Name of the Procedure:

Catheterization for Collection of Specimen (P9612)

Summary

Catheterization for collection of a specimen involves inserting a thin, flexible tube (catheter) into the bladder to collect urine directly from the source. This procedure is used in various healthcare settings to obtain a clean urine sample, which is then sent to a laboratory for diagnostic testing.

Purpose

Catheterization for specimen collection helps diagnose:

• Urinary tract infections (UTIs)
• Kidney diseases
• Metabolic disorders
• Other systemic conditions that can be detected through urine

The goal is to obtain a sterile urine sample free from contamination to ensure accurate diagnostic results.

Indications

• Symptoms of a urinary tract infection (e.g., pain during urination, frequent urge to urinate)
• Unclear or contaminated urine samples from non-catheter methods
• Patients who are unable to produce a clean-catch midstream sample
• Preoperative or postoperative assessments

Preparation

• No special fasting required
• Patients should inform their healthcare provider about any medications being taken
• Hydration may be advised, but specifics depend on individual circumstances

Procedure Description

1. Preparation and Sanitization: The healthcare provider wears sterile gloves and cleans the urinary opening (urethra).
2. Insertion: A lubricated catheter is gently inserted into the urethra until it reaches the bladder.
3. Collection: Urine flows through the catheter into a sterile container.
4. Removal: Once enough specimen is collected, the catheter is carefully withdrawn.

Tools Used:

• Sterile catheter
• Lubricant
• Sterile collection container
• Sanitizing solution

Anesthesia: Not typically required; local numbing agents may be used if the patient experiences discomfort.

Duration

The entire process typically takes around 5 to 10 minutes.

Setting

Performed in various settings including:

• Hospitals
• Outpatient clinics
• Doctor's offices

Personnel

• Registered Nurses (RNs) or Licensed Practical Nurses (LPNs)
• Physicians or Nurse Practitioners
• Medical Technicians (for assistance)

Risks and Complications

• Mild discomfort or pain during insertion
• Risk of introducing infection
• Possible minor bleeding or irritation
• Rarely, injury to the urethra

Benefits

• Highly accurate and contamination-free urine sample
• Quick and minimally invasive
• Essential for accurate diagnosis and treatment planning

Recovery

• No significant recovery required; patients can resume normal activities immediately
• Follow-up may involve reviewing lab results with the healthcare provider

Alternatives

• Clean-catch midstream urine sample
• Collection via suprapubic aspiration (in rare cases)

Pros/Cons:

• Non-catheter methods might be easier but less accurate if contamination is a concern.
• Suprapubic aspiration is more invasive compared to catheterization.

Patient Experience

• Patients might experience a brief discomfort during insertion and removal.
• Healthcare providers often provide reassurance and take steps to minimize discomfort.
• Pain management, if necessary, includes local numbing agents and over-the-counter pain relief as directed by a healthcare provider.