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Equipment:
- Use size 16Ch or 18Ch Catheters (some people have a size 20Ch or 22Ch)
- Use Hydrogel coated latex catheters or 100% silicone catheters. (100% silicone catheters are more difficult to remove than hydrogel coated latex catheters)
- NB if you have a latex allergy use 100% silicone catheters
- If you have frequent urinary tract infections (UTI) you may benefit from using a silver coated catheter (seek advice)
- Secure the catheter tubing to the lower abdomen and thigh to prevent ‘tugging’ of the catheter. Seek advice about appliances for this
- Change the catheter every 6-8 weeks
- Drink 2-3 litres of fluids per day
- If able, use a catheter valve to maintain bladder tone and capacity. Seek advice if you would like to use a catheter valve
- Overnight attach a night bag (2 litre capacity) to your leg bag
- Bladder washout solutions or instillations may be used to wash out your bladder if your catheter consistently blocks with encrustations and requires frequent changes
- Solutions used vary from saline to acidic solutions. Frequency of use depends on frequency of catheter blocks
Warm the solution prior to use to reduce discomfort and spasm- NB Do not use acidic solutions more frequently than once a week as they can irritate the bladder lining
Problems that may occur:
- Urinary tract infections (UTI): drink 2-3 litres of fluid per day. Try to avoid taking antibiotics if possible. Seek medical advice if persistent
- Catheter blocks: use bladder washouts as advised, seek medical advice if persistent
- Urine leakage from below (urethra): seek advice
- Bladder, kidney stones: use bladder washouts as advised, seek medical advice
- Over granulation and/or discharge from the catheter site: ensure site is kept clean, and a dressing applied if necessary. Seek advice
- Chronic bladder infections: seek medical advice
- Bleeding: if you have bleeding around the site of the catheter (trauma), and/or pink/red coloured urine (haematuria) seek medical advice
If any of the above occurs, seek advice from:
- The Outpatient Nurses
- Your GP/District Nurse
If you would like to learn how to change your catheter please discuss with your Consultant or the Outpatient Nurses
