to be replaced on a daily basis as best shown in fig1 the patient first spreads or opens her labia majora and labia minora to expose the urethral orifice the device is inserted into the patient 39 s urethral orifice until the meatal flange 16 rests against the vestibular floor or meatus as best illustrated in fig1 when the device is fully inserted the labia majora and labia minora are allowed to close covering the meatal flange 16 and firmly securing the device 10 throughout the period of use following emplacement of the device 10 the introducer tool 24 is removed when it is necessary for the patient to urinate the patient locates and pulls the pull string 18 which may extend externally from the meatus attached to the stopper 20 with one hand while securing the device with the other hand to initiate the flow of urine from the bladder following successful urination the pull string 18 and stopper 20 are allowed to return to the closed position where the flow of urine is again prevented thus removal is accomplished by the patient spreading or opening her labia majora and labia minora and simply withdrawing the device in the case of a thicker foam coating 14 on the distal end 21 of the device the.