- Urinary vs. suprapubic
- Optionally: Size
- Lumen number
- Catheter bag
- Knowledge: indications for
- Urinary is inserted up urethra.
- Suprapubic is inserted suprapubically
- Can't comment on urinary vs. suprapubic unless you can see where it goes in.
- Indications for suprapubic not urinary:
- Urethral injury.
- Acute prostatitis.
- Foley [brown latex]: cheapest, commonest.
- Silastic [clear silicone]: can leave in longer time than Foley with less chance of
complications, like stricture.
- Special ones:
- Teeman: tapered tip for easier insertion around prostate.
- Coudé: angled for easier insertion around prostate.
- 12 to 24 for adults.
- 12 is smallest, 24 is largest.
- 12-16 usually range, big ones used for clots.
- Count number of lumens [tubes] it has: single, double, or triple lumen?
- Lumen 1: for urine to drain [self catheterization often has just 1 lumen].
- Lumen 2: for inflating the balloon to hold it in place.
- Lumen 3: for irrigation [Fluid from a bag will drip through this lumen into person to
wash out stuff, such as in after TURP operation].
- Amount of fluid.
- Color of fluid.
- Blood visible?
- Pus visible?
- Post-operative to assess urinary output, perfusion.
- Prostatic obstruction:
- BPH [most likely].
- CA of prostate.
- Other obstructions:
- Bladder CA.
- Infection [if recatherizing in hospital, often need single dose antibiotics].
- Trauma on insertion.
- Confused pt rips it out, causing trauma.
- Bladder spasm.