Foley Urethral Catheterization Module

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Foley Urethral Catheterization Module

• Vic V. Vernenkar, D.O
• Dept. of Surgery
• St. Barnabas Hospital

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Indications

• Assess indications.  Note that catheter insertion
  carries a risk of infection.  A specific surgical
  consent is not generally obtained.  Explain
  urethral catheterization (may be intermittent or
  indwelling).

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Indications

• Diagnostic
• To collect uncontaminated urine specimen
• Study anatomy of the urinary tract
• Urine output monitoring
• Therapeutic
• Acute urinary retention
• Chronic obstruction causing hydronephrosis
• Intermittent bladder decompression for
  neurogenic bladder
• Chronically bed-ridden patients for hygiene

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Contraindications

• Urethral injury                                   
           
• Trauma patients with blood at meatus or abnormal
  prostate location on rectal exam.

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 Equipment

• 1. Catheter tray.
• 2. Foley catheter18 F  adults
• 3. 18 F  Coudé if obstruction at prostrate
• 4. 5 12 F children
• 5. 5 F feeding tube with tape infants lt 6
  months
• 6. Drainage bag.
• 7. Transurethral topical Lidocaine jelly  
  OPTIONAL

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Procedure

• 1. Consider prophylactic antibiotics valvular
  heart disease or acute prostatitis.
• 2. Consider intraurethral anesthetic.
• 3. Position supine, frogleg or knees flexed.
• 4. Locate meatus.
• 5. Apply antiseptic.
• 6. Gently insert lubricated tube until urine is
  obtained.
• 7. Inflate retention balloon slowly with 5cc
  saline.
• 8. Connect to drainage system.
• 9. Secure tube with tape.    

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Female
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Male
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Removal

• Deflate retention balloon by aspirating contents
  with 10cc syringe from side port.

Withdraw catheter gently, taking care not to
splash from tip.