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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 ...
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.
A permanent urinary catheter may cause discomfort and pain that can last several days. Older people with ongoing problems may require continued intermittent self catheterization (CISC). CISC has a lower infection risk compared to catheterization techniques that stay within the body.
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The stent inserted has a small rare earth magnet attached to its bladder end which dangles freely within the bladder. When the stent needs to be removed a small catheter with a similar magnet is inserted into the bladder and the two magnets connect and the catheter and stent can be simply removed.
Rigid cystoscopy can be performed under the same conditions, but is generally carried out under general anesthesia, particularly in male subjects, due to the pain caused by the probe. The sizes of the sheath of the rigid cystoscope are 17 French gauge (5.7 mm diameter), 19 Fr gauge (6.3 mm diameter), and 22 Fr gauge (7.3 mm diameter).
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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