Name of the Procedure

Intermittent Urinary Catheterization
Common names: Intermittent catheterization, Straight catheterization
Technical/medical terms: Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.)

Summary

Intermittent Urinary Catheterization involves the temporary insertion of a straight-tip catheter into the bladder to drain urine. This procedure is typically performed multiple times a day to ensure the bladder empties completely.

Purpose

Intermittent catheterization is used to manage urinary retention, prevent urinary tract infections, and ensure adequate bladder emptying in patients with various medical conditions affecting the bladder.

Indications

• Urinary retention due to neurological conditions (e.g., spinal cord injury, multiple sclerosis)
• Post-operative urinary retention
• Bladder dysfunction
• Certain congenital conditions affecting the urinary system
• Paralysis or limited mobility causing difficulty emptying the bladder

Preparation

• No fasting required.
• Patient may need to adjust medications per healthcare provider's instructions.
• Pre-procedure assessment might involve measuring bladder volume using ultrasound.

Procedure Description

1. Hand hygiene: The patient washes hands thoroughly to reduce infection risk.
2. Preparation: The catheter package is opened, and the catheter is lubricated if needed.
3. Positioning: The patient positions themselves comfortably in a seated or lying position.
4. Cleaning: The genital area is cleaned with antiseptic wipes.
5. Insertion: The catheter is gently inserted into the urethra until urine begins to flow.
6. Drainage: Urine drains into a sterile collection container or toilet.
7. Removal: Once the bladder is empty, the catheter is slowly withdrawn.
8. Disposal/Cleaning: The catheter is disposed of if single-use or cleaned if reusable.

Duration

The procedure typically takes 5-10 minutes.

Setting

The procedure can be performed at home, outpatient clinics, or any healthcare setting.

Personnel

• Patient or caregiver
• Nurses or healthcare providers for initial training

Risks and Complications

• Urinary tract infection (UTI)
• Urethral trauma or irritation
• Bladder spasms
• Difficulty in catheter insertion or removal

Benefits

• Regular bladder emptying prevents urinary tract infections.
• Reduces the risk of kidney damage due to urine retention.
• Improves bladder management and quality of life.

Recovery

• Minimal recovery time as it is a routine, daily procedure.
• Patients may need to follow specific hygiene practices to reduce infection risk.
• Regular follow-up appointments to monitor bladder and kidney health.

Alternatives

• Indwelling urinary catheter
  • Pros: Continuous drainage
  • Cons: Higher risk of infection
• Suprapubic catheter
  • Pros: Lower infection risk compared to an indwelling catheter
  • Cons: Requires minor surgery
• Medications to improve bladder function
  • Pros: Non-invasive
  • Cons: Potential side effects

Patient Experience

During the procedure, patients may feel slight discomfort or pressure as the catheter is inserted. After insertion, the drainage typically brings relief. Proper lubrication and practice can enhance comfort. Post-procedure, maintaining hygiene and following recommended guidelines will help manage discomfort and prevent infections.