Male & Female Catheterization (NEJM)

Figure 1
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Male urethral catheterization may be performed as either a therapeutic or a diagnostic procedure. Therapeutically, catheters may be placed to decompress the bladder in patients with acute or chronic urinary retention. In addition, catheters may be placed to facilitate bladder irrigation in patients with gross hematuria. Diagnostically, urinary catheters may be placed to obtain an uncontaminated urine sample for microbiologic testing, to measure urinary output in critically ill patients or during surgical procedures, or to measure post-void residuals. The only absolute contraindication to urethral catheterization is known or suspected urethral injury, usually in the setting of a pelvic fracture. Trauma patients . . . . View Video

Chapters:

  • Introduction
  • Indications
  • Contraindications
  • Equipment
  • Anatomy
  • Preparation
  • Catheterization
  • Troubleshooting
  • Complications

Figure 1
View Video
Female urethral catheterization, the insertion of a catheter through the urethra into the urinary bladder to permit drainage of urine, is a fundamental skill for the practicing health care professional. This video discusses the indications for catheterization, the equipment available, the current methods of catheter insertion and maintenance, potential complications, and how to troubleshoot common problems. Indications Female urethral catheterization is indicated for both therapeutic and diagnostic purposes. Urinary catheterization is therapeutic in several circumstances. It permits effective bladder drainage in patients with acute or chronic urinary retention. A urinary catheter may be used to instill medication for local . . . .

Chapters:

  • Introduction
  • Indications
  • Contraindications
  • Equipment
  • Preparation
  • Anatomy
  • Procedure
  • Complications
  • Summary