Urinary Catheterization Procedure or Process for Male
What Do You Mean by Urinary catheterization?
Introducing a catheter into the urinary bladder through the urethra using aseptic technique for the purpose of emptying the bladder is called urinary catheterization.
Urinary Catheterization Procedure for Male:
Articles needed for female catheterization:
It includes-
- A sterile tray,
- Rubber catheters,
- Sterile cotton swabs in a bowl,
- Sterile kidney tray,
- Sterile gloves,
- Sterile gauze pieces,
- Sterile towel for spreading below the vulva,
- Light source or torch. (This is required even in daytime to find out the female urethral orifice, which otherwise may pose difficulty without a torch).
- A sterile bottle if a sterile specimen is required.
- Mackintosh,
- Bedside screen,
- Unsterile kidney tray.
Male Urinary Catheterization Procedure:
It includes-
- Place the patient in the supine position with legs extended and flat on the bed.
- Prepare the catheterization tray and catheter and drape the patient appropriately using the sterile drapes provided. Place a sterile drape under the patient’s buttocks and the fenestrated (drape with a hole) drape over the penis.
- Apply water-soluble lubricant to the catheter tip.
- With your non-dominant hand, grasp the penis just below the glans and hold it upright.
- If the patient is uncircumcised, retract the foreskin. Replace the foreskin at the end of the procedure.
- With your dominant hand, cleanse the glans using chlorhexidine-soaked cotton balls. Use each cotton ball for a single circular motion.
- Place the drainage basin containing the catheter on or next to the thighs.
- With your non-dominant hand, gently straighten and stretch the penis. Lift it to an angle of 60-90 degrees. At this time, you may use the urojet to anesthetize the urinary canal, which will minimize the discomfort.
- With your dominant hand, insert the lubricated tip of the catheter into the urinary meatus.
- Continue to advance the catheter completely to the bifurcation, i.e., until only the inflation and drainage ports are exposed and urine flows (this is to ensure proper placement of the catheter in the bladder and prevent urethral injuries and hematuria that result when the Foley catheter balloon is inflated in the urethra).
- Note: If resistance is met during advancement of the catheter, pause for 10-20 seconds. Instruct the patient to breathe deeply and evenly. Apply gentle pressure as the patient exhales.
- If you still meet resistance, stop the procedure and repeat the above steps.
- Attach the syringe to the sterile water and inflate the balloon. It is recommended to inflate the 5cc balloon with 7-10cc of sterile water, and to inflate the 30cc balloon with 35cc of sterile water. Improperly inflated balloons can cause drainage and leakage difficulties.
- Gently pull back on the catheter until the balloon engages the bladder neck.
- Attach the urinary drainage bag and position it below the bladder level. Secure the catheter to the thigh. Avoid applying tension to the catheter.
- Remove drapes and cover the patient. Ensure the drainage bag is attached to the bed frame. Remove your gloves and wash your hands.
- Note: Never inflate a balloon before establishing that the catheter is in the bladder and not Fo just in the urethra. If the patient reports discomfort, withdraw the fluid from the balloon and advance the catheter a little further, then re-inflate the balloon.
More questions related to this article:
- Define urinary catheterization.
- What do you mean by urinary catheterization?
- How will you insert a male catheter?
- Explain the nursing intervention during male catheterization.
- Write down the procedure of male catheterization.
- Urinary catheterization procedure for males.
- Male urinary catheter insertion procedure details.
- Urinary catheterization procedure for a male.
- Male and female catheterization procedure details.
- How is a catheter inserted in a male for a C-section?
- How to insert a catheter in a male patient?
Maria Khatun Mona is a Founder and Editor of Nursing Exercise Blog. She is a Nursing and Midwifery Expert. Currently she is working as a “Senior Staff Nurse” at “Dinajpur Medical College Hospital”, Bangladesh. She has great passion in writing different articles on Nursing and Midwifery. Mail her at “maria.mona023@gmail.com”