Cathetrization in detail

1. Catheterization
By:-
Mr ASHOK DHAKA BISHNOI
Director, JINC

2.  Is the introduction of a tube or a catheter
through the urethra into the urinary bladder to
drain the bladder.
 Purpose:-
 To relieve bladder distention
 To empty bladder prior to delivery or abdominal
surgery.
 To obtain sterile specimen

3.  Anesthesized or sedated for surgery or other
medical care
 Urinary incontinent patients
 BPH
 Acute urinary retention.
 Paralysis or physical injury to use either
standard toilet facilities or urinals.
 Following urethral surgeries
 Before and after cesarean sections
 Before and after hysterectomies
 On patients who had genital injury
Indication:-

4.  Types of catheter
1.An indwelling catheter, also known as Foley catheter, is left
inside the bladder to provide continuous urine drainage.
 Two way
 Three way:- A 3-way catheter for continuous bladder
irrigation (CBI) is a type of indwelling catheter. It is
inserted to irrigate the bladder to prevent obstruction (i.e
bleeding

5. 2. A straight catheter, is used when the catheter is to be
inserted and removed immediately.
3.Condom catheter:- consists of a soft plastic or rubber sheath,
tubing, and a collection bag for the urine. The sheath is
placed over the penis and the collection bag is attached to
the leg. Collects urine when there is no need for catheter
insertion.

6. 4.A suprapubic catheter is a type of indwelling catheter. The
suprapubic catheter is inserted into the bladder through a
surgical incision made in the abdominal wall, right above the
pubic bone.

7. Catheters
Straight
Suprapubic Indwelling
Condom

8.  URINARY CATHETER SIZES. :-The French scale (Fr.) is used to
denote the size of catheters.

9. Age
Weight (kg) Foley (Fr)
0-6 months
3.5-7 6
1 year
10 6-8
2 years
12 8
3 years
14 8-10
5 years
18 10
6 years
21 12
8 years
27 12
12 years
varies 12-14
Female 14-16
Adult (Men) 16-18
Typical weights and tube sizes for age: Foley catheters

10.  Position – Dorsal Recumbent Position
 Male: supine position
 For female client:-Cleaning is done from urethral
orifice to the anal orifice.
 For male client:- Retract the foreskin & draw the
penis upward & forward at 90 angle to the client
legs in order to strengthen the urethra.
 The urine drainage bag is kept below the
level of bladder.

11.  Lubricate catheter (2.5 to 5 cm for women) and
12.5 to 17.5 cm for men)
*Note: there may be an order for lubricant containing
local anaesthetic*
 Apply sterile drapes keep gloves sterile
women: under buttocks and fenestrated over
perineum
men: over thighs and fenestrated over penis

12.  10-15 ml of fluid is inserted in the balloon of
Foley’s catheter.
Length of urethra:-
 Male :- It is about “19-20” cm long
 Female :- it is about “4” cm long & “6” mm in diameter.
 If the patient get bladder spasm and pain, gently
manipulate the catheter to change the position of
balloon resting on the neck of bladder.
 Rotate the catheter if urine is not passed out.
 During insertion of catheter if any obstruction
experienced. Withdraw the catheter a little.
rotate it and then reinsert it in to the bladder.