Surgery - Urethral Catheterisation

Question 1

What are the indications for urethral catheterisation?

Answer 1

Acute/chronic urinary retention
Output monitoring
Incontinence
To aid surgery

Question 2

What are the contraindications for urethral catheterisation?

Answer 2

Urethral injury

Acute prostatitis

Question 3

What can be done to reduce the incidence of stricture formation and retrograde infection?

Answer 3

Size 12 for females, 14 for males
Clean catheter tube/entry site 2x daily
Change leg/night bag weekly
Use appropriate leg straps/catheter sleeve
Empty bag when 2/3 full

Question 4

What are the alternatives to urethral catheterisation?

Answer 4

Suprapubic catheterisation
-mandatory if pelvic trauma/suspected urethral injury
USS guided drainage

Question 5

What complications are associated w/ urethral catheterisation?

Answer 5

Retrograde infection
Paraphimosis (if foreskin not replaced)
Creation of false passages
Urethral strictures
Urethral perforation
Bleeding

Question 6

How should a urine sample be obtained from a catheter?

Answer 6

Aseptically from port in catheter tubing OR

Aseptic aspiration of tubing