Name of the Procedure:

Urinary Catheter Anchoring Device, Leg Strap, Each
Common Names: Catheter leg strap, catheter stabilizer
Technical/Medical Terms: Catheter securement device, urinary catheter anchoring device

Summary

A urinary catheter anchoring device, commonly referred to as a catheter leg strap or stabilizer, is a medical tool used to securely hold a urinary catheter in place. It wraps around the patient's leg to prevent the catheter from moving or being pulled out, ensuring comfort and reducing the risk of infection or injury.

Purpose

Ensuring that the urinary catheter remains securely in place, the device helps:

• Prevent accidental dislodgement of the catheter.
• Reduce irritation and potential injury to the urethra.
• Lower the risk of urinary tract infections.

Indications

• Patients with long-term indwelling urinary catheters.
• Situations where catheter movement needs to be minimized for comfort and safety.
• Individuals at risk for catheter-related complications such as infections or urethral damage.

Preparation

• No specific fasting or medication adjustments are typically required.
• Ensure the skin where the strap will be placed is clean and dry to promote adhesion and reduce the risk of irritation.

Procedure Description

1. Prepare the Area: Clean and dry the thigh to remove any oils or moisture.
2. Position the Catheter: Place the catheter in its desired placement.
3. Apply the Strap: Wrap the leg strap around the upper thigh and adjust it to fit snugly but comfortably.

4. Secure the Catheter: Anchor the catheter to the strap using the built-in clips or adhesive mechanisms.

   No anesthesia or sedation is needed for this procedure.

Duration

The application of the catheter anchoring device typically takes about 5-10 minutes.

Setting

The strap can be applied in a healthcare setting such as a hospital, outpatient clinic, or at home by a caregiver.

Personnel

• Nurses or trained medical staff usually apply the strap, but it can also be managed by caregivers or patients themselves with proper instruction.

Risks and Complications

• Common Risks: Skin irritation or pressure sores where the strap contacts the skin.
• Rare Risks: Allergic reactions to the materials used in the strap. Properly managing these risks involves frequent skin checks and ensuring the strap is not too tight.

Benefits

• Comfort: Reduces catheter-related discomfort.
• Safety: Minimizes the chance of catheter dislodgement.
• Infection Prevention: Lowers risk by keeping the catheter securely in place, reducing movement that can lead to urethral injury and subsequent infections.

Recovery

• Care: Regularly inspect the skin for signs of irritation or pressure, and reposition the strap as needed.
• Time: No extended recovery time is needed if the strap is applied correctly.
• Follow-up: Regular follow-up appointments may be necessary to monitor catheter placement and health.

Alternatives

• Tape or Adhesive Strips: Directly securing the catheter to the skin.
  • Pros: Simple and readily available.
  • Cons: Can irritate the skin and may not provide as secure a hold as a dedicated strap.
• Catheter Management Devices: Specialized adhesive pads.
  • Pros: Specifically designed for catheter securement.
  • Cons: More expensive and potentially less comfortable than leg straps.

Patient Experience

• During the Procedure: Minimal discomfort as the strap is applied.
• After the Procedure: Some initial adjustment period to get used to the feel of the strap.
• Pain Management: Ensure the strap is neither too tight nor too loose to avoid discomfort and potential complications. Proper adjustments and frequent skin checks help maintain comfort and efficacy.