Female urinary catheterization

CME presentation by Dr.Anurag Danda

1. Female Urinary Catheterization Lt. Anurag Danda

2. Steps of Catheterisation Position the patient on her back with her knees apart and her feet together. Open a sterile catheterisation kit. Put on the gloves. Open the antiseptic solution and the lubricant. Place the sterile drape over the patient. Test the balloon if you are inserting a Foley’s catheter.

3. Apply a generous amount of lubricant or lidocaine jelly to the end of the catheter. Use your non-dominant hand to separate the labia minora . Don’t test the balloon of a silicon catheter. Clean the vulva with the antiseptic. Find the urethra meatus. Insert the catheter-Grasp the catheter no more than 2 inches from the end and insert it into the urethra meatus,angling it slightly upward. When you see the flow of urine from the catheter,continue inserting it for another 1-2 inches (3-5 cm).

4. Inflate the balloon if you are using a Foley’s catheter to keep it in place.-capacity printed on inflation valve.After inflation,pull gently on the catheter to position the balloon against the bladder neck. Tape the catheter to the patient’s leg and attach a urine collection bag.

5. Size of catheter The female indwelling catheter ( suprapubic ) is 6 inches long and comes in sizes 12Fr-18Fr. Size 12 catheters have successfully been used in female patients with urinary restriction.

6. Types of catheter materials: Latex Polyurethane S ilicone

7. Indications Acute/chronic urinary retention Orthopaedic procedures that limit a patient’s movement Urine output monitoring Urinary incontience-Stress,Urge Intra-op : to empty the urinary bladder During LSCS

8. Effects of long-term use UTI Sepsis Urethral injury Bladder stones Haematuria Bladder cancer- foll . many yrs of use