Indwelling catheter care

Description:

You have an indwelling catheter (tube) in your bladder. "Indwelling" means inside your body. This catheter drains urine from your bladder into a bag outside your body. Common reasons to have an indwelling catheter are urinary incontinence (leakage), urinary retention (not being able to urinate), surgery that made this catheter necessary, or another health problem.

What to Expect at Home:

You will need to make sure your indwelling catheter is working properly. You will also need to know how to clean the tube and the area where it attaches to your body so that you do not get an infection or skin irritation. Make catheter and skin care part of your daily routine. Drinking 8 to 12 glasses of water every day will also help keep infection away.

Avoid physical activity for a week or two after your catheter is placed in your bladder.

Cleaning Your Skin:

Cleaning the Catheter:

Follow these steps two times a day to keep your catheter clean and free of germs that can cause infection:

• Wash your hands well with soap and water. Be sure to clean between your fingers and under your nails.
• Change the warm water in your container if you are using a container and not a sink.
• Wet the second washcloth with warm water and soap it up.
• Gently hold the catheter and begin washing the end near your vagina or penis. Move slowly down the catheter (away from your body) to clean it. NEVER clean from the bottom of the catheter toward your body.
• Gently dry the tubing with the second clean towel.

Women will attach the catheter to their inner thigh. Men will attach it to their belly.

Making Sure Your Catheter Is Working:

You will need to check your catheter and bag throughout the day.

• Always keep your bag below your waist.
• Try not to open the catheter more than you need to. Keeping it closed will make it work better.
• Check for kinks, and move the tubing around if it is not draining.
• Drink plenty of water during the day to keep urine flowing.

When to Call the Doctor:

Call your doctor or nurse if:

• You have pain near the catheter.
• Your bag is filling up quickly, and you have an increase in urine.
• You are leaking urine.
• You notice blood in your urine a few days after you leave the hospital.
• Your catheter seems blocked.
• You notice grit or stones in your urine.
• Your urine smells bad, or it is cloudy or a different color.
• You have signs of infection (burning sensation when you urinate, fever, or chills).