A urinary catheter is a tube inserted into the body to drain and collect urine from the bladder.
To drain the bladder, urinary catheters are used. If you have any of the following conditions, your doctor may advise you to use a catheter:
Incontinence of the bladder (leaking urine or being unable to control when you urinate)
Retention of urine (being unable to empty your bladder when you need to)
Prostatectomy or genital surgery
Other medical conditions include multiple sclerosis, spinal cord injury, and dementia.
Catheters are available in various sizes, materials (latex, silicone, and Teflon), and types (straight or coude tip). A Foley catheter is a type of indwelling catheter that is commonly used. A soft, plastic, or rubber tube is inserted into the bladder to drain the urine.
In most cases, your provider will insert the most miniature catheter possible.
Catheters are classified into three types:
- Catheter insertion
- Condom catheterization
- Intermittent self-catheterization
- URETHRAL CATHETERS INWELLING
A urinary catheter left in the bladder is known as an indwelling catheter. You can use an indwelling catheter for a short or long period.
By attaching to a drainage bag, an indwelling catheter collects urine. To allow urine to flow out of the bag, open the valve. Some of these bags are designed to be attached to your leg. This enables you to conceal the bag beneath your clothing. There are two methods for inserting an indwelling catheter into the bladder:
The catheter is usually inserted through the urethra. This tube transports urine from the bladder to the outside world.
The provider may occasionally insert a catheter into your bladder through a small hole in your belly. This is done in a hospital or doctor’s office.
A small balloon is inflated on the end of an indwelling catheter. This helps to keep the catheter from slipping out of your body. The balloon is deflated when the catheter must be removed.
CATHETERS OF CONDOMS
Men with incontinence can use condom catheters. There is no tube inserted into the penis. A condom-like device is instead placed over the penis. A tube connects this device to a drainage bag. Every day, the condom catheter must be changed.
You would use an intermittent catheter when you only need a catheter occasionally or do not want to wear a bag. You or your caregiver will insert and remove the catheter to drain the bladder. This can be done once or multiple times per day. The frequency will be determined by the reason for using this method or the amount of urine that needs to be drained from the bladder.
BAGS FOR DRAINAGE
A catheter is usually connected to a drainage bag.
Keep the drainage bag lower than your bladder to prevent urine from backing up into your bladder. At bedtime, empty the drainage device when it is about half full. Before draining the bag, always wash your hands with soap and water.
HOW TO MAINTAIN A CATHETER
Clean the area where the catheter exits your body and the catheter itself with soap and water daily to care for an indwelling catheter. To avoid infection, clean the area after each bowel movement.
Clean the opening in your belly and the tube with soap and water daily if you have a suprapubic catheter. Then wrap it in dry gauze.
To help prevent infections, drink plenty of fluids. Inquire with your provider about how much you should drink.
Hands should be washed before and after using the drainage device. DO NOT LET THE OUTLET VALVE COME IN CONTACT WITH ANYTHING. If the outlet becomes dirty, use soap and water to clean it.
Urine can sometimes leak around the catheter. This could be due to the following:
- Catheter that is obstructed or has a kink in it
- An inadequate catheter
- Spasms in the bladder
- The incorrect balloon size
- Infections of the urinary tract
- COMPLICATIONS THAT MAY OCCUR
Catheter-related complications include:
- Latex allergy or sensitivity
- Stones in the bladder
- Infections of the blood (septicemia)
- Urine with blood (hematuria)
- Kidney disease (usually only with long-term, indwelling catheter use)
- Urethral damage
- Infections of the urinary tract or kidneys
- Cancer of the Bladder (only after long-term indwelling catheter)
If you have any of the following symptoms, contact your service provider:
- Spasms in the bladder that do not go away
- There is bleeding into or around the catheter.
- Chills or fever
- There is a lot of urine leaking around the catheter.
- Sores on the skin around a suprapubic catheter
- Urinary catheter or drainage bag stones or sediment
- The urethra swells around the catheter.
- Urine with a strong odor, as well as urine that is thick or cloudy
- There is little to no urine draining from the catheter, and you are drinking plenty of fluids.
If the catheter becomes clogged, painful, or infected, it must be replaced immediately.
Write an email to the chief nursing officer with a Proposal development related to a policy improvement in the hospital inpatient units regarding utilization of Foley catheters .