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Catheters come in several basic designs: [1] A Foley catheter (indwelling urinary catheter) is retained by means of a balloon at the tip that is inflated with sterile water. The balloons typically come in two different sizes: 5 cm 3 and 30 cm 3. They are commonly made in silicone rubber or natural rubber.
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.
In some individuals, long-term permanent scarring and strictures of the urethra occur. [14] Defective catheters may be supplied, which break in situ. The most common fractures occur near the distal end or at the balloon. Catheters can be pulled out by patients while the balloon is still inflated, leading to major complications or even death.
It has become common practice for urologists to prescribe self-catheterization at weekly intervals for the post-urethrotomy patient. After voiding, and using sterile technique, a lubricated Foley catheter is passed into the urethra, through the surgically modified area, into the bladder and allowed to remain in place for up to ten minutes.
Intermittent catheterization performed at the hospital is a sterile technique. 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 ...
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