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bands to the leg. A leg bag is usually worn during the day, as it fits discreetly under pants or skirts, and is easily emptied into a toilet. The second type of drainage bag is a larger device called a down drain that may be used overnight. This device is hung on a hook under the patient's bed—never
503:
There is no clear evidence that any one catheter type or insertion technique is superior compared to another in preventing infections or complications. In the UK it is generally accepted that cleaning the area surrounding the urethral meatus with 0.9% sodium chloride solution is sufficient for both
205:(F). The most common sizes are 10 F (3.3mm) to 28 F (9.3mm). The clinician selects a size large enough to allow free flow of urine, and large enough to control leakage of urine around the catheter. A larger size is necessary when the urine is thick, bloody, or contains large amounts of
441:
with catheterization and may be more common in males. If bladder spasms occur, or there is no urine in the drainage bag, the catheter may be blocked by blood, thick sediment, or a kink in the catheter or drainage tubing. Sometimes spasms are caused by the catheter irritating the bladder,
322:
A catheter that is left in place for more than a short period of time is generally attached to a drainage bag to collect the urine. This also allows for measurement of urine volume. There are three types of drainage bags: The first is a leg bag, a smaller drainage device that attaches by
328:
placed on the floor, due to the risk of bacterial infection. The third is called a belly bag and is secured around the waist. This bag can be worn at all times. It can be worn under the patient's underwear to provide a totally undetectable look.
243:
due to damage to the spinal cord or brain. This can be performed by the patient four to six times a day, using a clean technique. Nurses use a sterile technique to perform intermittent catheterization in hospital settings. For patients with
171:
An intermittent catheter/Robinson catheter is a flexible catheter that is removed after each use. Unlike the Foley catheter, it has no balloon on its tip and therefore cannot stay in place unaided. These can be non-coated or coated (e.g.,
168:) is retained by means of a balloon at the tip that is inflated with sterile water. The balloons typically come in two different sizes: 5 cm and 30 cm. They are commonly made in silicone rubber or natural rubber.
248:
due to spinal cord injury, intermittent catheterization (IC) is a standard method for bladder emptying. The technique is safe and effective and results in improved kidney and upper urinary tract status, lessening of
340:
are often catheterized and may remain so for some time. The patient may require irrigation of the bladder with sterile saline injected through the catheter to flush out clots or other matter that does not drain.
209:. Larger catheters, however, are more likely to damage the urethra. Some people develop allergies or sensitivities to latex after long-term latex catheter use making it necessary to use silicone or Teflon types.
331:
During long-term use, the catheter may be left in place all the time, or a patient may be instructed on a procedure for placing a catheter just long enough to empty the bladder and then removing it (known as
414:. Because of this risk catheterization is a last resort for the management of incontinence where other measures have proved unsuccessful. Other long term complications may include blood infections (
929:
Shore ND, Dineen MK, Saslawsky MJ, Lumerman JH, Corica AP (March 2007). "A temporary intraurethral prostatic stent relieves prostatic obstruction following transurethral microwave thermotherapy".
410:
Catheterization can have short and long term complications. Generally long-term catheterization carries higher risk of complications. Long-term catheterization carries a significant risk of
253:
and amelioration of continence. In addition to the clinical benefits, patient quality of life is enhanced by the increased independence and security offered by self-catheterization.
144:, usually performs the procedure, but self-catheterization is also possible. A catheter may be in place for long periods of time (indwelling catheter) or removed after each use (
190:. This is useful following endoscopic surgical procedures, or in the case of gross hematuria. There are both two-way and three-way hematuria catheters (double and triple lumen).
236:), urinary incontinence that may compromise the ability to heal wounds, and the effects of various surgical interventions involving the bladder, prostate, or bowel.
1036:
534:
as urinary catheters to overcome blockages, and catheterization to relieve urinary retention has also been described in ancient Indian and
Chinese texts.
179:
A coudé catheter, including
Tiemann's catheter, is designed with a curved tip that makes it easier to pass through the curvature of the prostatic urethra.
676:
Hedlund H, Hjelmås K, Jonsson O, Klarskov P, Talja M (February 2001). "Hydrophilic versus non-coated catheters for intermittent catheterization".
57:
391:
913:
801:
719:
Lapides J, Diokno AC, Silber SJ, Lowe BS (March 1972). "Clean, intermittent self-catheterization in the treatment of urinary tract disease".
136:
to drain from the bladder for collection. It may also be used to inject liquids used for treatment or diagnosis of bladder conditions. A
367:
355:
1029:
607:
582:
194:
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303:
1357:
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232:, orthopedic procedures that may limit a patient's movement, the need for accurate monitoring of input and output (such as in an
379:
291:
245:
240:
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male and female patients as there is no reliable evidence to suggest that the use of antiseptic agents reduces the risk of
1215:
1074:
1022:
229:
145:
515:
have been viewed as a possible alternative to indwelling catheterization and the infections associated with their use.
470:
Everyday care of the catheter and drainage bag is important to reduce the risk of infection. Such precautions include:
1392:
1220:
165:
1307:
1250:
1067:
964:
Nahon, I; Waddington, G; Dorey, G; Adams, R (2011). "The history of urologic surgery: from reeds to robotics".
559:
213:
64:
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233:
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202:
41:
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1014:
849:"Intermittent catheter techniques, strategies and designs for managing long-term bladder conditions"
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Keeping the drainage bag connector as clean as possible and cleaning the drainage bag periodically.
267:
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1312:
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1134:
981:
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633:"Types of indwelling urethral catheters for short-term catheterisation in hospitalised adults"
613:
603:
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447:
225:
52:
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Cleansing the urethral area (the area where the catheter exits body) and the catheter itself.
1397:
973:
938:
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728:
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640:
499:
Sexual activity is very high risk for urinary infections, especially for catheterized women.
459:
1340:
1287:
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1159:
847:
Prieto, Jacqui A.; Murphy, Catherine L.; Stewart, Fiona; Fader, Mandy (October 26, 2021).
512:
125:
653:
632:
1046:
881:
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423:
197:
can be used by males and carries a lower risk of infection than an indwelling catheter.
161:
17:
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1381:
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1210:
705:
523:
462:, although most patients eventually adjust to the irritation and the spasms go away.
438:
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84:
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183:
137:
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662:
828:. MedlinePlus, the National Institutes of Health's Web site. March 9, 2010
740:
443:
206:
121:
117:
496:
Drinking sufficient liquid to produce at least two litres of urine daily
489:
Use of a thin catheter where possible to reduce the risk of harming the
224:
Common indications for urinary catheterization include acute or chronic
94:
1187:
490:
337:
129:
1121:
1054:
415:
631:
Lam TB, Omar MI, Fisher E, Gillies K, MacLennan S (September 2014).
474:
Urinary catheterization should be done in a sterile aseptic manner.
811:
480:
Disconnecting the drainage bag from catheter only with clean hands
455:
141:
133:
109:
906:
The Royal
Marsden Hospital Manual of Clinical Nursing Procedures
617:
602:(2nd ed.). Springhouse, Pa.: Springhouse Corp. p. 97.
1018:
239:
Intermittent self-catheterization may be indicated in cases of
212:
Evidence does not support an important decrease in the risk of
27:
Insertion of a catheter through the urethra to drain urine
458:. Such spasms can be controlled with medication such as
186:
catheter is a type of Foley catheter used for Post-TURP
784:
Best practices : evidence-based nursing procedures
228:(which can damage the kidneys) from conditions such as
754:
Winder A (2002). "Intermittent self-catheterisation".
483:
Disconnecting the drainage bag as seldom as possible.
1328:
1241:
1234:
1186:
1158:
1120:
1053:
77:
63:
51:
34:
781:
511:Recent developments in the field of the temporary
904:Dougherty Lisa; Lister Sara (August 15, 2011).
1030:
8:
853:The Cochrane Database of Systematic Reviews
1238:
1037:
1023:
1015:
40:
880:
652:
156:Catheters come in several basic designs:
554:Hanno PM, Wein AJ, Malkowicz SB (2001).
549:
547:
543:
361:How to properly drain a condom catheter
351:
263:
430:). After many years of catheter use,
373:How to properly drain a Foley catheter
216:when silver-alloy catheters are used.
31:
530:physicians have been described using
7:
201:Catheter diameters are sized by the
46:Urinary catheterization with a dummy
1045:Tests and procedures involving the
1011:, Merck Manual Professional Edition
1005:, Merck Manual Professional Edition
397:How to empty a urinary drainage bag
90:
25:
794:Lippincott Williams & Wilkins
575:Urology: Problems in Primary Care
334:intermittent self-catheterization
1358:Extracorporeal shockwave therapy
390:
378:
366:
354:
302:
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978:10.7257/1053-816X.2011.31.3.173
865:10.1002/14651858.CD006008.pub5
645:10.1002/14651858.CD004013.pub4
385:Closed urinary drainage method
1:
733:10.1016/s0022-5347(17)61055-3
336:). Patients undergoing major
1216:Artificial urinary sphincter
1075:Percutaneous nephrolithotomy
1003:Female urinary catherization
230:benign prostatic hyperplasia
146:intermittent catheterization
1221:Urethral bulking injections
577:. Medical Economics Books.
309:Female Self-Catheterization
166:indwelling urinary catheter
1414:
1308:Voiding cystourethrography
1009:Male urinary catherization
943:10.1016/j.juro.2006.10.059
637:Cochrane Database Syst Rev
556:Clinical manual of urology
426:, and blood in the urine (
908:. John Wiley & Sons.
690:10.1080/00365590151030822
297:Male Self-Catheterization
176:coated and ready to use).
91:
39:
1251:Urinary tract ultrasound
560:McGraw-Hill Professional
214:urinary tract infections
120:tube known as a urinary
1336:Urinary catheterization
1293:Radioisotope renography
678:Scand. J. Urol. Nephrol
573:Elroy D. Kursh (1987).
506:urinary tract infection
437:Some people experience
412:urinary tract infection
106:urinary catheterization
35:Urinary catheterization
18:Urinary catheterisation
1303:Retrograde urethrogram
1107:Kidney transplantation
1173:Suprapubic cystostomy
251:vesicoureteral reflux
203:French catheter scale
124:is inserted into the
1140:Ureterosigmoidostomy
466:Preventing infection
318:Catheter maintenance
826:"Urinary catheters"
434:may also develop.
1393:Medical treatments
1313:Urodynamic testing
1226:Cystourethrography
422:, skin breakdown,
246:neurogenic bladder
241:neurogenic bladder
1375:
1374:
1371:
1370:
1351:Laser lithotripsy
1206:Urethral sounding
1135:Urinary diversion
915:978-1-4443-3509-5
803:978-1-58255-532-4
598:Black MA (1994).
493:during insertion.
226:urinary retention
102:
101:
16:(Redirected from
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966:Urologic Nursing
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859:(10): CD006008.
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788:(2nd ed.).
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460:butylscopolamine
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95:edit on Wikidata
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639:(9): CD004013.
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600:Medical nursing
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972:(3): 173–80.
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584:9780874894196
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1150:Ureteroscopy
1145:Ureterolysis
1130:Ureterostomy
1097:Renal biopsy
1068:percutaneous
969:
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830:. Retrieved
820:
790:Philadelphia
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684:(1): 49–53.
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128:through the
114:polyurethane
105:
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29:
1346:Lithotripsy
1298:Cystography
1261:Intravenous
1201:Urethrotomy
1196:Urethropexy
1102:Nephrectomy
1090:Nephroscopy
1063:Nephrostomy
832:December 1,
346:Maintenance
220:Indications
174:hydrophilic
79:MedlinePlus
1382:Categories
1363:Urinalysis
1318:Cystometry
1283:CT urogram
1266:Retrograde
1178:Cystoscopy
1168:Cystectomy
1112:Nephropexy
1080:Nephrotomy
812:2006012245
762:(48): 50.
756:Nurs Times
538:References
188:hemostasis
140:, often a
1388:Catheters
1271:Antegrade
1256:Pyelogram
1085:Endoscopy
873:1469-493X
706:218867279
428:hematuria
184:hematuria
138:clinician
132:to allow
986:21805756
951:17296408
891:34699062
796:. 2007.
768:12501532
698:11291688
663:25248140
654:11197149
618:94035389
444:prostate
207:sediment
122:catheter
118:silicone
53:ICD-9-CM
1398:Urology
1243:Imaging
1235:General
1188:Urethra
1160:Bladder
931:J. Urol
882:8547544
741:5010715
721:J. Urol
519:History
491:urethra
338:surgery
325:elastic
130:urethra
126:bladder
71:D014546
1122:Ureter
1055:Kidney
984:
949:
912:
889:
879:
871:
810:
800:
766:
739:
704:
696:
661:
651:
616:
606:
581:
416:sepsis
85:003981
1329:Other
702:S2CID
532:reeds
528:Roman
456:vulva
452:penis
450:, or
142:nurse
134:urine
116:, or
110:latex
93:[
58:57.94
982:PMID
947:PMID
910:ISBN
887:PMID
869:ISSN
857:2021
834:2010
808:LCCN
798:ISBN
764:PMID
737:PMID
694:PMID
659:PMID
614:LCCN
604:ISBN
579:ISBN
526:and
108:, a
65:MeSH
1276:Gas
974:doi
939:doi
935:177
877:PMC
861:doi
729:doi
725:107
686:doi
649:PMC
641:doi
418:),
234:ICU
148:).
104:In
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970:31
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945:.
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193:A
182:A
160:A
112:,
1038:e
1031:t
1024:v
988:.
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