51701 Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)

Name of the Procedure:

Insertion of Non-Indwelling Bladder Catheter (e.g., straight catheterization for residual urine)

Summary

Insertion of a non-indwelling bladder catheter, also known as straight catheterization, involves temporarily inserting a catheter into the bladder to drain residual urine. The catheter is removed immediately after drainage.

Purpose

This procedure is used to address urinary retention, where the bladder does not empty completely. The goals are to relieve discomfort, prevent infection, and accurately measure the residual urine volume.

Indications

• Urinary retention or incomplete bladder emptying
• Need for a sterile urine sample for diagnostic purposes
• Monitoring post-void residual volume in patients with urinary disorders

Preparation

• No fasting is typically required.
• The patient should inform the healthcare provider about any medications or allergies.
• Basic hygiene measures to cleanse the genital area.

Procedure Description

1. The patient is positioned comfortably, usually lying on their back.
2. The genital area is cleansed with an antiseptic solution.
3. A sterile catheter is lubricated and gently inserted into the urethra until it reaches the bladder.
4. Once urine flow starts, the healthcare provider allows the bladder to empty.
5. The catheter is then carefully removed and disposed of.
6. The patient may need to clean the area again afterwards.

Duration

The procedure typically takes 5-10 minutes.

Setting

The procedure is typically performed in a hospital, outpatient clinic, or doctor's office.

Personnel

Typically performed by a nurse or a trained healthcare assistant under the supervision of a physician.

Risks and Complications

• Discomfort or minor pain during insertion
• Risk of urinary tract infection (UTI)
• Possible bleeding or trauma to the urethra
• Rarely, allergic reactions to the catheter material

Benefits

• Immediate relief from urinary retention
• Accurate assessment of residual urine volume
• Prevention of complications from incomplete bladder emptying

Recovery

• Patients can usually resume normal activities right after the procedure.
• Drink plenty of water to help flush out any bacteria.
• Report any signs of infection (e.g., fever, pain, unusual discharge) to a healthcare provider.

Alternatives

• Indwelling catheterization (Foley catheter)
• Intermittent self-catheterization
• Medications or therapies to improve bladder function
• Surgical interventions in severe cases

Pros and cons of alternatives should be discussed with the healthcare provider to determine the best approach based on individual patient needs.

Patient Experience

During the procedure, the patient may feel pressure or mild discomfort. After the procedure, there may be slight soreness which is generally temporary. Pain management can include mild analgesics if needed. Proper hygiene and following aftercare instructions can enhance comfort and outcomes.