Childr Health Information

Catheterization: Home Intermittent (Boy)

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Topic: Tests & Procedures


This handout was written to answer some of the questions most often asked about intermittent catheterization. Feel free to ask your doctor or nurse to go over any information you do not understand.

WHAT IS INTERMITTENT CATHETERIZATION?
It is the process of draining the bladder of urine at regular times using a catheter (small tube).
1. To drain the bladder of urine
2. To prevent leaking and dribbling of urine
3. To prevent repeated bladder and kidney infections (infections may cause permanent kidney damage)
4. To prevent reflux (backflow) or urine from the bladder to the kidneys (Reflux can also cause permanent kidney damage)

WHEN SHOULD I DO CATHETERIZATION?
The schedule is usually four times a day or every four hours while awake. Your schedule is as follows:
Times
___________________ ____________________ ___________________
___________________ ____________________ ___________________
___________________ ____________________ ___________________
At school you will need to catheterize
_______________________________ ______________________________
Note: Do not stop catheterization even if you think it is not working and yourchild is leaking urine between catheterizations. Sometimes medication is needed to help your child stay dry longer. Please inform your doctor.

WHAT EQUIPMENT WILL I NEED FOR INTERMITTENT
CATHETERIZATION?

1. Catheter __________________________________________
2. Solution to clean genital area __________________________
3. Cotton balls or towelettes
4. Water-soluble lubricant _______________________________
5. Container to put urine in
6. Chart for recording (see example)

HOW SHOULD I CLEAN AND CATHETERIZE MYSELF?
1. Gather equipment.
2. Wash hands with soap and water.
3. Open equipment. Squeeze lubricating jelly onto toilet tissue. Roll the small end of the catheter around in the jelly. Lubricate it to about two inches down from the tip.
4. Hold penis on the sides so as not to pinch off the urethra (urine passageway).
5. Wash around the urinary meatus (the hole at the tip of the penis).
6. Hold the penis straight up and gently put the catheter into the urinary meatus.
7. If it feels a little hard going in, you are at the sphincter muscle. Take a nice deep breath, relax and continue to gently put the catheter in.
8. When urine starts to flow put it in a little further about ½ inch.
9. Let urine drain to the __________________________________.
10. Remove the catheter gently when urine stops flowing.
11. Wipe genital area clean.
12. Clean catheter (see below).
13. Wash hands with soap and water and put away supplies.
14. Measure the amount of urine and record on the chart.

HOW SHOULD I CLEAN MY CATHETERS?
1. Wash catheters with soap and water.
2. Wipe dry with a clean paper or cloth towel.
3. Store the catheter in anything clean and dry. Plastic food bags are useful because a clean one could be used every day.
4. Every few days you may flush the catheter inside and out with a full strength distilled white vinegar to decrease crystal build up.
5. Catheters can be reused until they are too limp or too brittle to handle. Note: In the hospital (as an inpatient), a new catheter will be used each time the catheterization is done. Keep the used catheters and take them home. Clean the tubes before using. (If the nurse does the catheterization, she will wear gloves. This is for your child’s protection.)

WHY SHOULD I KEEP A RECORD?
1. The record helps your urologist, (doctor that takes care of the kidneys) or the nurse decide if the intermittent catheterization is working. Be sure to keep good records.
2. A sample of this record is in back of this sheet. This is how the records should be kept.
3. Bring the record with you when you come to the clinic.

WHAT ARE SOME SIGNS OF INFECTION?
1. Fever
2. Chills
3. Back Pains
4. Stomachaches
5. Dark colored, bloody or cloudy urine
6. Foul smelling urine
7. Need to urinate more often
8. Not staying dry between catheterizations (Remember this may happen even if you do not have an infection).
The only way we can tell if there is an infection is by testing the urine. The test results take two or three days.

WHAT SHOULD I DO IF I HAVE ANY OF THESE SIGNS?
1. Contact: __________________________________________
2. You may be asked to bring in a catheterized specimen (sample) to the clinic or lab.
3. If you are taking an antibiotic, report the name of the antibiotic to the lab or clinic.
4. Make sure you use a new catheter and put the urine in a sterile (clean) container.
5. Collect the specimen right before you come into the clinic.

PDF: Child Health Information - CATHETERIZATION: HOME INTERMITTENT (BOY)

Derechos de autor(c) de The Children's Medical Center, ano 1999. Este material unicamente tiene fines educativos. No puede ser reproducido, distribuido ni modificado sin previa autorizacion de The Children's Medical Center of Dayton, One Children's Plaza, Dayton, Ohio, 45404-1815. Llame al 937-641-3666 para solicitar autorizacion o para obtener un juego maestro para copias. Para obtener mas informacion puede visitar www.childrensdayton.org (consulte la seccion de informacion legal).

La informacion contenida en este material es unicamente informacion de tipo general. No debe considerarse como completa. Para obtener mas informacion acerca de los complementos para leche materna, por favor pidala a su doctor.
Corregido: 1992, 1998, 2000, 2002

The information contained in this handout is for general information only and should not be considered complete. For specific information about bathing your baby, please ask your doctor or nurse practitioner.

Additional information may be located in the Family Resource Center, 2nd floor, near the Outpatient Surgery Center. Hours of the center vary; please contact the Family Resource Center at 937-641-3700.

Copyright(c) The Children's Medical Center of Dayton. This material is for educational purposes only. It cannot be reproduced or distributed without permission from Dayton Children's.
Revised: 1992, 1998, 2000, 2002

 

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