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Common indications for urinary catheterization include acute or chronic urinary retention (which can damage the kidneys) from conditions such as benign prostatic hyperplasia, orthopedic procedures that may limit a patient's movement, the need for accurate monitoring of input and output (such as in an ICU), urinary incontinence that may compromise the ability to heal wounds, and the effects of ...
Patients can be taught to use a self catheterization technique in one simple demonstration, [11] 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.
Intermittent catheters come in a variety of designs and differ for males and females, the former longer, the latter shorter. The catheter is inserted into the urethra by the patient or a carer and can either be directed down a toilet or, if measurement of volume is required, into a measuring jug.
These are used primarily after surgery on the bladder or prostate, to wash away blood and blood clots. In/out catheters that are almost always made of a semi rigid plastic. The in/out catheters are simply a double open ended tube, with no valves. The average female would use a 10Fr to a 12Fr and the average male would use a 12Fr to 14Fr.
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.
Pigtail catheter is a non-selective catheter with multiple side holes that can deliver large volumes of contrast into a blood vessel for imaging purposes. [29] Cobra catheter is a selective catheter used to catheterise downgoing vessels in the abdomen. Cobra catheters move forward by pushing and are removed by pulling. [30]
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