Introduction
It is a simple and clean procedure. It helps to empty your residual urine completely by inserting a small catheter into your bladder. It is the treatment option (temporary or permanent) for poor voiding function. Indications include retention of urine, impaired or poor bladder muscle contractility resulting in poor voiding function, pelvic nerve injury and spinal cord injury.
Advantages
- Relieve retention of urine
- Preserve renal function
- Reduce rate of urinary tract infection because of long term self retaining urinary catheter
- Maintain normal sexual life
- No need to have self retaining catheter connected to urine drainage bag all the time
Required equipment
- Nelaton urinary catheter
- Adult: Fr. 10-12; Child: Fr. 8
- Towels or wet wipes
- Liquid soap
- Hibirub (optional)
- Lubricant
- Urine container
- small mirror (for female patient)
Procedures
- Prepare all the required equipment
- Take off your pants, roll up top jacket to level of waist
- Wash hands well with liquid soap
- Dry hands with towel
- Lubricate catheter with lubricant e.g. K-y Jelly
For male
- Retract the foreskin and swab glans penis thoroughly
- Swab the urethral meatus carefully with wet wipes or towel
- Rub hands with Hibirub and let it dry
- Pick up the catheter with right hand
- Do not touch the end that is going into the bladder
- Hold the glans penis straight with left hand
- Gently insert the catheter through the urethral opening into the bladder by your right hand
- While inserting the catheter through the urethra into your bladder, you may feel slight resistance from the sphincter muscle, please relax fully by taking a few slow, deep breath. Keep gentle but steady pressure on the catheter. Once sphincter muscles relax, the catheter will slip into the bladder and urine comes out
- Leave the catheter in place until the urine stops flowing. Gently press on the lower abdomen to squeeze out the last drop
- Gently withdraw urinary catheter 1 or 2cm and press again
- Slowly remove and discard the catheter
- Wash hands
For female
- Spread the labia with the index and middle fingers with your left hand in order to get a good view of urethral opening (use mirror to confirm the position)
- Swab down the area from top to bottom
- Gently insert the catheter through the urethral opening into the bladder by your right hand
- While inserting the catheter through the urethra into your bladder, you may feel slight resistance from the sphincter muscle, please relax fully by taking a few slow, deep breath. Keep gentle but steady pressure on the catheter. Once sphincter muscles relax, the catheter will slip into the bladder and urine comes out
- Leave the catheter in place until the urine stops flowing. Gently press on the lower abdomen to squeeze out the last drop
- Gently withdraw urinary catheter 1 or 2cm and press again
- Slowly remove and discard the catheter
- Wash hands
Pay attention
- Please try to urinate before you do the catheterization
- If you feel there is resistance to pass the catheter, stop and relax for 5-10 seconds and then try again
- If you can't withdraw the catheter after the urine stops flowing, it is probably due to the urethral muscle spasm, stop withdrawing for a few minutes and then try again
- Seek medical advice immediately if:
-self catheterization failed
-Severe haematuria
-Turbid and foul smelling urine
-Lower abdominal pain - Keep fluid intake at least 1 to 2 liter every day
- Refrain from drinking 2 hours before bedtime
- Change catheter if you find the surface is cracked or not smooth
- Keep good personal hygiene
- Your schedule for the catheterization
times per day (Time )
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