GYN BLADDER RETRAINING &
SUPRAPUBIC CATHETER CARE
DISCHARGE INSTRUCTIONS
PLEASE PLACE PATIENT LABEL
CAREFULLY HERE
Physician Name:____________________ Physician Phone Number:________________
 Re-clamp the catheter tube for another 2
The following instructions are for bladder
hours, or when your bladder feels full (if
retraining after your surgery if you are sent
before the 2 hours have passed)
home with a suprapubic catheter:
 You (or a caregiver) will be:
 Clamping and releasing the catheter at
intervals.
 Attempting to urinate normally after
your catheter has been clamped for a
while.
 Recording the amount of urine you are
voiding as well as any urine that
remains in your bladder after a normal
voiding.
 When recording amounts of urine, use
ounces or milliliters.
 The word “voided” means the same as
“urinated”.
 The word “residual” is the amount of urine
that is left in your bladder after you
voided.
 Begin by clamping the tube to your catheter
securely.
 When your bladder feels full, or after 2 hours
have passed:
 Place a urine collection pan on your
toilet. You may use the one that was used
in the hospital.
 Try to urinate while the catheter tube
remains clamped.
 If you are able to urinate:
 Record the amount of urine under the
“Voided” column on the form provided to
you.
 Empty this urine into the toilet & flush.
 Immediately release your catheter clamp &
allow the urine remaining in your bladder
to drain into the catheter bag for
approximately 10 minutes.
 Empty the urine from the bag into the
collection pan & record the amount of
urine under the “Residual” column on the
form provided to you. You can then flush
this urine in the toilet as well.
 If you are not able to urinate and/or you become
uncomfortable:
 Release the catheter clamp and allow
your urine to drain into the bag.
 Record “0” for the amount voided on
the form provided.
 On your first return visit to our office:
 Bring the form with all of your voiding and
residual records for your physician to review
them.
 While at home, if at any time your bladder
becomes uncomfortably full, and you are not
able to void or drain your urine into the catheter
bag:
 Please call your physician or
 Go to the Emergency Room.
The following instructions are for suprapubic
catheter site care:
 Clean the insertion site of the suprapubic site at
least once a day and more often if your physician
tells you to do so. Wash your hands and
maintain privacy.
 Hold the catheter erect while cleaning. Use
gauze moistened with cleansing agent ordered
per physician to clean site.
 Swab in a circular motion starting closest to the
drain and continuing in outward widening circles
for approximately 2 inches.
 Use a new piece of moistened gauze to gently
clean the base of the catheter, moving up and
away from site of insertion. Do not pull catheter.
 Apply a dry split gauze around catheter around
the insertion site and tape in place.
 Secure catheter to abdomen with tape or tube
holder to reduce tension on insertion site.
 Check the bag and tubing for security.
If you have any problems or questions, please contact your physician. I have received a copy of the above
instructions. I understand and accept them.
Patient Signature__________________________Nurse Signature_________________________
Date____________Time__________________
BLADDER TRAINING
Date
Time
Voided
Amount
Approved OB/GYN Department 9/2006
Original 9/2006
Residual
Amount
Date
Time
Voided
Amount
Residual
Amount