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Whether you're having surgery, undergoing tests or accept other medical needs involving your bladder, your doctor may need to insert a catheter to aid in your diagnosis or treatment processes. A catheter is a device that's inserted into your float to drain urine out of your body so information technology can then be collected for testing or tending of. If you or a loved one demand to undergo catheterization, learning more almost what's involved, along with some other important information related to catheterization for women, tin can aid you feel more confident about and better prepared for the procedure.
What Are Catheters?
Catheters are simple devices; one of the most common, called a Foley catheter, consists of a hollow tube, a small-scale balloon, a port and a drainage pocketbook. The small airship is situated on one end of the tube. This end is inserted up through a patient'due south urethra — which is the modest aqueduct that moves urine from the float to the outside of a person's body — and into her float. The balloon is then inflated with sterile h2o, which holds the catheter tube in place and prevents leakage. The port section splits the inserted portion of the tube into two separate tubes, ane of which directs urine into the drainage purse. The other tube section allows for inflation and deflation of the balloon.
A Foley catheter is a blazon of indwelling catheter. "Indwelling" means that the catheter remains within the urethra and bladder for a short or long menses of fourth dimension, such every bit days or weeks, without removal. These types of catheters are generally used for managing long-term health conditions, such every bit urinary incontinence or an disability to urinate. Doctors likewise typically employ indwelling catheters for people who are bedridden or unconscious due to conditions similar a blackout or because they're under general anesthesia.
Another type of catheter insertion is called make clean intermittent catheterization, or CIC. In this type of catheterization, the catheter doesn't remain in the float and urethra and it also doesn't accept a airship on the terminate. Instead, the catheter tube is inserted briefly — simply long plenty for the patient'south bladder to drain — and so removed immediately. Medical professionals may perform CIC to obtain sterile urine samples from patients who have trouble urinating or to mensurate a person'due south urine output. Women who've had certain gynecologic surgeries may also opt to perform CIC on themselves if they're unable to empty their bladders following those procedures.
How Do Doctors Insert Catheters?
The method of insertion for a catheter depends on the type of catheterization that you need. If you're having an indwelling catheter placed, during your appointment yous'll remove clothing from the lower half of your body. You'll demand to lie flat, curve your knees and spread your legs and so the clinician can access your urethra. They'll then separate your labia to make clean your urethral opening and the expanse effectually information technology. Following this, the clinician will use a shine-tipped syringe to inject a pocket-size amount of lubricant into your urethra. This makes it easier for the catheter tubing to slide up to your bladder.
In one case this prepping is complete, the clinician will brainstorm gently sliding the clean catheter upwards through your urethra until information technology reaches your bladder and urine begins flowing out. They'll inflate the balloon to concur the catheter in place and, if they haven't yet, adhere the drainage handbag to the open end of the catheter tubing. You'll wearable and empty this pocketbook (or replacement numberless) until you have the catheter removed. Virtually people who wear indwelling catheters secure the bags to their legs and then gravity helps the urine reach and stay in the purse. If you're having the catheter inserted for surgery, the doctor may wait until you're already under anesthesia to identify the device.
The process for placing an intermittent catheter is like to that for the indwelling catheter. A clinician cleans around your urethra and lubricates it before placing the catheter tubing. Later on this, they can collect a urine sample and remove the catheter tubing. People also self-catheterize using CIC if they're unable to void urine on their own or if they need to track their urine output for medical reasons. The process and the position your torso is in may be somewhat dissimilar if you lot use CIC at abode — some people sit on the toilet and perform CIC to drain their urine — and your doctor tin show you the proper technique to apply in this situation.
Are There Any Risks With Catheterization?
Catheterization is a relatively simple procedure — and one that'south mutual — only at that place are a few risks associated with having a catheter inserted. A urinary tract infection (UTI) is the well-nigh mutual problem for people who have indwelling catheters, according to the U.S. National Library of Medicine. This tin can happen if the catheter isn't sterilized properly earlier insertion. If bacteria remain on the catheter when it'southward placed into your bladder, this can introduce the leaner into your bladder, where they brainstorm multiplying — resulting in infection.
After you've had an indwelling catheter placed, it'southward important to be on the lookout for changes in your urine's smell, corporeality and advent. With a UTI, you lot might notice that your urine smells bad or has a much stronger odour than usual. Your urine might as well await cloudy or thick, and you may notice blood in information technology. The corporeality of urine collecting in the drainage bag may lessen even when you're still drinking fluids.
Other UTI signs and symptoms to wait out for include a fever, pain in your abdomen or lower dorsum, chills, aches, belch leaking around your urethra where the tube comes out and general fatigue. If y'all detect whatsoever of these symptoms afterwards your catheter insertion, call your doctor immediately. They can remove the catheter and give you antibiotics to help clear upwardly the infection.
Insertion of a catheter can also crusade damage to your urethra and to your bladder. Although information technology'due south very rare, sometimes a catheter tube can puncture a person's bladder wall. If you have any questions or concerns near using or maintaining your catheter — or if you're experiencing pain afterward having information technology placed — don't hesitate to phone call your doctor for assistance.
Resource Links:
https://medlineplus.gov/ency/article/003981.htm
https://www.hcd.com/urology/foley-catheter/
https://medlineplus.gov/ency/patientinstructions/000140.htm
https://world wide web.med.uottawa.ca/procedures/ucath/
https://world wide web.cdc.gov/hai/pdfs/uti/CA-UTI_tagged.pdf
https://medlineplus.gov/ency/commodity/000483.htm
https://www.ncbi.nlm.nih.gov/pmc/manufactures/PMC2865895/
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