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Urinary catheterization

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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
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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,
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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
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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.
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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
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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
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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
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Shore ND, Dineen MK, Saslawsky MJ, Lumerman JH, Corica AP (March 2007). "A temporary intraurethral prostatic stent relieves prostatic obstruction following transurethral microwave thermotherapy".
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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
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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.
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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.
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Hedlund H, Hjelmås K, Jonsson O, Klarskov P, Talja M (February 2001). "Hydrophilic versus non-coated catheters for intermittent catheterization".
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Lapides J, Diokno AC, Silber SJ, Lowe BS (March 1972). "Clean, intermittent self-catheterization in the treatment of urinary tract disease".
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to drain from the bladder for collection. It may also be used to inject liquids used for treatment or diagnosis of bladder conditions. A
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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
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have been viewed as a possible alternative to indwelling catheterization and the infections associated with their use.
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Everyday care of the catheter and drainage bag is important to reduce the risk of infection. Such precautions include:
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Nahon, I; Waddington, G; Dorey, G; Adams, R (2011). "The history of urologic surgery: from reeds to robotics".
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Keeping the drainage bag connector as clean as possible and cleaning the drainage bag periodically.
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Cleansing the urethral area (the area where the catheter exits body) and the catheter itself.
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Sexual activity is very high risk for urinary infections, especially for catheterized women.
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Prieto, Jacqui A.; Murphy, Catherine L.; Stewart, Fiona; Fader, Mandy (October 26, 2021).
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can be used by males and carries a lower risk of infection than an indwelling catheter.
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Drinking sufficient liquid to produce at least two litres of urine daily
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Use of a thin catheter where possible to reduce the risk of harming the
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Common indications for urinary catheterization include acute or chronic
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Lam TB, Omar MI, Fisher E, Gillies K, MacLennan S (September 2014).
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Urinary catheterization should be done in a sterile aseptic manner.
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Disconnecting the drainage bag from catheter only with clean hands
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The Royal Marsden Hospital Manual of Clinical Nursing Procedures
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Intermittent self-catheterization may be indicated in cases of
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Evidence does not support an important decrease in the risk of
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Insertion of a catheter through the urethra to drain urine
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catheter is a type of Foley catheter used for Post-TURP
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Best practices : evidence-based nursing procedures
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Winder A (2002). "Intermittent self-catheterisation".
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Disconnecting the drainage bag as seldom as possible.
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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: 290: 278: 266: 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 1405: 1239: 1039: 1032: 1025: 1016: 990: 989: 966:Urologic Nursing 961: 955: 954: 926: 920: 919: 901: 895: 894: 884: 859:(10): CD006008. 844: 838: 837: 835: 833: 822: 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Urol 882:8547544 741:5010715 721:J. 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Index

Urinary catheterisation

ICD-9-CM
57.94
MeSH
D014546
MedlinePlus
003981
edit on Wikidata
latex
polyurethane
silicone
catheter
bladder
urethra
urine
clinician
nurse
intermittent catheterization
Foley catheter
indwelling urinary catheter
hydrophilic
hematuria
hemostasis
condom catheter
French catheter scale
sediment
urinary tract infections
urinary retention
benign prostatic hyperplasia

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