If you have a urinary catheter and despite that, you feel the need to defecate, Read more.
Urine catheters are thin, very flexible tubes that are used to collect your urine in a urinary drainage bag.
In fact, the urinary catheter removes your urine from the bladder, the flexible tube of the urinary catheter is inserted by a doctor or nurse and is tightened so that it does not leave the body.
What are the types of urinary catheters?
- Internal catheters:
There are catheters that are inserted into your body and have a bag that expands like a balloon and holds the catheter firmly in the bladder opening.
There are two types of internal catheters:
- Foley catheter or common urinary catheter:
It is a very thin tube that is inserted through your urethra and rises to the bladder. At the end of this tube, there is a balloon that will be filled with normal saline when inserted by a nurse or doctor. This dilated balloon holds the catheter in place in the bladder; the outer end of the catheter is attached to the urinal bag outside the body, where urine collects.
- Suprapubic catheter:
The surgeon makes a small hole a few centimeters below the abdomen and inserts a suprapubic catheter into the bladder through this hole.
- External or extracorporeal urinary catheters
- Condom catheter:
It is a device that, like a condom, covers the head of the penis in men, and from this condom, a tube is connected to the urinal bag.
Condom catheters are used in men who have mental and functional problems.
Condom catheters are both easy to use and do not have many complications for infecting.
These catheters often need to be replaced daily, but there are types that are designed to last longer.
- Alternating or short-term catheters:
They are usually implanted shortly after surgery to empty the bladder. These disposable catheters may need to be used at regular intervals or only when you need to defecate.
When is a urinary catheter used?
If a person has difficulty urinating for any reason, a urinary catheter is used to empty the bladder.
Sometimes it is necessary to use a urinary catheter to empty the bladder after surgery or while performing special tests.
Common causes include:
- Urinary obstruction caused by:
- Inability of the bladder to contract and excrete urine
- In some surgeries:
For therapeutic purposes such as direct injection of chemotherapy drugs into the bladder, the residence time of urinary catheters depends on their type and the reason for their use.
If the catheter is to be left for a long time, important precautions must be taken to prevent infection.
The risk of urinary tract infections is very high in people who have an underlying disease and are hospitalized and have a long-term urinary catheter.
What are the complications of urinary catheters?
- Urinary tract infections:
They are the most important and main complication of urinary catheters; the infection can be in the bladder or it can affect the kidney tissue by ascending to the kidney tissue.
In pyelonephritis or kidney tissue infection, there is a high risk of infection entering the bloodstream and involving the whole body with the infection.
Treatment of urinary tract infections in people who have a urinary catheter should be done with appropriate antibiotics.
The duration of urinary catheter retention is directly related to the risk of urinary tract infection.
Urinary catheter-induced urinary tract infections are very common in hospitalized patients, the longer the urinary catheter stays, the greater the risk of developing a urinary tract infection.
Urinary catheter-induced urinary tract infections are very common in hospitalized patients. This risk will be higher in people with underlying diseases and in internal catheters.
What are the symptoms of urinary tract infection in people who have a urinary catheter?
- Pain that will be in the lower abdomen or groin.
- High fever
- Deterioration of the general condition
- loss of appetite
- Leakage of urine:
A person who has an internal urinary catheter, that is, people who have a Foley catheter or a suprapubic catheter, may feel that leakage of urine occurs around the catheters due to straining during defecation or coughing.
- Bladder wall muscle spasm:
When a person has an internal catheter, a Foley catheter or a super-pubic catheter, they may feel that their bladder wall has become stiff and spasmodic.
This condition can make a person with an internal urinary catheter feel like urinating.
Other complications of urinary catheter include the following:
- Urethral injury, narrowing of the urethra due to repeated catheterization
- Bladder injury
- Injury to the rectum
What points should you pay attention to if you want to prevent complications following the implantation of a urinary catheter?
Keep the patient hydrated until the person’s urine is pale.
Prevent constipation by drinking plenty of water, healthy fluids, eating fresh fruits and vegetables, and dietary fiber and bran.
Do not smear lotion or powder around the urinary catheter at the junction with your body.
Periodically check the condition of the catheter.
Clean the urinary catheter once in the morning and once in the evening.
How to clean a urinary catheter
First, wash your hands with soap and water.
Hold the catheter in your hand and hold the soapy tissue in your other hand, and clean from the catheter attachment to your body toward the urinary bag with the tissue.
Clean the skin around the junction of the urinary catheter with soap and a damp cloth.
Clean the Foley catheter this way:
Start cleaning from the top of the penis and go to the anus.
Clean the skin of your abdomen around the suprapubic catheter with soap and a damp cloth.
Now dry the cleaned catheter with a clean towel.
Wash your hands again with soap and water.
In what cases is it necessary to see a doctor?
If there is a urinary catheter, it is necessary to see a doctor in the following cases:
- Foley catheter or subrapubic catheter removal
- Leakage of urine from the sides of the urinary catheter
- Obstruction of the urinary catheter
- Discoloration of urine collected in urinary bag, dark and cloudy urine, bloody urine, presence of blood in urine
- Existence of symptoms of urinary tract infection such as:
- Lower abdominal pain spreading to the groin
- Nausea, vomiting
- Deterioration of the general condition
- Exposure to severe spasms or persistent spasms of the bladder wall that induce a feeling of need to urinate in a person with a urinary catheter.