Ask a New Question
Menu

Male catheterization procedure

1 answer

Male catheterization is a medical procedure used to insert a catheter (a thin, flexible tube) into the bladder through the urethra to drain urine. It can be performed for various reasons, including urinary retention, obtaining a urine sample, or during surgery. Below is a general overview of the male catheterization procedure:

Preparation

  1. Informed Consent: Explain the procedure to the patient and obtain consent.
  2. Gather Supplies: You will need a catheter (usually a Foley catheter), sterile gloves, lubricant, antiseptic solution (like chlorhexidine), drainage bag, and a sterile drape.
  3. Hand Hygiene: Wash hands thoroughly and wear sterile gloves.
  4. Position the Patient: Place the patient in a supine position (lying on the back) with legs slightly apart.

Procedure

  1. Prepare the Catheter:

    • Ensure the catheter is the appropriate size (Fr size typically ranges from 14-16 Fr for adults).
    • Lubricate the tip of the catheter with a sterile lubricant.

  2. Clean the Urethral Opening:

    • Use a sterile antiseptic solution to clean the genital area. This may include wiping from the tip of the penis toward the base in a circular motion.
    • Allow the antiseptic to dry.

  3. Insert the Catheter:

    • Hold the penis with one hand (using a sterile cloth or drape if needed), and with the other hand, gently insert the catheter into the urethral opening.
    • Advance the catheter slowly and steadily until urine begins to flow into the catheter. Typically, you will insert it about 6-8 inches for an adult male.

  4. Inflate the Balloon (if applicable):

    • If using a Foley catheter, once urine flows, advance it a bit more (usually about an inch) and inflate the balloon with sterile saline as per the manufacturer's instructions to secure it in place.

  5. Attach the Drainage Bag:

    • Connect the catheter to the drainage bag, ensuring it is secure and that there are no kinks in the tubing.

  6. Provide Aftercare:

    • Clean the area around the catheter with a clean cloth.
    • Secure the catheter to the thigh or abdomen with adhesive tape to prevent movement and discomfort.
    • Ensure the drainage bag is positioned below the level of the bladder to promote proper drainage.

Post-Procedure Care

  1. Monitor Output: Check the quantity and quality of urine output, as well as any signs of complications like bleeding or infection.
  2. Educate the Patient: Provide instructions on how to care for the catheter, signs to report to medical staff, and when to seek help.
  3. Documentation: Document the procedure, including the time, size of the catheter, and any unusual findings.

Risks and Complications

While catheterization is generally safe, complications can occur. These may include:

  • Infection: Urinary tract infections (UTIs) are common after catheterization.
  • Urethral Injury: Improper technique can lead to injury.
  • Bleeding: Minor bleeding is possible.
  • Bladder Spasms: Some patients may experience discomfort or spasms.

Conclusion

Male catheterization is a straightforward procedure, but it requires careful technique and attention to aseptic protocols to minimize the risk of complications. If you're not trained to perform this procedure, it is always best to have a qualified healthcare provider administer it.