Abstract: An external catheter urine collection system includes an external catheter, a urine collection reservoir, and a urine collection tube. The external catheter includes a generally phallic-shaped catheter or condom sheath having a distal and a proximal end. The proximal end of the external catheter is adapted to fit over a male patient's penis and to be positioned at the base of the penis. The distal end of the catheter sheath includes a connector for connecting to the urine collection tube to direct urine from the catheter to the collection tube. A sealing rim is attached to the proximal end of the catheter sheath and is adapted to seal the proximal end of the catheter to the skin adjacent to the base of the patient's penis, thereby securing the catheter to the patient and preventing the leakage of urine from around the proximal end of the catheter sheath.