Guidelines to Male Catheterization
Ain Shams Univ.undergraduate courses
- Check availability
of required equipment:
·
Sterilization equipment (betadine,
drapes, swabs)
·
Sterile gloves
·
Appropriate catheter (as regards size
& type)
·
Urine collecting bag
·
10mL syringe containing 2% lignocaine
gel
·
10mL syringe containing sterile water
·
Adhesive tape
·
Water-soluble lubricating gel
- Introduce yourself to the patient
- Explain the procedure and take an oral consent
- Position the patient (supine, with legs apart)
- Wash and dry your hands
- Wear the sterile gloves
- Drape your patient while exposing the penis
- Retract the foreskin (if uncircumcised) by your
non-dominant hand
- Hold the penis stretched vertical to the body by your
non-dominant hand (this hand should not get
involved in anything sterile thereafter)
- In circular motion sterilize the skin from the meatus growing
outwards
- Apply the lignocaine gel, then squeeze the meatus closed for 5
minutes
- Attach the urine collecting bag to the catheter
- Lubricate the tip of the
catheter then progress it gently
- Upon achieving a stream of urine, inflate the balloon with 10mL
water
- Gently retract the catheter until resistance is felt
- Secure the catheter to the patient's thigh
- Protract the foreskin (if uncircumcised)
- Comfort the patient
- Record the following:
·
Time of catheterization
·
Volume used to inflate the balloon
·
Initial volume of urine retrieved from
catheterization
