MALE URETHRAL
CATHETERIZATION
A routine medical procedure that facilitates direct
drainage of the urinary bladder
INDICATIONS
Diagnostic
Collection of urine specimen
Monitoring of urine output
Imaging of the urinary tract
Therapeutic
Acute urinary retention
Chronic obstruction
Continous bladder irrigation
Intermittent decompression for
neurogenic bladder
CONTRAINDICATION
Blood at urethral meatus
High riding prostate
Penile, scrotal or perineal
hematoma
Urethral or bladder
trauma
Urethral stricture
COMPLICATIONS
UTI
Paraphimosis
False passage
Urethral stricture
Perforation
Bleeding
TECHNIQUE
1. Introduce, explain about the
procedure and gain consent
2. Prepare the equipment in sterile
field
3. Position the patient in supine
position
4. Hold the penis vertically, retract
the foreskin and clean the penis.
5. Insert local anaesthetic gel into
the meatus and wait for 2 to 3
minutes for the effect
6. Insert the catheter slowly to the
meatus, and advance gradually
into the bladder.
7. Inflate the ballon with 10ml
water to secure the catheter.
8. Once the bladder is fully
inflated, slowly withdraw the
catheter until resistance noted.
Plastic apron
Two pairs of sterile gloves
Sterile water-filled syringe (10ml) for inflation of the catheter
balloon.
0.9% sodium chloride (10mls)
Lidocaine (1%) anaesthetic lubricating gel for insertion into
the urethra.
Male urinary catheter (12/14 french)
Catheter pack: including cotton wool balls, sterile gauze,
sterile drapes, absorbent pad and gallipot (a.k.a. a small pot).
Catheter bag
Urine collection bowl (a.k.a. a receiver)