What is an Intermittent (Straight) Catheter?
An
intermittent catheter is a medical device used to empty the bladder. It is designed for temporary use and is inserted into the bladder through the urethra. It is called "intermittent" because it is used periodically rather than left in place continuously. In gynecology, these catheters are commonly used to manage urinary retention, post-surgical bladder drainage, and other related conditions.
Postoperative Care: After certain gynecological surgeries, such as hysterectomy or pelvic reconstructive surgery, bladder function may be temporarily impaired.
Urinary Retention: Conditions like pelvic organ prolapse or endometriosis can lead to urinary retention, where the bladder cannot empty completely on its own.
Diagnostic Procedures: Intermittent catheters can be used to collect sterile urine samples or measure post-void residual urine volume.
Hand Hygiene: Wash hands thoroughly with soap and water.
Preparation: Gather all necessary supplies, including the catheter, lubricant, and a collection container.
Insertion: Gently insert the lubricated catheter into the urethra until urine begins to flow.
Drainage: Allow urine to drain into a collection container or toilet.
Removal: Once the bladder is empty, carefully remove the catheter and dispose of it properly if it is a single-use device.
Urinary Tract Infections (UTIs): Insertion of the catheter can introduce bacteria into the urinary tract, leading to infections.
Urethral Injury: Improper insertion technique can cause trauma to the urethra.
Bladder Spasms: Some patients may experience bladder spasms during or after catheterization.
Always practice
hand hygiene before and after catheterization.
Use a sterile or clean technique as recommended by your healthcare provider.
Lubricate the catheter adequately to reduce friction and trauma.
Follow your healthcare provider's instructions on the frequency of catheterization to prevent overuse or underuse.
Indwelling Catheters: These are left in place for an extended period and may be an option for patients who cannot manage intermittent catheterization.
Suprapubic Catheters: Inserted directly into the bladder through the abdomen, these catheters are another alternative for long-term use.
Medications: Certain medications may help improve bladder function and reduce the need for catheterization.
Pelvic Floor Therapy: Strengthening pelvic floor muscles can sometimes improve bladder control and reduce the need for catheterization.
Conclusion
Intermittent catheters play a crucial role in managing various gynecological conditions. Understanding their proper use, potential risks, and alternatives can help ensure optimal care and outcomes. Always consult with a healthcare provider for personalized advice and instructions tailored to your specific needs.
