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A hematuria catheter is a type of Foley catheter used for Post-TURP hemostasis. This is useful following endoscopic surgical procedures, or in the case of gross hematuria. There are both two-way and three-way hematuria catheters (double and triple lumen). [1]
A Foley catheter can also be used to ripen the cervix during induction of labor. When used for this purpose, the procedure is called extra-amniotic saline infusion . [ 9 ] In this procedure, the balloon is inserted behind the cervical wall and inflated, for example with 30-80 mL of saline. [ 9 ]
Diagram of a Foley catheter. Foley first described the use of a self-retaining balloon catheter in 1929, to be used to achieve hemostasis after cystoscopic prostatectomy. [2] He worked on development of this design for use as an indwelling urinary catheter, to provide continuous drainage of the bladder, in the 1930s.
A 2019 Cochrane review of 59 studies that included 8924 men with urinary symptoms due to benign prostatic hyperplasia. [4] This review found that bipolar and monopolar TURP probably results in comparable improvements in urinary symptoms, as well as a similar erectile function , the incidence of urinary incontinence, and the need for retreatment.
Patients can be taught to use a self catheterization technique in one simple demonstration, [19] and that reduces the rate of infection from long-term Foley catheters. Self catheterization requires doing the procedure periodically during the day, the frequency depending on fluid intake and bladder capacity.
Hematuria can be classified according to visibility, anatomical origin, and timing of blood during urination. [1] [6]In terms of visibility, hematuria can be visible to the naked eye (termed "gross hematuria") and may appear red or brown (sometimes referred to as tea-colored), or it can be microscopic (i.e. not visible but detected with a microscope or laboratory test).
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Male external catheters are designed to be worn 24/7 and changed daily – and can be used by men with both light and severe incontinence. Male external catheters come in several sizes and lengths to accommodate anatomical variation. It is very important that the male external catheter/urisheath fits well – both the diameter and the length.
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