Male Bladder Catheterization
Indications for the appointment of a catheterization of the bladder in men
Catheterization is prescribed for the local treatment of diseases of the bladder, with chronic and acute urinary retention, for taking samples for the purpose of conducting tests. The procedure is contraindicated in acute inflammation of the body, inflammation of the urethra, bladder injuries. For catheterization using several types of tools. In order to confirm the diagnosis of the disease or intermittently (intermittently, up to 6 times a day), a Nelaton catheter is used.
In patients with gross hematuria (when there is some blood in the urine), three-way catheters are used. The third move is used for the purpose of continuous irrigation of the organ. The Foley catheter also has an additional stroke, it is used to supply fluid to the balloon of the instrument. The procedure for catheterization of the bladder in men will be different complexity, due to the fact that the length of the urethra can reach up to 25 cm in length.At the same time there are 2 physiological contractions, which usually prevent the passage of the instrument.
How to carry out catheterization of the bladder in men
Before the procedure, a medical professional thoroughly rubs the head of the penis, the foreskin and the opening of the patient's urethra with a cotton swab dipped in the boric acid solution. Then the catheter is treated with sterile glycerin, it is allowed to use vegetable or petroleum jelly. The patient should lie down on a couch, on his back, spread his legs and slightly bend them at the knees.
Between the feet, install a urinal, urine must flow into it. The health worker takes the penis in one hand, and the other, with effort, but carefully, inserts a catheter into the patient's urethra, using a napkin or forceps. Urine should appear immediately after the instrument is in the bladder.
If a soft catheter cannot be inserted, use a metal tube. To avoid a narrowing of the orifice of the foreskin, the head of the penis is covered with the foreskin. The catheter is removed a little earlier than all the urine is expelled. This is necessary so that the urethra, after the removal of the instrument, is flushed with urine.
Bladder catheterization can be permanent or temporary.In the first case, the instrument is connected to a drainage bag (urine collector), which must be fixed on the leg so that the patient can move freely. Large collectors are suspended from the bed to collect urine at night.
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