the lining over the entire height, which allows the sheath to be fixed and immobilized positively over a significant portion of its height. This object is achieved, and at the same time the risk of injuring the skin is reduced due to the presence of the free spaces 38 which reduce the surface of contact of the lining with the skin. It will be noted that the lateral positioning of the spaces 38 avoids any appreciable gap in the adhesion between the full height of the lining and of the sleeve, and also avoids any direct passage of the liquid, even in the unlikely event of leakage through the primary seal provided. by the branch 30 encircling the rod. This is in fact one of the important advantages of the use of multiple practically independent branches surrounding the penis that each branch in fact constitutes an independent joint both with the skin and the

  yard, while providing the trim a significant width

  te to cooperate over a wide area with the sheath.

  It will be noted that the lining of FIGS. 7 and 8 may include the variants previously described with regard to the different types of adhesion means and to the differences in width.

  branches or their reciprocal relationships.

  The lining 40, shown in FIGS. 9 and 10, differs from those previously described in that the single central branch 42 is wider than the corresponding interval 44 formed between the two opposite laterally spaced apart branches 46. In this embodiment, the portions marginal edges of the central branch 42 overlap over the entire length

  the inner marginal portions of the outer branches 46.

  The very flexible nature of the filling material allows

  an intimate cooperation of this portion of the central branch

  trale which covers the interval with the skin of the penis.

  In addition, the marginal portions overlapping and adhering to each other provide a very effective seal between the

  branches themselves and circumferentially around the penis.

  In this form of the invention, means of positive adhesion

  tifs, for example an adhesive, are deposited on both sides of the lining 40. In addition, it is also possible to vary the lengths and / or the relative widths of the branches as in the case of the variants already described, while retaining

  in each case the overlap of the edges over the entire length

  cheerfully. The lining 48 shown in Figures 11 and 12 differs from that of Figures 9 and 10 in the particular arrangement

  adhesion material on the skin side of the central branch

  single strip 50. While the adhesive 52 is kept on the marginal overlapping portions to keep a seal

  very effective positive between the marginal portions covered

  tes, the portion of the surface on the skin side of the branch 50 which covers the gap 54, and therefore is in contact with the skin of the penis, is devoid of adhesive or any other means of adhesion liable to injure the skin. This portion

  without adhesive is identified at 56. Thus formed, the gar-

  niture 48 has a band surrounding the penis, consisting

  by the interval 54 and the non-adhesive portion 56 of the branch

  che central, which does not adhere to the skin, thereby significantly reducing the risk of injury. At the same time, we obtain a positive tight contact with the penis on both sides of the central interval. In addition, the entire height of the outside of the rolled lining 48 has a surface completely coated or otherwise provided with an appropriate adhesive or cohesive material so as to fix the sheath over its entire height. This gives great stability and tightness between the lining and the sleeve while reducing the dangerous contact of

the filling with the skin.

  In FIGS. 13 and 14, the lining 58 is different in that the laterally spaced parallel branches 60

  are significantly thicker than the central oppo-

  sée 62, which tends to retain the central portion covering the gap of the branch 62, identified at 64, in contact with the skin, whether or not this area 64 contains an adhesive coating. At the same time, the relatively thin nature of the branch 62 allows positive cooperation with the sheath on all the outer grip surfaces of the branches

60 and 62.

  In the variant of FIG. 15, the laterally spaced parallel branches 66 are notably thinner than the single central branch 68 covering them, which tends to

  provide greater possibility of branch contact

  che central with the skin to better adhere to it, while

  possibly reducing to some extent the effective contact surface with the sheath. Such a provision may be desirable when it is necessary to replace

  frequently the scabbard without the need to replace

cer the filling itself.

  In Figures 16 and 17, the interior and exterior surfaces

  of the rolled up lining 70, that is to say the skin side and the sheath side, are both smooth or have a

  common surface except possibly the extreme edge of overlap

  of each of the branches. This is obtained by the fact that the laterally spaced parallel branches 72 are thicker than the opposite central branch 74 and that each has, on the marginal covering part, a recess over the entire length 76 which receives the corresponding longitudinal longitudinal portions 78 of the central branch 74. These recesses have a depth corresponding to the thickness of the central branch 74; thus, when the marginal portions 78 are housed in the recesses 76,

  a smooth surface is obtained in order to cooperate with the sheath.

  Although the entire skin side of the central branch 74 can be covered with an adhesive material, FIGS. 16 and 17 show such an adhesive material only along the marginal portions 78, the longitudinal central portion 80 of the central branch 74 being devoid of of this adhesive material. In the embodiment of FIGS. 18 and 19, the lining 82,

  similar to the lining 70, present, when it is

  rolled, smooth interior and exterior surfaces. This goal

  is reached by removing the marginal portions of cover

  ment both of the outer branches 84 and of the central branch 86 over the entire length of the covers. The

  recesses in branches 84 are identified at 88. The recesses

  Dements in the opposite marginal portions of the central branch 86 are identified at 90. As with several of the previous embodiments, the central portion of the branch

  86, on its skin side, can either be covered with a material

  a suitable adhesive, or, as seen in 92, a non-adhesive surface to avoid injury. In this case, the portions of the outer branch 84 cooperating with the remaining surface constitute the liquid-tight seal with

the skin.

  It will be noted that the various characteristics, which have been more particularly detailed in connection with certain embodiments, can, if possible, be incorporated into all of the embodiments described. Such variants include the possibility of having branches of unequal lengths, branches of different widths, branches with the absence or selective presence of adhesive material on the skin side, etc.

  In FIGS. 20 and 21, the lining 94 differs from the embodiments

  sations already described in that the central branch 96 is narrower than the interval 98 defined between the parallel branches 100. Therefore, when wrapping the lining

  94 around the penis, spaces 102 are provided laterally.

  on either side of the central branch 86, practically

  only all around the penis. These spaces or areas of non-adherence to the skin of the penis significantly reduce the risk of skin injury. At the same time, the branches 96 and 100, completely surrounding the penis, provide with it a positive seal. At the same time, there is the entire height of the lining to cooperate with the sheath placed on it. A suitable adhesive material can be placed on

  the two surfaces of the lining 94. In addition, the realization

  tion of Figures 20 and 21 may include variants in

  the width and length of the branches as noted above.

  For example, FIG. 22 represents a similar packing 104, in which the central branch 106 is substantially wider than the two lateral branches 108. However, the relationship between the central branch 106 and the gap 110 is such that it remains in the trim wrapped in clearly delimited spaces on either side of the central branch 106, thanks to which large areas are obtained

  non-adherence to the skin. As another variant, not shown

  felt, the length of the branches 106 and 108 may be such that only the lower branch 108, which is closest to the

  acorn, completely surrounds the penis and forms a tight seal

che with it.

  FIG. 23 represents a simplified embodiment of the gar-

  niture, identified in 112. This lining 112 has only one pair of branches 114 and 116 directed in opposite directions from one another starting from a central portion of a single

  part 118. The branches 114 and 116 are adapted to wind up

  work in opposite directions around the penis with at least the lower limb, 114, completely surrounding the penis. These

  branches 114 and 116, as in the embodiments already described

  your, can overlap laterally along their lengths, can meet along a common line, or can

  be laterally spaced to define an inter-

  peripheral valley and provide increased height for cooperation

  rer by adhesion with a superimposed sheath without increasing

the contact surface with the skin.

  Figures 24 and 25 show other embodiments, in

  which the linings, respectively 120 and 122, comprise

  try multiple parallel branches laterally spaced in each of the opposite directions on either side of the central portion in one piece. We can have

  and part of this central portion any rational number

  sound of laterally spaced branches depending on

  the desired trim height. Note that, in use

  reading several branches, one can obtain a pre-

  determined by using relatively narrow adhesive strips, which facilitates removal and reduces the risk of skin injury. The fittings 120 and

  122 may have all of the above characteristics

  described, including branches of different widths, different lengths, different degrees of spacing

  lateral or overlapping when rolled up, the utility

  of any suitable means of adhesion, the presence of

  non-adherent portions on the skin side of certain branches

  ches, etc. In the lining 124 of FIG. 26, numerous laterally spaced branches 126 are connected together at their two ends by transverse end portions

  in one piece 128. Thus defined, the lining 124 pre-

  alternately feel adhesion bands and intervals

  those of non-adherence. The lining thus obtained has a significant height, allowing it to positively cooperate with a

  scabbard and retain it, while significantly reducing -

  adhesion to the skin of the penis and thereby reducing substan-

  the risk of injury to the skin compared to, for example, a full lining. In order to obtain a complete peripheral seal around the penis, the end portions overlap after a turn of winding of the lining around the penis. In addition, as in the

  already described, we can vary the nature by

  particular means of adhesion both to the skin and

on the scabbard.

  Figures 27 and 28 show another embodiment of the lining 130, in which separate portions of the

  trim have varying thicknesses, which allow more

  several turns of winding in the marginal portion of the lining closest to the glans, in order to obtain a joint

  positively liquid tight with the penis, while

  managing a significant height, smooth on the outside for

  mate more effectively with the scabbard.

  Although it is not limited to this embodiment, the lining shown 130 has three stepped portions 132, 134 and 136. The thinnest portion 132, the one which must be wound closest to the glans, has a length capable to surround the penis substantially three times. The second, 134, the thickness of which is one and a half times the thickness of section 132, has a length which surrounds the penis about twice and is arranged to leave

  an extension 138 of section 132 which may surround

completely the rod once.

  The thickness of section 136 is three times the thickness of

  section 132 and has a length capable of surrounding sensitive-

  lie the rod once. This section 136 is also dis-

  laid to provide an inward detachment of section 134 at a given location, leaving an initial portion of section 134 having a length capable of surrounding the

penis about once.

  The sections positioned as described above and represent

  tees in the drawing end in a smooth end 142,

  the trim itself having, on the sheath side, a

  flat face, both in the wound state and in the unwrapped state

* the. When rolled up, note that section 132

  surrounds the penis about three times, providing comfort

  liquid tight positive tact. The winding of the other sections 134 and 136 around the penis improves the liquid tightness and provides a significant height to the completely wound packing with a smooth outer surface, this height and this smooth surface contributing in a significant way.

  important to the positive hold of the sheath.

  Figures 29 and 30 suggest other variants of the gar-

  niture 130 of figure 27, giving it a wedge shape or a wedge shape in steps. Although it is not seen in detail in the drawing, the thickness of the linings of the

  Figures 29 and 30 may vary appropriately over time.

  high and high to obtain, as far as possible, multiple windings in the vicinity of the glans and a smooth or relatively smooth exterior to receive the sheath. Alternatively, the fittings of Figures 27, 29 and 30 can

have a uniform thickness.

  From the above we can see that a presentation has been presented

  garnish cept whose fundamental purpose is to provide

  a gasket forming a positively liquid-tight seal

  from between the penis and a catheter sheath placed on the

  garnish. The risk of injuring the skin is reduced and over-

  contact face between the lining and the sleeve is simul-

  temporarily increased. The risk of injuring the skin is reduced by using narrow individual adhesive tapes or branches, by providing non-adhesive tapes and / or by providing gaps or spaces in which there are

  no direct adhesion to the skin. In each case, we maintain

  holds a large total height of trim for cooperation

rer with the scabbard.

  In addition, the use of multiple adhesion surfaces

  the skin rather than a single surface also increases the trust

  system bility to prevent leaks by opposing a

  series of barriers to the flow of urine. This repeti-

  Leak barriers are an essential part of

this invention.

Claims (24)

Claims.   1. Trim to position a sheath on a penis   along the penis, characterized in that it cooperates circum-   preferentially with the penis, below the glans, over a considerable length of the rod to then cooperate with the sheath placed above, the lining having opposite faces coated with adhesion means associated with at least a substantial portion of each of these faces   opposite, the garnish comprising a first portion extending   aged so long that it can completely surround   the penis inside the glans, at least a portion extending   additional age separate from this first extended portion   gated and positioned to circumferentially surround at least a significant part of the penis inside the   first section elongated with respect to the glans.   2. A fitting according to claim 1, characterized in that   that the first elongated portion has a first branch   elongated che (12) having opposite ends and the additional elongated portion has a second branch   elongated (18) having opposite ends and being connected   one piece at one of these ends at one end mite from the first branch.   3. A fitting according to claim 2, characterized in that the branches are generally in the same plane and project in opposite directions from their connected ends, these defining a portion common central (20).   4. A fitting according to claim 3, characterized in that it comprises a second additional elongated part comprising a third branch (14) having opposite ends, this third branch being connected in one piece to one of its ends to the portion common central (20) and projecting parallel to the first branch (12) 19 2502944   being parallel and laterally spaced from this first branch.   5. A fitting according to claim 4, characterized in that the first and third branches delimit an elongated interval (16) between them aligned with the second branch (18) and of width substantially equal to the latter to receive the second branch when winding   branches circumferentially around the penis.   6. A fitting according to claim 5, characterized in that it comprises another additional elongated portion   comprising a fourth branch having opposite ends   and being connected in one piece at one of these ends to the common central portion, this fourth branch projecting parallel to the second branch in   being parallel to it and laterally spaced, the two   tenth and fourth branches delimiting between them an interval aligned with the third branch and of width   substantially equal to this to receive the third branch   che when wrapping the branches around the penis.   7. Gprniture according to claim 4, characterized in that the first and third branches (100) delimit   between them an interval (98) aligned with the second branch   che (96) and wider than this, whereby, when wrapping the branches around the penis with the second branch housed within the interval, at least one   space (102) is defined laterally between the second branch   che and one of the remaining branches.   8. A fitting according to claim 4, characterized in that the first and third branches (46) define between them a gap (44), this gap being aligned   with the second branch (42) and being narrower than this   ci, the first and third branches having portions   internal margins bordering the interval, the second branch   che having opposite marginal portions (52) which can be placed to cover the inner marginal portions of the first and third branches when wrapped these branches around the rod.   9. Filling according to claim 8, characterized in that certain selected marginal portions are hollowed out on their   lengths to receive the marginal portions covering them.   10. A fitting according to claim 9, characterized in that these recesses (76) are defined along the internal marginal portions (78) of the first and third branches (72).   He. A fitting according to claim 9, characterized in that these recesses (90) are defined along the portions   opposite margins of the second branch (86).   12. A fitting according to claim 8, characterized in that   that the portion (56) of the second branch between the gates   overlapping marginal tions is devoid of adhesion means on its face looking at the gap (54) between the first and the third branches when the branches around the penis.   13. A fitting according to claim 4, characterized in that the first branch (30) is longer than the branches remaining (32, 34).   14. A fitting according to claim 4, characterized in that   that the branches have the same width.   15. Trim according to claim 4, characterized in that   that the branches are the same thickness.   16. A fitting according to claim 2, characterized in that the first and second branches are parallel to one another and laterally spaced, delimiting between them an elongated space.   17. A fitting according to claim 16, characterized in that the second branch, at its second end, is connected   one piece at the second end of the first re branch.   18. Trim according to claim 17, characterized in that it comprises a second additional elongated portion   having a third branch having opposite ends   sées and parallel to the second branch by being laterally   widely spaced, this third branch having its   opposite mites respectively connected in one piece to the first and second ends of the second branch. 19. Packing according to claim 1, characterized in that   that the separate additional portion (62, 74) has a thick-   different from the first portion (58, 72).   20. Filling according to claim 19, characterized in that the additional portion has a length different from the first portion.   21. A fitting according to claim 20, characterized in that the portions are formed in one piece with a continuous coplanar face.   22. A fitting according to claim 21, characterized in that the additional portion (134) is approximately one and a half times thicker than the first portion (132) and that its length is approximately two thirds of the length of the first portion.   23. Filling according to claim 22, characterized in that a second additional portion (136) is approximately 50 times thicker than the first portion (132) and that its length is approximately one third of the length of the first portion. 24. Trim used to position a sheath on a penis along the penis, characterized in that it is in circumferential contact around the penis, below the glans, over a significant length of the penis to then cooperate with the sheath covering it, this lining having opposite faces with adhesion means associated with   at least a substantial part of each of the oppo-   sées, this lining having opposite ends and having a width decreasing from one end to the other, and having a length through which a portion of the width of   the lining can completely surround a rod inside   laughter of the glans, this filling comprising at least one   additional elongated co-operation at least on a ma-   part of the rod smaller than its total circumference.   25. A fitting according to claim 24, characterized in that   that the thickness of the filling varies across the width.   26. A fitting according to claim 18, characterized in that the second and third branches have the same width than the first branch.   27. A fitting according to claim 18, characterized in that   that these portions are formed with a coplanar face.