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A urinary catheter is any tube system placed in the body to drain and collect urine from the bladder.
Alternative NamesCatheter - urine; Foley catheter; Indwelling catheter; Suprapubic catheters
InformationUrinary catheters are used to drain the bladder. Your health care provider may recommend a catheter for short-term or long-term use because you have or had:
- Urinary incontinence (leakage of urine or the inability to control when you urinate)
- Urinary retention (being unable to empty the bladder when you need to)
- Surgery that made a catheter necessary, such as prostate or gynecological surgery
- Other medical conditions such as multiple sclerosis, spinal cord injury, or dementia
Catheters come in many sizes, materials (latex, silicone, Teflon), and types (Foley, straight, coude tip). A Foley catheter, for example, is a soft, plastic or rubber tube that is inserted into the bladder to drain the urine.
In general, the smallest possible catheter will be used. Some people may need larger catheters to control urine leakage around the catheter or if the urine is thick and bloody or contains large amounts of sediment.
There are three main types of catheters:
- Indwelling catheter
- Condom catheter
- Intermittent (short-term) catheter
INDWELLING URETHRAL CATHETERS
An indwelling urinary catheter is one that is left in place in the bladder. Indwelling catheters may be needed for only a short time, or for a long time. These catheters attach to a drainage bag to collect urine. A newer type of catheter has a valve that can be opened to allow urine to flow out, when needed. An indwelling catheter may be inserted into the bladder in two ways:
- Most often, the catheter is inserted through the urethra, which is the tube that brings urine from the bladder to the outside of the body
- Sometimes, the doctor will insert a tube, called a suprapubic catheter, into your bladder from a small hole in your belly. This is done as an outpatient surgery or office procedure.
An indwelling catheter has a small balloon inflated on the end of it. This prevents the catheter from sliding out of the body. When it's necessary to remove the catheter, the balloon is deflated.
CONDOM CATHETERS
Condom catheters are most frequently used in elderly men with dementia.There is no tube placed inside the penis. Instead, a condom-like device is placed over the penis. A tube leads from this device to a drainage bag. The condom catheter must be changed every day.
INTERMITTENT (SHORT-TERM) CATHETERS
Some people only need to use a catheter on occasion. Short-term, or intermittent, catheters are removed after the flow of urine has stopped. For more information on this type of catheter, see: Clean intermittent self-catheterization.
DRAINAGE BAGS
A catheter is usually attached to a drainage bag. There are two types:
A leg bag is a smaller drainage device that attaches by elastic bands to the leg. It is usually worn during the day, because it fits discreetly under pants or skirts. It is easily emptied into the toilet.
A down drain is a larger drainage device. It may be used during the night. This device is hung on the bed or placed on the floor.
The drainage bag must always stay lower than the bladder to prevent urine from flowing back up into the bladder. Empty the drainage device at least every 8 hours, or when it is full.
Some experts recommend cleaning the drainage bag periodically. Remove the drainage bag from the catheter (attach the catheter to a second drainage device during the cleaning).
Cleanse and deodorize the drainage bag by filling the bag with two parts vinegar and three parts water. You can substitute chlorine bleach for the vinegar and water mixture. Let this solution soak for 20 minutes. Hang the bag with the outlet valve open to drain and dry the bag.
HOW TO CARE FOR A CATHETER
To care for an indwelling catheter, cleanse the urethral area (where the catheter exits the body) and the catheter itself with soap and water every day. Also thoroughly cleanse the area after all bowel movements to prevent infection.
If you have a suprapubic catheter, the opening in your belly and the tube must be cleansed daily with soap and water, then covered with dry gauze.
Drinking plenty of fluids can help prevent infections. Discuss this issue with your health care provider.
Wash your hands before and after handling the drainage device. Do not allow the outlet valve to touch anything. If the outlet becomes obviously dirty, clean it with soap and water.
Some people have occasional leakage of urine around the catheter. This may be caused by a catheter that is too small, improper balloon size, constipation, urinary tract infections, or bladder spasms.
If bladder spasms occur or there is no urine in the drainage bag, the catheter may be blocked by blood or thick sediment. Or, there may be a kink in the catheter or drainage tubing. Sometimes spasms are caused by the catheter irritating the bladder. Such spasms can be controlled with medication, although most patients eventually adjust to the irritation and the spasms go away. If you have been shown how to irrigate (or flush) the catheter, doing so may help reduce spasms. If you have not been instructed on irrigation, and urine is not flowing into your collection device, contact your health care provider immediately.
POTENTIAL COMPLICATIONS
Complications of catheter use include:
- Allergy or sensitivity to latex
- Bladder stones
- Blood infections (septicemia)
- Blood in the urine (hematuria)
- Kidney damage (usually only with long-term, indwelling catheter use)
- Urethral injury
- Urinary tract or kidney infections
Contact your health care provider if you develop or notice:
- Bladder spasms that do not go away
- Bleeding into or around the catheter
- Catheter draining very little or no urine, despite drinking enough fluids
- Fever or chills
- Leakage of large amounts of urine around the catheter
- Skin breakdown around a suprapubic catheter
- Stones or sediment in the urinary catheter or drainage bag
- Swelling of the urethra around the catheter
- Urine with a strong smell, or that is thick or cloudy
If the catheter becomes clogged, painful, or infected it will need to be replaced immediately.
ReferencesMoy ML, Wein AJ. Additional therapies for storage and emptyhing failure. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Sauders Elsevier; 2007: chap 70.
Wierbicky J, Nesathurai S. Spinal cord injury (thoracic). In: Frontera WR, Silver JK, Rizzo Jr TD, eds. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa: Saunders Elsevier; 2008: chap 147.
What else can I help you with?
Who invented urinary foley catheters?
Foley catheters are used to relieve urinary retention. They were invented by Dr. Frederic E.B. Foley and became available in 1935.
What are the different types of urinary catheters?
The main types of urinary catheters include indwelling catheters (Foley catheters), intermittent catheters, and external catheters (condom catheters). Indwelling catheters are inserted into the bladder and remain in place for continuous drainage, intermittent catheters are used periodically to empty the bladder, and external catheters are worn externally and connected to a drainage bag.
How do you determine sizing for urinary catheters?
Urethra Gauge The Urethra must be measured with a tool called, "Urethra Gauge" this device takes the guess-work out of determining the sizing for urinary catheters.
What is the rate of usage for urinary catheters?
As of 2002, experts estimate that approximately 96 million urinary catheters are sold annually throughout the world. Men are less likely than women to use them.
How do you prevent urinary tract infection in paralyzed people?
Suprapubic catheter placement is recommended for those in whom recurrent UTIs have occurred with Foley catheters or Texas (condom) catheters.
What equipment in an ICU is considered disposable?
Disposable ICU equipment includes urinary (Foley) catheters, catheters used for arterial and central venous lines, Swan-Ganz catheters, chest and endotracheal tubes, gastrointestinal and nasogastric feeding tubes, and.
Definition of Nosocomial Urinary tract infection?
Nosocomial infections are hospital-acquired. The most likely sources of nosocomial urinary tract infections are: indwelling and intermittent catheters.
What are the normal results of female catheterization?
A catheterization program that includes correctly inserted catheters and is appropriately maintained will usually control urinary incontinence.
What situations call for aseptic technique?
Typical situations that call for aseptic measures include surgery and the insertion of intravenous lines, urinary catheters, and drains.
What is the most frequent occurring laboratory nosocomial infection?
Urinary tract infections (UTIs) are the most common laboratory-confirmed nosocomial infections. They are often associated with the use of indwelling urinary catheters in hospitalized patients.
What are the causes of tracheal bleeding?
Answer: The two most frequent causes of tracheal bleeding are due to frequent suctioning and lack of humidity. Regarding frequent suctioning, one should not decrease the frequency of suctioning just because of the appearance of some blood. Rather, this should be a cue to switch to softer suction catheters. I usually recommend red rubber catheters, which are not suction catheters, but are actually they are urinary catheters, technically called "coude" catheters.
What are the normal results of male catheterization?
A catheterization program that includes correctly inserted catheters and is appropriately maintained will usually control urinary incontinence. Asceptic technique important.
