The Complete Guide to Urinary catheterization

The Complete Guide to Urinary catheterization 

 

 Urinary catheterization
Urinary catheterization

 

Understanding Urinary catheterization is a common medical procedure that helps people who can’t have their bladders emptied easily. In spite of urinary tract infections and other medical problems, urethral catheterization is essential to control urine retention and promote healthy kidney function. In this comprehensive guide, we will explore the various aspects of urological catheterization including types, techniques, benefits and possible consequences.  

Urinary Catheter Types

medicals are several types of urinary catheters, each meeting distinct requirements and preferences. When choosing the best alternative, it is essential for patients and healthcare practitioners to comprehend the distinctions between various catheters. The main categories of urinary catheters are as follows:

One of the most popular kinds of urinary catheters is the indwelling catheter, sometimes referred to as a Foley catheter. A retention balloon on these catheters keeps them firmly in place inside the bladder. Although they can occasionally be introduced through a suprapubic incision, Foley catheters are usually inserted through the urethra. Since they are made to drain continuously, they are frequently chosen for long-term usage in hospitalized patients or those who have problems with urine retention.

Here a Chart of Foley’s Catheter Size with its color

  1.   12 French          –         White
  2.   14 French          –         Green
  3.   16 French          –         Orange
  4.   18 French          –         Red
  5.   20 French          –        Yellow
  6.   22 French           –       Purple
  7.   24 French           –        Blue
  8.   26 French           –       Pink
  9.   28 French           –       Black
  10.   30 French           –       Green with black stripe
  • Intermittently Catheters-

One kind of urinary catheter used for temporary [Short-term] bladder emptying is the intermittent catheter. Intermittent catheters are implanted just when necessary and withdrawn once the bladder is emptied, in contrast to indwelling catheters, which stay in the bladder continually.

How its use
Urinary fluids are drained from the bladder intermittently by passing a catheter via the urethra. After the bladder has been emptied, the catheter is withdrawn, enabling the person to continue regular activities without it.

  • condom-using catheters-

For male patients who need urine drainage, external catheters, sometimes referred to as condom catheters, provide a non-invasive alternative. Condom catheters offer an excellent and practical alternative to standard indwelling catheters, which are placed inside the bladder, by being worn externally.

Style and Purpose
A flexible silicone or latex sheath that fits over the penis like a condom makes up a condom catheter. Urine is directed into a leg bag or collecting bag that is covertly worn beneath clothes via a drainage tube that is attached to the sheath. The danger of skin irritation or harm is decreased by the design of condom catheters, which firmly stick to the skin without the need for tape or glue.

  • The suprapubic catheter

A small incision is made in the lower abdomen right above the pubic bone, to surgically introduce a suprapubic catheter, a kind of urine catheter, into the bladder. This catheterization technique offers a different path for pee drainage, avoiding the urethra completely. Patients who are unable to pee via the usual urethral pathway because of a variety of medical illnesses or anatomical anomalies sometimes utilize suprapubic catheters.

Urinary catheterization  procedure 

Urinary catheterization is a procedure to drain urine from the bladder when natural urination is not possible. It involves inserting a catheter, a flexible tube, into the bladder through the urethra or a surgical incision in the abdomen.

Before starting, gather supplies, position the patient comfortably, and explain the procedure. Maintain a sterile environment by washing hands, preparing the genital area, and wearing sterile gloves. Lubricate the catheter tip, insert it gently into the urethra, and advance it into the bladder. Inflate the balloon (for indwelling catheters) to secure the catheter. Verify placement and secure the catheter to the patient’s thigh or abdomen. Provide post-procedure care, monitor the patient for complications, and educate on catheter care.

complication of urinary catheterization

  1. Urinary tract infections (UTIs) are a complication of urinary catheterization that, if left untreated, can result in sepsis.
  2. Additional dangers include urethral or bladder injuries during insertion, which might result in pain or bleeding.
  3. Hematuria, discomfort, and fever are possible side effects of catheter-associated urinary tract infections (CAUTIs).
  4. Urinary strictures, bladder stones, and catheter-associated urethritis are all possible side effects of long-term catheterization.
  5. Urine retention or leakage can be caused by blockages or obstructions resulting from sediment deposition or blood clots.
  6. Inadequate catheter maintenance may lead to catheter dislodgment, pressure sores, or skin irritation.

To avoid difficulties, regular monitoring and appropriate catheter care are crucial.

Benefits of Urinary Catheterization

  • In addition to alleviating urinary retention, urinary catheterization maintains bladder drainage in patients with neurogenic bladder dysfunction and makes it easier to quantify urine output accurately in critically sick patients.
  • In addition to preventing issues including bladder distention or kidney damage, it helps ease the pain brought on by urine retention.
  • Urinary incontinence can be managed via catheterization, which also helps patients feel more comfortable and mobile.
  • It also makes it possible for medical professionals to efficiently monitor renal function and fluid balance.
  • In suitable therapeutic settings, urinary catheterization improves urinary control.

overall quality of life, and patient comfort by allowing urine drainage.

Conclusion

Looking it up, urinary catheterization is an important medical procedure that helps control urine retention, facilitate bladder emptying, and enhance patient comfort and wellness. Although there is a chance of problems from the treatment, they can be reduced with good skill, sterile protocol, and close observation. Catheterization provides important advantages in preserving urinary function and avoiding difficulties related to urine retention for patients with disorders including neurogenic bladder dysfunction, urinary incontinence, or critical illness. In order to ensure proper patient selection and adherence to established criteria for safe and successful catheter management, healthcare practitioners must carefully consider the risks and advantages of catheterization.

 F&Q

  Q.1     What is Foley’s Catheter?

One of the most popular kinds of urinary catheters is the indwelling catheter, sometimes referred to as a Foley catheter. A retention balloon on these catheters keeps them firmly in place inside the bladder. Although they can occasionally be introduced through a suprapubic incision, Foley catheters are usually inserted through the urethra. Since they are made to drain continuously, they are frequently chosen for long-term usage in hospitalized patients or those who have problems with urine retention.

 

  Q.2       Foley’s Catheter size with color code

  1.   12 French          –         White
  2.   14 French          –         Green
  3.   16 French          –         Orange
  4.   18 French          –         Red
  5.   20 French          –        Yellow
  6.   22 French           –       Purple
  7.   24 French           –        Blue
  8.   26 French           –       Pink
  9.   28 French           –       Black
  10.   30 French           –       Green with black stripe

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