Name of the Procedure:

Intermittent Urinary Catheter, with Insertion Supplies (A4353)

Common Name(s): Intermittent catheterization, Clean intermittent catheterization (CIC)
Technical/Medical Terms: Urethral catheterization, Foley catheter insertion

Summary

Intermittent urinary catheterization involves the temporary insertion of a catheter to drain urine from the bladder. This is usually done several times a day and allows for control over bladder function in patients who cannot urinate naturally.

Purpose

Intermittent catheterization is used to manage urinary retention, neurogenic bladder, and other conditions where the bladder does not empty properly. The goal is to prevent bladder overdistension, reduce the risk of urinary tract infections (UTIs), and maintain kidney health.

Indications

• Urinary retention
• Neurogenic bladder (caused by conditions like spinal cord injuries, multiple sclerosis)
• Certain congenital disabilities affecting bladder control (e.g., spina bifida)
• Post-surgical inability to urinate
• Condition-specific management when consistent bladder drainage is required

Preparation

• Instructions may include adequate hydration.
• Cleaning the genital area to reduce the risk of infection.
• No specific fasting or medication adjustments are typically required.

Procedure Description

1. Gather Supplies: Catheter, lubricant, antiseptic wipes, and a collection container.
2. Hand Washing: Thoroughly wash hands to maintain sterility.
3. Cleaning: Use antiseptic wipes to clean the urethral opening.
4. Lubrication: Apply lubricant to the tip of the catheter.
5. Insertion: Gently insert the catheter into the urethra until urine begins to flow.
6. Drainage: Allow urine to drain into a collection container.
7. Removal: Once the bladder is drained, slowly remove the catheter.
8. Cleanup: Dispose of or clean the catheter according to guidelines.

No anesthesia or sedation is typically used for this procedure.

Duration

The procedure generally takes between 5-10 minutes, depending on the patient's experience and comfort level.

Setting

Intermittent catheterization can be performed at home, in hospitals, outpatient clinics, or in any sanitary and private environment.

Personnel

While patients often perform this procedure themselves after proper training, healthcare professionals such as nurses may assist initially or as needed.

Risks and Complications

• Common Risks: Minor discomfort or soreness, occasional leakage of urine.
• Rare Risks: Urinary tract infections (UTI), urethral injury, bleeding.

Benefits

• Restores bladder function and control
• Reduces the risk of bladder infections and renal complications
• Enhances quality of life by managing urinary incontinence effectively

Recovery

Since the procedure is intermittent, immediate recovery is typically not an issue. Regular follow-up appointments to monitor bladder health may be necessary, alongside ongoing hygiene and catheter care practices.

Alternatives

• Indwelling catheters: Generally used for long-term or continuous drainage but carry a higher risk for infection.
• Suprapubic catheters: Inserted directly into the bladder through the abdomen, used for long-term catheterization.
• Medication: May be prescribed to manage urinary retention or overactive bladder.
• Bladder training: Techniques and exercises to improve bladder control.

Patient Experience

Patients may feel a mild discomfort during insertion, but this often lessens with practice. Post-procedure, some minor soreness may occur, but pain management is usually unnecessary. Cleanliness and proper technique are crucial for comfort and to prevent complications.