Superpubic Catheter Insertion

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How do I insert a superpubic catheter? Anything special I need to know?

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Specializes in Med-Surg, Wound Care.

The initial insertion is a surgical procedure by a doc. Changes can be done by a nurse with a doctors order only when the "stoma" is well established.

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suprapubic catheters

a suprapubic catheter is basically an indwelling catheter that is placed directly into the bladder through the abdomen. the catheter is inserted above the pubic bone. this catheter must be placed by a urologist during an outpatient surgery or office procedure. the insertion site (opening on the abdomen) and the tube must be cleansed daily with soap and water and covered with a dry gauze.

these catheters usually are changed by qualified medical personnel. the catheter may be attached to the standard drainage bags described above. a suprapubic catheter may be recommended in people who require long term catheterization, after some gynecological surgeries, and in people with urethral injury or obstruction.

complications of suprapubic catheter use may include: urinary tract or kidney infections, blood infections (septicemia), urine leakage around the catheter, skin breakdown, bladder stones, and blood in the urine (hematuria). after many years of catheter use, bladder cancer may also develop.

how to insert a catheter (men)

  1. assemble all equipment: catheter, lubricant, sterile gloves, cleaning supplies, syringe with water to inflate the balloon, drainage receptacle.
  2. wash your hands. use betadine or similar cleansing product (unless instructed otherwise) to clean the urethral opening.
  3. apply the sterile gloves. make sure you do not touch the outside of the gloves with your hands.
  4. lubricate the catheter.
  5. hold the member on the sides, perpendicular to the body. stretch the member away from the body.
  6. begin to gently insert and advance the catheter.
  7. you will meet resistance when you reach the level of the external sphincter. try to relax by deep breathing, and continue to advance the catheter.
  8. once the urine flow starts, continue to advance the catheter to the level of the "y" connector. hold the catheter in place while you inflate the balloon. some men have developed urethral injuries due to the balloon being inflated in the urethra. care must be taken to ensure the catheter is in the bladder. you may try to irrigate the catheter with a few ounces of sterile water. if the solution does not easily return, you may not have the catheter far enough in the bladder.
  9. secure the catheter, and attach the drainage bag.

how to insert a catheter (women)

  1. assemble all equipment: catheter, lubricant, sterile gloves, cleaning supplies, syringe with water to inflate the balloon, drainage receptacle.
  2. wash your hands. use betadine or cleansing product to clean the urethral opening. in women clean the labia and urethral meatus using downward strokes. avoid the anal area.
  3. apply the sterile gloves. make sure you do not touch the outside of the gloves with your hands.
  4. lubricate the catheter.
  5. spread the labia and locate the meatus (opening which is located below the privy parts and above the lady parts).
  6. slowly insert the catheter into the meatus.
  7. begin to gently insert and advance the catheter.
  8. once the urine flow starts, advance the catheter another 2 inches. hold the catheter in place while you inflate the balloon. care must be taken to ensure the catheter is in the bladder. if pain is felt while inflating the balloon, stop. deflate the balloon, advance the catheter another 2 inches, and attempt to inflate the balloon again.
  9. secure the catheter, and attach the drainage bag.

http://sidesearch.lycos.com/?query=suprapubic+catheter+insertion&offset=0&hurl=

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SUPRAPUBIC CATHETERS

A suprapubic catheter is basically an indwelling catheter that is placed directly into the bladder through the abdomen. The catheter is inserted above the pubic bone. This catheter must be placed by a urologist during an outpatient surgery or office procedure. The insertion site (opening on the abdomen) and the tube must be cleansed daily with soap and water and covered with a dry gauze.

These catheters usually are changed by qualified medical personnel. The catheter may be attached to the standard drainage bags described above. A suprapubic catheter may be recommended in people who require long term catheterization, after some gynecological surgeries, and in people with urethral injury or obstruction.

Complications of suprapubic catheter use may include: urinary tract or kidney infections, blood infections (septicemia), urine leakage around the catheter, skin breakdown, bladder stones, and blood in the urine (hematuria). After many years of catheter use, bladder cancer may also develop.

http://sidesearch.lycos.com/?query=suprapubic+catheter+insertion&offset=0&hurl

http://bmc.ub.uni-potsdam.de/1471-2490-4-16/Case report

Delayed bowel perforation following suprapubic catheter insertion

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