Bladder catheterization in women and men, algorithm and technique

Bladder catheterization is a treatment to drain pipes the bladder. Catheterization is carried out when essential to resolve the following issues:

  • Draws urine straight from the bladder to get precise information for numerous kinds of urinalysis.
  • The intro of drugs straight into the bladder, its emptying in case of blockage and obstruction of the urinary canal, along with cleaning the urethra and bladder, getting rid of sand.
  • Facilitates the care of paralyzed clients.

    The catheter can be set up in clients of both sexes and any age classification, both throughout operations and for a longer duration.

    Types of catheters utilized throughout the treatment

    All gadgets vary in size, product from which they are made, kind of gadget and area in the body. The size of the catheter tube differs depending upon the gender of the client, so for women the length of television has to do with 14 centimeters, for men 25 centimeters. They can be made from rubber, silicone or latex, plastic, metal. By the kind of area in the body there are:

    • Internal, entirely in the client’s body.
    • External, partly situated in the body, and the other part is highlighted.

    Allocate urethral and suprapubic catheter. The initially is placed through the urethra, the 2nd is placed through a tissue cut above the pubis.

    In addition, there are single-channel, two-channel and three-channel catheters, non reusable and long-lasting. The most prevalent is the Foley catheter, which is set up for both men and women.

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    How is a bladder catheter placed in men?

    The male catheterization treatment is carried out by skilled medical workers utilizing unique devices. It includes a stiff, curved end that permits the tissue of the penis to move apart and conquer the pressure on the prostate urethra.

    Before carrying out catheterization, the health care specialist need to prepare the essential tools and devices. The client rests on his back with the health care expert standing to his right. Before performing the procedure, the specialist treats the hands, then the penis is treated with an antiseptic solution, which is wrapped with a sterile napkin below the head.

    Anesthetic ointment can be used. For example, the gel Lidocaine 2% allows not only to anesthetize the procedure, but also to reduce friction when the device passes through the urethra. If anesthesia is not performed, then a few drops of sterile glycerin are dripped into the open urethral opening, or the tip of the device is lubricated with lubricant.

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    Then, putting on sterile gloves, with one hand holding the penis and tilting it to the stomach, with the other hand, using sterile instruments with a curved upwardly rounded end, it is inserted to a depth of five centimeters. Further, the tube of the device is intercepted higher, and, pushing the penis, the medical professional slowly introduces the tube for another five centimeters.

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    The appearance of urine from the other end of the device indicates that it has reached the bladder. If the device has a cuff to anchor it in the bladder, it is pushed a little more and the cuff is filled with sterile water for deployment, and the free end is lowered into a urine collection container.

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    How is a bladder catheter inserted in women?

    The procedure for catheterization in women is different. First, the doctor treats his hands and puts on rubber gloves. The client occupies a supine position with legs bent to the side at the knee joints. The health care expert stands in front of the patient.

    First, a thorough hygienic treatment of the perineal organs is performed. Then, by changing gloves and placing the necessary sterile instruments and materials, preparation for the procedure is carried out. With one hand, the health worker spreads the large and small labia, while they are treated with an antiseptic solution, the direction of movement from the navel to the back. At the same time, the vagina and anus are covered with a sterile napkin.

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    Having prepared the necessary tools and opening a disposable bag with a catheter, the health worker treats his hands with an antiseptic and changes gloves to sterile ones. The catheter is lubricated with a glycerin solution or lubricant and, holding it with tweezers, is gently inserted into the urethra to a depth of ten centimeters. The appearance of urine indicates that he has reached the bladder.

    If the device contains a bladder cuff, fill it with a sterile water solution. The free end of the system is placed in a urine collector. Further, the necessary procedures are carried out, for example, washing the bladder or administering drugs and, if necessary, the catheter is removed. If it is installed for a long time, then the urine bag is attached to the patient’s thigh, it is necessary to ensure that the tube leading into the urine bag does not bend, as this will stop the outflow of urine.

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    What are the contraindications for carrying out the treatment

    The catheterization procedure is strictly contraindicated if there is a suspicion of a violation of the integrity and injury of the urethra. Symptoms of damage to the urethra may include hematomas, blood in the canal or in the scrotum. In addition, contraindications to the procedure are:

    • Acute prostatitis.
    • Infectious inflammatory diseases of the genitourinary system.
    • Bladder trauma.
    • Penile Injury

    Bladder catheter care guidelines

    The basic rule of catheter care is keeping it clean. You should wash yourself regularly and treat the device with soapy water once a day. When carrying out hygiene procedures, you should adhere to the basic rules:

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  • Movements should be from the navel to the back.
  • If the patient cannot move, washing is carried out with cotton swabs, while the swab is carried out from top to bottom, changing each time. It is forbidden to carry out the procedure with one tampon, this can bring in the intestinal flora and cause inflammation.
  • Regularly inspect the area of ​​catheter penetration for urine leaks.
  • If the device is installed for a long time, the tube must be replaced once a week.

    In addition, it is necessary to monitor the correct fastening of the urine bag, it should not touch the floor, when lying down, the urine bag should not be placed above the level of the patient’s body. It is necessary to remember about regular emptying of the urine bag. Observing proper catheter care avoids possible complications.

    How to remove the catheter yourself

    Removal of the catheter, as well as its installation, is carried out by medical personnel, however, there are cases when it is necessary to remove it yourself. To do this, you should:

  • Wash your hands well with soap and water, do this twice, pat them dry with disposable napkins or a clean towel.
  • Empty the urine bag.
  • Take a comfortable position while lying on your back. It is worth relaxing, this will make it easy to remove the device without discomfort.
  • Carry out the treatment of genitals with water or saline.
  • Wearing rubber gloves, clean the junction of the drainage tube and catheter with an alcohol raster.
  • Empty the bottle. Usually the device has two branches, one is utilized to drain urine, and the other can be used to empty the balloon that holds the catheter inside the bladder. For this, a syringe is used, which is placed in the cylinder valve and all the liquid is drawn out of it.
  • Slowly withdraw the catheter from the urethra. The extraction should not be very unpleasant. If present, the balloon may not have been completely removed.
  • Inspect the removed catheter for damage.
  • Monitor the state of the body for the next two days after removal. If you have a fever, blood in your urine, signs of inflammation, or no urination, you should see your physician immediately.
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    Tatyana Jakowenko

    Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

    For 10 years, she has been an active participant in numerous medical symposia and workshops for doctors - families, therapists and cardiologists. He has many publications on a healthy lifestyle, diagnosis and treatment of heart and vascular diseases.

    He regularly monitors new publications of European and American cardiology journals, writes scientific articles, prepares reports at scientific conferences and participates in European cardiology congresses.

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