What Is A Catheter?
A look a what's a catheter, how they work and what they are used for.
Indwelling catheters are usually required short term for a number of weeks or months when continuous bladder drainage is needed, but occasionally they are required for long-term use.
Catheters are manufactured in a variety of materials, which mean they can be left in place for many weeks.
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What does a catheter look like?
Male & Female Lower Urinary Tract
The lower urinary tract is the term used to describe the bladder and urethra, whereas the upper urinary tract refers to the kidneys and ureters.
Why would someone need a Catheter?
With a limited capacity of 300 – 500 ml, the bladder evacuates its contents intermittently about 6 – 10 times in 24 hours. This cyclical filling and emptying of the bladder demands perfect paradoxical coordination between bladder and urethra; as the bladder relaxes to accommodate the increasing volume of urine so the urethra contracts to prevent leakage and vice versa when the bladder empties.
The control mechanism is masterminded by the network of nerves that pass between bladder and brain via the spinal cord, ensuring the bladder not only evacuates its contents completely at each void but also at a convenient time and in an appropriate place. This normal function of the bladder and urethra, collectively termed the lower urinary tract, is vital to health but can readily be disturbed by disease or injury to any of its structures.
What happens if you don’t empty a Catheter Bag?
Failure to empty can lead to damaging overdistension of the bladder and back pressure on the kidneys. Stagnant urine becomes infected and in a damaged bladder this can readily lead to serious even life-threatening consequences for the patient.
The modern catheter consists of a thin, flexible hollow tube made of silicone or of latex which will normally be coated. A wide variety of polymer coatings have been introduced in recent years to reduce friction by use of hydrogels which can provide a hydrophilic slippery surface and antimicrobials such as silver or antibiotics to counter the risk of urinary tract infections.
Understanding different types of Catheter
Two main types of urinary catheter are manufactured either for single-use or for continuous indwelling drainage. The single-use catheter is selected for intermittent catheterisation, passing the catheter through the urethra into the bladder to drain the urine and then it is removed. For those able to undertake the procedure, this has become the recommended way of draining the bladder.
Urethral catheterisation is the usual route selected when short-term drainage of the bladder is anticipated. Suprapubic catheterisation provides an alternative approach which involves a short operation, often performed under local anaesthetic, to form an artificial track directly into the bladder through the lower abdomen. This is the preferred route for patients requiring long-term drainage of the bladder, avoiding injury to the urethra and enabling the patient to remain sexually active.
Short Term vs Long Term Catheters
Short-term catheter drainage of the bladder is frequently performed for patients undergoing surgical procedures or for those unable to pass urine because of obstruction to the urethra such as men with an enlarged prostate which compresses and closes the urethra. A catheter may be required to introduce therapeutic drugs or to record bladder pressures.
This group includes people with spinal cord injuries, multiple sclerosis or stroke, those with intractable urinary incontinence or chronic debilitating illnesses which restrict their mobility and ability to use a commode or toilet and finally, those who are unfit to undergo surgery.
Passage of a urinary catheter to drain and collect urine from the bladder can resolve a wide range of medical problems and hence its judicious application plays a pivotal role in patient management.