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HealthInfo West Coast-Te Tai Poutini

Urinary catheters

A urinary catheter is a hollow flexible tube that drains urine from your bladder.

A catheter is usually used when people have difficulty passing urine or have difficulty completely emptying their bladder.

You may need a catheter for a short period, such as before or after surgery, or you may need it long term or permanently.

A urinary catheter can be fitted through your urethra (the tube that carries urine from your bladder). This is called a urethral catheter. A catheter can also be fitted through the wall of your stomach. This is called a suprapubic catheter. In both cases, a small inflated balloon keeps the catheter in place.

Urine flows through the catheter and collects in a drainage bag that's connected to the end of the tube.

A nurse may change your drainage bag or you may be taught to do it yourself. Your medical team will discuss this with you, as well as how often your bags are changed.

During the day

You can secure the day bag to your thigh or calf using straps. You can attach the bag to whichever side feels most comfortable. You should always keep the bag lower than your bladder.

The drainage bag has a valve at the bottom that you open to drain the urine that's been collected. You'll be taught how to do this.

You should empty the drainage bag every three to four hours during the day, or before the bag overfills.

Catheter valves

Some people with catheters use a catheter valve, with or without a drainage bag. When the valve is closed, it stops the urine draining from your bladder. You should open the valve every three to four hours or when your bladder feels full so the urine can drain into the toilet or a container.

At night

At night, you'll connect the day bag (or valve) to a larger bag called a night bag. You'll open the valve at the bottom of the day bag to allow the urine to drain freely into the night bag. This is so you don't have to wake up to empty your bag overnight and so you can move around when in bed.

You should place the night bag lower than your bed. Placing it in a container such as an ice cream container is a good idea in case there's any leakage.

In the morning, you'll close the valve at the bottom of the day bag and disconnect the night bag. You can empty the collected urine down the toilet.

Clean the night bag after each use with warm soapy water and allow it to dry thoroughly. Store the dried bag in a clean sealed plastic bag ready for the next time you use it.

Hygiene

Always wash your hands with warm water and soap after touching your catheter equipment.

Maintain good personal hygiene by washing yourself daily with soap and water.

Wash the area around where the catheter enters your body with soap and water daily. Dry it well with a soft towel.

Don't use talcum powder or creams around the catheter unless your doctor has prescribed them.

Keeping your catheter working properly

Avoid getting constipated as this can affect your urine flow.

Avoid having kinks in your catheter tubing.

Make sure you have a spare catheter and related equipment ready for the next change

Supplies

If you need a catheter for a long period, your doctor or nurse will arrange for the District Nursing Service to manage your catheter needs. The District Nursing Service will contact you once they receive the referral.

You can pick up your prescribed catheter supplies from:

Karamea rural nurse – (03) 782-6710

Ngakawau rural nurse – (03) 788-5063

Buller district nurses – (03) 788-9277

Reefton district nurses – (03) 732-6440

Moana rural nurse – (03) 738-0003

Greymouth district nurses – (03) 769-7721

Hokitika district nurses – (03) 756-9906

Hari Hari rural nurse – (03) 753-3008

Whataroa rural nurse – (03) 756-1080

Franz Josef rural nurse – (03) 752-0700

Fox rural nurse – (03) 751-0836

Haast rural nurse – (03) 750-0800

Monday to Friday 8.30 am to 4.30 pm

If you go away on holiday, remember to tell the district nursing service, or rural nurse specialist

On the next page: Trial without catheter (trial of void)

Written by HealthInfo clinical advisers. Endorsed by Urology Department, Canterbury DHB. Page created August 2018.

Sources

Page reference: 209944

Review key: HIURS-53047