Catheter Play  

gynodoc6911 55M
8 posts
5/17/2006 5:22 pm
Catheter Play

This is the procedure for catheterization. This is for informational purposes only, and I assume no responsibility for any damage or resulting urinary tract infection you may cause by attempting this.

Cath supplies are readily available on E-Bay (search for catheter.) If you get the cath tray, It will have everything you will need and is easier.Oherwise you will need STERILE gloves, betadine solution and Sterile cotton balls (for prep) KY jelly or Surgilube, and of course, the catheter.

Catheters come in a large variety of sizes (12 Fr., 14 Fr.,... 30 Fr.), materials (latex, silicone, Teflon) and types (Foley catheter, straight catheter, coude tip catheter). It is recommended that you use the smallest size of catheter, if possible. Commonly, a size 14 Fr. or size 16 Fr. catheter is used. Some people may require larger catheters to control leakage of urine around the catheter. Be aware that larger catheters are more likely to cause damage to the urethra. Some people have developed allergies or sensitivity to latex after long term latex catheter use; these people should use the silicone or Teflon catheters.

INDWELLING URETHRAL CATHETERS (Foley):

A catheter that is left in place for a period of time may be attached to a drainage bag to collect the urine. There are two types of drainage bags. One type is a leg bag, which is a smaller drainage device that attaches by elastic bands to the leg. A leg bag is usually worn during the day since it fits discreetly under pants or skirts, and is easily emptied into the toilet. The other type of drainage bag is a larger drainage device (down drain) that may be used during the night. This device is usually hung on the bed or placed on the floor.
Risks

When the catheter is inserted
Insertion of a urinary catheter carries a risk of the following problems:

The urethra or bladder can be damaged. Occasionally, the bladder wall is punctured.
The catheter can be inserted into the vagina by mistake. When indwelling catheters are inserted, the catheter balloon can be inflated inside the urethra, instead of the bladder, injuring the urethra's wall. This complication happens more often in males than in females, because the urethra is longer in men.

After the catheter is inserted
Whenever a catheter enters the bladder, there is a risk that bacteria will get into the urinary tract. In many cases, the bacteria grow in the urine without causing any symptoms of a urinary-tract infection. Sometimes, however, the bacteria cause symptoms of a urinary-tract infection, including a fever and changes in the urine's smell and appearance.

Notify your health care provider if you develop any of the following:
the urine has a strong smell or becomes thick and/or cloudy.
fever, chills

HOW TO INSERT A CATHETER (MEN):

1. Assemble all equipment: catheter, lubricant, sterile gloves, cleaning supplies, syringe with water to inflate the balloon, drainage receptacle.

2. Wash your hands. Use betadine or similar cleansing product (unless instructed otherwise) to clean the urethral opening.

3. Apply the sterile gloves. Make sure you do not touch the outside of the gloves with your hands.

4. Lubricate the catheter.

5. Hold the penis on the sides, perpendicular to the body. Stretch the penis away from the body.

6. Begin to gently insert and advance the catheter.

7. You will meet resistance when you reach the level of the external sphincter. Have him try to relax by deep breathing, and continue to advance the catheter.

8. Once the urine flow starts, continue to advance the catheter to the level of the "Y" connector. Hold the catheter in place while you inflate the balloon. Some men have developed urethral injuries due to the balloon being inflated in the urethra. Care must be taken to ensure the catheter is in the bladder. You may try to irrigate the catheter with a few ounces of sterile water. If the solution does not easily return, you may not have the catheter far enough in the bladder.

9. Secure the catheter, and attach the drainage bag.

HOW TO INSERT A CATHETER (WOMEN):

1. Assemble all equipment:


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