Urinary cathetersDefinition A urinary catheter is any tube system placed in the body to drain and collect urine from the bladder. Information A Foley catheter is a soft plastic or rubber tube that is inserted into the bladder to drain the urine. Urinary catheters are sometimes recommended as way to manage urinary incontinence and urinary retention in both men and women. There are several different types of catheters, which may be used for a variety of different reasons. URINARY CATHETERS Urinary catheters may be used to drain the bladder. This is often a last resort because of the possible complications associated with continuous catheter usage. Complications of catheter use may include: urinary tract or kidney infections, blood infections (septicemia), urethral injury, skin breakdown, bladder stones, and blood in the urine (hematuria). After many years of catheter use, bladder cancer may also develop. Your health care provider may recommend use of a catheter for short term use or long term use (indwelling). The catheter may be left in place during this time, or you may be instructed on a procedure for placing a catheter just long enough to empty the bladder and then remove it (clean intermittent self-catheterization). Catheters come in a large variety of sizes, materials (latex, silicone, Teflon) and types (Foley catheter, straight catheter, coude tip catheter). It is recommended that you use the smallest size of catheter, if possible. Some people may require larger catheters to control leakage of urine around the catheter or if the urine is thick and bloody or contains large amounts of sediment. Be aware that larger catheters are more likely to cause damage to the urethra. Some people have developed allergies or sensitivity to latex after long-term latex catheter use. These people should use the silicone or Teflon catheters. LONG TERM (INDWELLING) URETHRAL CATHETERS A catheter that is left in place for a period of time may be attached to a drainage bag to collect the urine. There areĀ 2 types of drainage bags. One type is a leg bag, which is a smaller drainage device that attaches by elastic bands to the leg. A leg bag is usually worn during the day since it fits discreetly under pants or skirts, and is easily emptied into the toilet. The other type of drainage bag is a larger drainage device (down drain) that may be used during the night. This device is usually hung on the bed or placed on the floor. HOW TO CARE FOR YOUR CATHETER Most experts advise against routine changing (replacing) of the catheters. If the catheter is clogged, painful, or infected it may require immediate replacement. Routine care of the indwelling catheter MUST include daily cleansing of the urethral area (where the catheter exits the body) and the catheter itself with soap and water. The area should also be thoroughly cleansed after all bowel movements to prevent infection. Experts no longer recommend using antimicrobial ointments around the catheter as they have not been shown to actually reduce infections. You should increase your fluid intake, unless you have a medical condition prohibiting large amounts of fluid intake, to reduce the risk of developing complications. You should discuss this issue with your health care provider. The drainage bag must always stay lower than the bladder to prevent a back flow of urine back up into the bladder. The drainage device should be emptied at least every 8 hours, or when the device is full. Care must be taken to keep the outlet valve from becoming infected. Wash your hands before and after handling the drainage device. Do not allow the outlet valve to touch anything. If the outlet becomes obviously dirty, it should be cleaned with soap and water. HOW TO CLEAN YOUR DRAINAGE BAG Some experts recommend cleaning the drainage bag periodically. Remove the drainage bag from the catheter (attach the catheter to a second drainage device during the cleansing). Cleanse and deodorize the drainage bag by filling the bag with 2 parts vinegar and 3 parts water. Chlorine bleach can be substituted for the vinegar and water mixture. Let this solution soak for 20 minutes. Hang the bag with the outlet valve open to drain and dry the bag. WHAT TO DO FOR A LEAKING CATHETER Some people have occasional leakage of urine around the catheter. This may be caused by a catheter that is too small, improper balloon size, or bladder spasms. If bladder spasms occur, you should check to see that the catheter is draining properly. If there is no urine in the drainage bag, the catheter may be obstructed by blood or thick sediment, or kinking of the catheter or drainage tubing. If you have been instructed on irrigation (flushing the catheter) procedure, try to irrigate the catheter and see if this helps. If you have not been instructed on irrigation and urine is not flowing into your collection device, you should contact your health care provider immediately. Other causes of urine leakage around the catheter include constipation or impacted stool, or urinary tract infections. POTENTIAL COMPLICATIONS Notify your health care provider if you develop any of the following:
SUPRAPUBIC CATHETERS A suprapubic catheter is basically an indwelling catheter that is placed directly into the bladder through the abdomen. The catheter is inserted above the pubic bone. This catheter must be placed by a urologist during an outpatient surgery or office procedure. The insertion site (opening on the abdomen) and the tube must be cleansed daily with soap and water and covered with a dry gauze. These catheters usually are changed by qualified medical personnel. The catheter may be attached to the standard drainage bags described above. A suprapubic catheter may be recommended in people who require long term catheterization, after some gynecological surgeries, and in people with urethral injury or obstruction. Complications of suprapubic catheter use may include: urinary tract or kidney infections, blood infections (septicemia), urine leakage around the catheter, skin breakdown, bladder stones, and blood in the urine (hematuria). After many years of catheter use, bladder cancer may also develop. HOW TO INSERT A CATHETER (MEN)
HOW TO INSERT A CATHETER (WOMEN)
HOW TO REMOVE A CATHETER Indwelling catheters may be removed in 2 ways. One method is to attach a small syringe to the inflation port on the side of the catheter. Draw out all the fluid until you are unable to withdraw any more fluid. Slowly pull the catheter out until it is completely removed. Some health care providers instruct their patient's to cut the inflation port tubing before it reaches the main tubing of the catheter. After all the water has drained out, slowly pull out the catheter until it is completely removed. Be careful not to cut the catheter anywhere else. If you cannot remove the catheter with only slight pulling, notify your health care provider immediately. Notify your health care provider if you are unable to urinate within 8 hours after catheter removal, or if your abdomen becomes distended and painful. SHORT TERM (INTERMITTENT) CATHETERS Some people may only require catheterization on a occasional basis. These people can be taught to catheterize themselves to drain the bladder when needed without having to constantly wear an external device. People who may benefit from intermittent catheterization include people with neurological disorders, women after certain gynecological surgeries, men with large prostates, and anyone who is unable to properly empty their bladder. The process is similar to the above described procedures except the balloon inflation is not performed and the catheter is removed after the flow of urine has stopped. See - clean intermittent self-catheterization (CISC). Page Content: How to insert a catheter; Suprapubic catheters; How to remove a catheter; Foley catheter ; how to remove a catheter; suprapubic catheter; catheter pediatric set suprapubic; suprapubic catheter care; how to insert suprapubic catheter; suprapubic catheter insertion; suprapubic catheter change; foley catheter; foley catheter video; foley catheter insertion; foley catheter care; catheter foley urethral; silicone foley catheter; leg bag foley catheter; bardex foley catheter; foley catheter balloon; how to insert a foley catheter; foley catheter irrigation; catheter foley in long man term use; catheter diaper foley instead; active catheter foley; catheter disadvantage foley; foley catheter picture; how to irrigate a foley catheter; bladder catheter foley spasm; catheter foley uae; flushing a foley catheter; 2 way foley catheter; catheter foley illustration; boards catheter discuss foley; foley catheter removal; size of foley catheter; catheter foley insertion pain; foley catheter pain; foley catheter bag; catheter foley nurse; urinary foley catheter insertion; catheter insert; how to insert a foley catheter; how to insert suprapubic catheter; insert urinary catheter |