Catheter & urethral catheterization dr mahesh kumar 22 09-2020

catheter
catheterization
urethral catheterization
indication, type, methods
complication of catheterization.

1. Catheter & Catheterization
(कैथेटरएवंकैथीटेरायजेसन)
(मूत्रशलाकाएवंमूत्रशलाकाकाप्रयोजनयाप्रवेशन)
22-09-2020
Catheter & catheterization-Dr Mahesh Kumar
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2. Aim
To explore the catheter and catheterization in context to urinary diseases.
Types of catheters
Indication of Urethral catheterization
Material required
Methodology
Complications and
Management of obstructed catheter
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3. What is catheter?
(मूत्रननस्सारकनली)?
The word catheter (Gr. Katheter) means “something inserted.”
“A tube passed into the body for evacuating fluids or injecting them into body
cavities. It may be made of elastic, elastic web, rubber, glass, metalor plastic”.
(Taber’s Medical Dictionary)
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Catheters are thin flexible tubes
Soft hollow tube
Inserting into urinary bladder to
drain urine
CATHETERIZATION
“Passage of a catheter into a body
canal or a cavity”

4. Type of Catheter
POPULAR CATHETERS
Plain catheter
Foleys catheter
K-90
Red rubber catheter
Feeding tube
Malecotcatheter
Condom catheter
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5. Type…………………. contd
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•Simple Red Rubber catheter
•.
A. Plain catheter
•Foley’s Catheter
•Malecot’scatheter
•Gibbon’s catheter
•DePezzercatheter
•.
B. Self retaining
catheter

6. Foley’s Catheter
Size Number varies
14 no., 16 no., 18
no. (according to
French scale)
Catheter
diameter(mm)=
catheter number/3
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Self retaining
catheter
Can be left for a
days
Double lumen =2
channel –main
channel (for
drainage), side
channel(have bulb
& can be inflated,
water saline)
Double lumen
Triple lumen
(for drainage,
irrigation,
retaining bulb)
Type………………… ..…………contd

7. Type…………………..………… contd
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•Gibbon’s Catheter
•For male & female (have 2 different size)
•Made of plastic, gives rigidity to catheter, aids it passage
•Its 2 ribbons fix it to genitalia
•Lesser irritant to urethra

8. Type…………………..………… contd
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•Malecot’sCatheter
•Self retaining,
•Red rubber tube like
•Tip bulbous/winged
•Stretched the bulb &inserted inopeningthat having narrow os
than catheter bulbous tip.
•Use –for drainage in Suprapubic cystostomy, gastrostomies,
cholecystostomies, thoracotomy, close drainage of any cavity

9. Type………………… ..…………contd
•Plain Catheter
•Simple Red rubber catheter
•Tip blunt & rounded
•Hollowed
•Various sizes
•Non retaining in nature
•Use for temporary drainage.
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10. Type………..contd
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•Bozeman Catheter
Double channel catheter
Use in D & C, to wash uterine contents, to give hot
douches

11. Type………..contd
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•Drew Smythecatheter(membrane perforator)
“S” shape catheter used in Hydramnios/membrane
rupture
Before induction of labour by oxytocin

12. Type………..contd
•Eustachian catheter
wide bore beaked metallic canula
To know patency of Eustachian tube, relieve obstruction,
instill medication
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13. Type………..contd
•K-90, K-91 catheter
For short term bladder catheterization through urethra
Soft, medical PVC tube
No kinking occurs
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14. Indication of Urethral Catheterization
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Urine retention-Acute & chronic
Chronic retention of urine with overflow.
Urethral stricture
Urinary incontinence/unable to hold urine
Neurogenic bladder.
Before major surgery
Surgery related with UB & prostate
Patient going to pelvic surgery
Patient going to perineal surgery
For Managemntof incomplete urethral rupture
General Anaethesia
BPH
To drain urine from UB

15. Indication of Urethral Catheterization
Medical conditions-Bed ridden patient, Commatouspatient, spinalcordinjury, multiple
sclerosis, dementia.
In obstructed laborcases
When wants to measure urine output e.g. in Acute renal failure(ARF).
For urography/cystography investigations
To measure residual urine, bladder capacity, urodynamic
To instill drugs, urinary antiseptic, chemotherapeutic drugs In UB
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To drain urine from UB

16. Method of Catheterization
Be careful
-First of all find actual indication
-Selection of catheter depends on situation in patients, temporary(plain) or for long
time being (Foley, Gibbon),
-Size of catheter chosen on –size of external meatus of urethra, or by own
experience/hit & trial base. On basis of male, female, childhood,
adult.
-Check the balloon of Foley catheter before insertion,
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17. Method of Catheterization
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Be careful
-Always follow aseptic measures as chances of introducing urinary
tract infection during catheterization
-Use with general rule “ NO TOUCH TECHNIQUE”. Take
assistance from staff.

18. Material required
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Antiseptic solution
Catheter
Surgical gloves of
appropriate size
Anaesthetic &
lubricating agent
Lignoacinejelly
Dressing material -Cut
sheet, cotton, gauze
piece
Clean area/ space-
Minor OT
One Assistance

19. Methodology
•Clean the local part/ external genitalia with antiseptics
•Draped the patient, only local part exposed
•Clean skin of penis, retract foreskin/prepuce/clean smegma gently
•Push lignocaine jelly 10 ml in penis, close the meatus, gentle rub on undersurface
of penis towards root, wait for a minute.
•Lubricate catheter and insert in urethra gently (hold the penis erect)
•Don’t force, if there is no obstruction it, passes smoothly.
•The urine came from catheter when it reached to UB, push the catheter down and
then start to inflate the bulb of catheter with saline/water.
•Attach the catheter to UROBAG/close container.
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20. Complication of Urinary Catheterization
•SOME OTHER
•Burning sensation at urethral
•Fever, with /without Chills, rigours
•Headache
•Pus in urine/cloudy urine
•Foul smelling of urine.
•Urine leakage /from side of catheter
•hematuria
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Serious complication
•Urethral Haemorrhage/Bleeding
•False tract
•Infection (Ascending, iatrogenic)
•Urethral stricture
•Catheter Blockage

21. -Thanks for patience watching…
-Queries and suggestions/comments welcome……..
Thank you
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Disclaimer -The video lecture is for educational purpose only
धन्यवाद॥