The procedure of urinary catheterisation facilitates the direct drainage of the bladder for either diagnostic purposes or therapeutically to provide irrigation, instill medication and relieve urinary retention (DOH 2007, p. 52). Catheter tubes are inserted through the penis into…
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es are verified, they should be positioned as comfortable as possible in order to reduce anxiety and also facilitate access to their anatomy (Michael 2012, p. 31). The proper type and size of catheter is selected and then the genital area cleansed thoroughly. In case of an uncircumcised patient, the foreskin should be retracted and the area cleansed with saline (Saint 2000, p. 804). This reduces chances of contamination and trauma to the urethra. The penile urethra is straightened by extending the penis at a 90 degree angle to the body to facilitate the administration of local anaesthetic gel. The gel, which requires approximately five minutes to take effect, will dilate, lubricate and anaesthetise the urethral passage (Bradsley, A 2005, p. 45). The catheter is then inserted approximately 20 centimetres into the urethra, at which point urine should flow. In case of resistance at the sphincter, gentle pressure should be applied on the catheter. It is then inflated to make sure it remains in situ and a suitable closed drainage unit attached. Before the foreskin is returned to its position, it must be dry and clean (Francis 2008, p. 69). Indications include acute urinary retention, hygienic care of patients who are bedridden and monitoring the output of urine. Traumatic injury of the urinary tract, such as a urethral tear, will contraindicate urinal catheterisation. Possible complications include infection, bladder spasm and trauma to the bladder neck or urethra (Stewart 1998, p. 124).
Michael, S 2012, ‘A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter-associated urinary tract infections’, Urology Nursing, vol. 32, no. 1, pp. ...
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