Name of the Procedure:

Catheterization for Collection of Specimen(s) (Multiple Patients)
Common Name: Urine Catheterization
Medical Term: Catheterization for Specimen Collection

Summary

This procedure involves inserting a thin tube called a catheter into the bladder through the urethra to collect urine samples. This is done for multiple patients, typically in a clinical or hospital setting.

Purpose

The procedure is primarily conducted to gather urine samples for diagnostic purposes. It helps identify infections, kidney disorders, metabolic conditions, and other urinary tract issues.

Indications

• Symptoms of urinary tract infections (UTIs)
• Suspected kidney dysfunction
• Monitoring certain medical conditions like diabetes
• Inability to produce a clean catch urine sample
• Need for sterile urine specimen collection

Preparation

• No special preparation like fasting is typically required.
• Patients may be advised to drink some water beforehand to ensure the bladder has urine.
• Informing the healthcare provider of any allergies or current medications is useful.

Procedure Description

1. The patient is asked to lie down on an examination table.
2. The genital area is cleaned with an antiseptic solution.
3. A sterile lubricated catheter is gently inserted into the urethra and advanced into the bladder.
4. Urine is allowed to flow through the catheter into a sterile collection container.
5. After sufficient urine is collected, the catheter is slowly withdrawn.
6. The collected urine is sent to the laboratory for analysis.

Tools and Equipment:

• Sterile catheter
• Antiseptic solution
• Sterile gloves
• Collection container

Anesthesia or Sedation:

• Generally, local anesthesia or sedation is not required. However, topical anesthetic gel may be used to reduce discomfort.

Duration

The procedure usually takes about 10-20 minutes.

Setting

This procedure is performed in a clinical setting, such as a hospital or outpatient clinic.

Personnel

• Registered Nurses (RNs)
• Medical Assistants
• Sometimes, a Primary Care Physician or a Urologist

Risks and Complications

• Discomfort or pain during insertion
• Risk of urinary tract infections (UTIs)
• Bladder or urethral injury (rare)
• Bleeding (minimal and rare)

Benefits

• Accurate and sterile collection of urine samples
• Helps in accurate diagnosis and treatment of various conditions
• Quick and minimally invasive

Recovery

• Patients can resume normal activities almost immediately.
• Drinking plenty of fluids is recommended to help flush the bladder.
• Follow-up appointments may not be necessary unless results indicate an issue.

Alternatives

• Clean-catch midstream urine sample
• Suprapubic aspiration (more invasive)
• Urinary catheterization using a different method (e.g., intermittent catheterization)

Patient Experience

During the procedure, patients may feel some pressure or mild discomfort as the catheter is inserted. Post-procedure, some patients might feel a slight burning sensation during urination, which typically resolves quickly. Pain management usually includes drinking plenty of fluids and following any additional care instructions provided by the healthcare provider.