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Foley catheterization insertion: Urinary catheters: MedlinePlus Medical Encyclopedia

Urinary catheters: MedlinePlus Medical Encyclopedia

Urinary catheters are used to drain the bladder. Your health care provider may recommend that you use a catheter if you have:

  • Urinary incontinence (leaking urine or being unable to control when you urinate)
  • Urinary retention (being unable to empty your bladder when you need to)
  • Surgery on the prostate or genitals
  • Other medical conditions such as multiple sclerosis, spinal cord injury, or dementia

Catheters come in many sizes, materials (latex, silicone, Teflon), and types (straight or coude tip). A Foley catheter is a common type of indwelling catheter. It has, soft, plastic or rubber tube that is inserted into the bladder to drain the urine.

In most cases, your provider will use the smallest catheter that is appropriate.

There are 3 main types of catheters:

  • Indwelling catheter
  • Condom catheter
  • Intermittent self-catheter

INDWELLING URETHRAL CATHETERS

An indwelling urinary catheter is one that is left in the bladder. You may use an indwelling catheter for a short time or a long time.

An indwelling catheter collects urine by attaching to a drainage bag. The bag has a valve that can be opened to allow urine to flow out. Some of these bags can be secured to your leg. This allows you to wear the bag under your clothes. An indwelling catheter may be inserted into the bladder in 2 ways:

  • Most often, the catheter is inserted through the urethra. This is the tube that carries urine from the bladder to the outside of the body.
  • Sometimes, the provider will insert a catheter into your bladder through a small hole in your belly. This is done at a hospital or provider’s office.

An indwelling catheter has a small balloon inflated on the end of it. This prevents the catheter from sliding out of your body. When the catheter needs to be removed, the balloon is deflated.

CONDOM CATHETERS

Condom catheters can be used by men with incontinence. There is no tube placed inside the penis. Instead, a condom-like device is placed over the penis. A tube leads from this device to a drainage bag. The condom catheter must be changed every day.

INTERMITTENT CATHETERS

You would use an intermittent catheter when you only need to use a catheter sometimes or you do not want to wear a bag. You or your caregiver will insert the catheter to drain the bladder and then remove it. This can be done only once or several times a day. The frequency will depend on the reason you need to use this method or how much urine needs to be drained from the bladder.

DRAINAGE BAGS

A catheter is most often attached to a drainage bag.

Keep the drainage bag lower than your bladder so that urine does not flow back up into your bladder. Empty the drainage device when it is about one half full and at bedtime. Always wash your hands with soap and water before emptying the bag.

HOW TO CARE FOR A CATHETER

To care for an indwelling catheter, clean the area where the catheter exits your body and the catheter itself with soap and water every day. Also clean the area after every bowel movement to prevent infection.

If you have a suprapubic catheter, clean the opening in your belly and the tube with soap and water every day. Then cover it with dry gauze.

Drink plenty of fluids to help prevent infections. Ask your provider how much you should drink.

Wash your hands before and after handling the drainage device. DO NOT allow the outlet valve to touch anything. If the outlet gets dirty, clean it with soap and water.

Sometimes urine can leak around the catheter. This may be caused by:

POSSIBLE COMPLICATIONS

Complications of catheter use include:

Call your provider if you have:

  • Bladder spasms that do not go away
  • Bleeding into or around the catheter
  • Fever or chills
  • Large amounts of urine leaking around the catheter
  • Skin sores around a suprapubic catheter
  • Stones or sediment in the urinary catheter or drainage bag
  • Swelling of the urethra around the catheter
  • Urine with a strong smell, or that is thick or cloudy
  • Very little or no urine draining from the catheter and you are drinking enough fluids

If the catheter becomes clogged, painful, or infected, it will need to be replaced right away.

Foley Catheter Insertion Instructions – Children’s Health Orange County

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Some patients, including those with spina bifida or urinary retention problems, may be asked to use a Foley catheter at night. Putting a Foley catheter into the patient’s bladder allows urine to continually drain and keep the bladder empty. This helps to protect the bladder, ureters and kidneys. Those who need Foley catheters will learn how to use the catheter during a CHOC Urology Center visit. The following is to be used as a general guideline after receiving the proper training.

Getting Ready to Insert the Foley Catheter

Before inserting the catheter, it is important to have all supplies and area for the insertion ready. Caregivers should have:

  • A clean, dry Foley catheter
  • A water-soluable lubricant like K-Y jelly. Never use petroleum jelly like Vaseline.
  • A syringe filled with about 5-10ml of water.
  • Caregivers should have a clean diaper or towel set up in where the child will lay down for the catheter insertion.

Inserting the Foley Catheter

  1. Position the child as comfortably as possible. Make sure child is on the clean diaper or towel and the genitalia are clean of stool.
  2. The person inserting or assisting with the insertion of the catheter should wash his or her hands well with soap and running water and dry.
  3. Open the Foley catheter and lubricate generously with the lubricant.
  4. Insert the Foley catheter until you reach the “Y” of the catheter.
  5. Slowly inflate the balloon with the attached syringe, using the correct amount of water stated on the catheter tip in ml, then disconnect the syringe from the Foley.
  6. Very gently and slowly slide the catheter out of the body until it stops. This will occur when the balloon meets the bladder neck.
  7. Connect the end of the catheter to the drainage bag provided.
  8. Secure the catheter to the upper leg with the Foley catheter holder. There should be no tension (no stretching) on tubing.
  9. Place the drainage bag below the level of the bladder to prevent urine from flowing back into the bladder.
  10. Look at the catheter and drainage bag for function and note if urine is draining and the color of the urine. Urine should be clear to pale yellow in color. If urine is darker in color, the child should be drinking more water each day. (Learn more about how much water a child should drink each day.)
  11. The caregiver should wash his or her hands after they are done.

Cleaning Urine Drainage Bags

  1. Prepare a solution using 50% of white vinegar and 50% of water and set aside close to where the urine drainage bag will be cleaned.
  2. Drain urine into toilet.
  3. Place tubing under the faucet and rinse with cold water.
  4. Move the tubing around so that both inside and outside are washed for 10 seconds and empty through the spigot into the toilet.
  5. Repeat #3 and #4.
  6. Carefully pour the vinegar and water solution into the tubing and move around for 30 seconds.
  7. Empty the bag through the spigot, rinse with water and allow it to air dry before its next use.
  8. Wash hands.

Removing the Foley Catheter

The Foley catheter balloon MUST be deflated before removing it. Not doing this can result in an emergency situation.

  1. Using the 5-10ml syringe provided attach it to the balloon portion of the Foley Catheter.
  2. Gently pull back on the syringe to remove the water that was in the balloon.
  3. Detach the syringe from the catheter and push the water into a basin or sink. Repeat steps #1-3 until all the water has been removed. Usually about five to10ml of water will come out of the balloon.
  4. Remove the catheter gently from the child as you would a regular clean intermittent catheter.

Types of urinary catheters – NHS

There are several different types of urinary catheter, which are inserted and used in different ways.

Intermittent urinary catheters

In most cases, intermittent urinary catheters are recommended. These catheters are inserted several times a day, for just long enough to drain your bladder, and then removed.

You should be taught how to insert the catheter yourself. It’s usually inserted into your bladder through the urethra (the tube that carries urine out of your body).

The sterile catheter is usually pre-lubricated, to reduce the risk of any discomfort when you insert it.

One end of the catheter is either left open-ended, to allow drainage into a toilet, or attached to a bag to collect the urine. The other end is guided through your urethra until it enters your bladder and urine starts to flow.

When the flow of urine stops, the catheter can be removed. A new catheter is used each time.

Indwelling urinary catheters

An indwelling urinary catheter is inserted in the same way as an intermittent catheter, but the catheter is left in place.

The catheter is held in the bladder by a water-filled balloon, which prevents it falling out. These types of catheters are often known as Foley catheters.

Credit:

Urine is drained through a tube connected to a collection bag, which can either be strapped to the inside of your leg or attached to a stand on the floor.

Indwelling catheters are sometimes fitted with a valve. The valve can be opened to allow urine to be drained into a toilet, and closed to allow the bladder to fill with urine until drainage is convenient.

Most indwelling catheters need to be changed at least every 3 months.

Suprapubic catheters

A suprapubic catheter is a type of catheter that is left in place.  

Rather than being inserted through your urethra, the catheter is inserted through a hole in your tummy (abdomen) and then directly into your bladder. This procedure can be done under general anaesthetic, epidural anaesthetic or local anaesthetic.

A suprapubic catheter is used when the urethra is damaged or blocked, or when someone is unable to use an intermittent catheter.

The catheter may be secured to the side of your body and attached to a collection bag strapped to your leg. Alternatively, a valve can be attached that opens to allow urine to be drained into a toilet, and closes to allow the bladder to fill with urine until drainage is convenient.

This type of catheter is usually changed every 4 to 12 weeks.

Read more about living with a urinary catheter.

Page last reviewed: 26 February 2020
Next review due: 26 February 2023

Male Foley Catheter – My Shepherd Connection

An indwelling catheter is also called a foley catheter or “Foley. ” It can be used in males or females. A Foley is usually left in the bladder and drains the bladder continuously.

Foley Catheter: Step by Step Process

1. Gather the Supplies

  • Indwelling Foley Catheter Tray with a 10 cc balloon (size 16fr is a common size used for adults.) The tray comes with all the needed supplies
  • Syringe to deflate the balloon of the existing catheter (if there is one already in the bladder)
  • Soapy wash cloth and wet wash cloth

2. Wash hands with soap and water

3. Prepare all needed supplies

4. Lie flat on back with legs flat

5. If there is already a catheter in place, remove it by deflating the balloon.

  • Attach the syringe to the end of the “Y” pigtail (side port).
  • Withdraw the plunger of the syringe. This will deflate the balloon on the catheter inside the bladder.
  • You will know it is completely deflated when you are unable to pull anymore water into the syringe.

6. Gently pull the catheter out from the bladder. 

 7. Wash penis

Wash with the soapy cloth and rinse with the wet cloth. Dry well.

8. Wash hands again.

9. Open the Indwelling Catheter Tray carefully. Set up the supplies.

  • Place paper pad under hips.
  • Put on the gloves if this is not a self catheterization.
  • Pour the Betadine onto the cotton balls
  • Remove the plastic cover from the catheter (be careful not to touch the catheter tube) & squirt the lubricating jelly onto the catheter.
  • Remove the rubber cap from the syringe with the water in it.
  • Connect the end of the catheter to the drainage bag

10. Choose your “clean” and “dirty” hand.

Whatever hand comes in contact with the body, the one that holds the penis, is dirty. The one that touches the catheter supplies is clean. Never mix clean and dirty hands in regard to the catheter supplies. It is important that this procedure stay “super clean” so as not to allow germs to enter the bladder.

11. Hold the penis.

Remember, the hand touching the body will now be the dirty hand.

12. Clean urinary opening on penis

  • Use clean hand to touch items in the kit
  • Clean penis with the cotton balls soaked in Betadine.
  • Use 1 cotton ball per wipe.
  • Always wipe from the tip of the penis toward the shaft of the penis.
  • Never re-use a cotton ball.

13. Insert the catheter slowly and gently into the urinary opening on the penis. 

14. See the urine flow into the catheter

Continue to insert the catheter until the “Y” pigtail section of the catheter becomes very close to the end of the penis.

15. Blow up the balloon

While holding the catheter in place, attach the pre-filled syringe in the kit to the “Y” pigtail port and insert all of the water from the syringe.  

If it is easier, you can attach the syringe before you insert the catheter so it is ready when you need it. Do not blow up the balloon until the catheter is in and you see urine flowing.

Below is a picture of a catheter with an inflated balloon…this is what it would look like inside the bladder

16. Wash off the extra Betadine from the penis.

17. Always hang/attach the drainage bag to chair/bed frame below the level of the penis.

This will allow for the best drainage.

18. Consider wearing a leg strap.

The leg strap attaches the catheter to the inner thigh. It helps to keep the catheter secure.

19. If wearing a leg bag, always wear it below the knee.

Real Questions from Real People

1. How often does the catheter need to be changed?

Catheters can stay in for about a month as long as it is not leaking or having crusty areas around it near the urethral opening. You should wash the urinary opening at least twice a day while the catheter is in place. Change the catheter by the schedule given to you by your doctor.

2. Should I save anything from the catheter kit incase problems arise with the catheter?

Yes. Save the syringe so you can deflate the balloon when the catheter needs to be removed.

3. What if touch the catheter with my dirty hand or I drop the catheter on the floor before I have it safely inserted?

Stop and get another catheter or kit. It is important that germs do not enter the bladder during this procedure.

4. What if I have spasms while the catheter is being inserted?

Stop and wait for the spasm to pass; then continue with the insertion.

5. What if the catheter will not go in easily or I feel like I meet resistance when inserting it?

Do not force the catheter in. Call the doctor for further advice.

Female Foley Catheter – My Shepherd Connection

An indwelling catheter is also called a foley catheter or “Foley. ” It can be used in males or females. A Foley is usually left in the bladder and drains the bladder continuously. This lesson will review how to insert a foley catheter. Some of the photos in this lesson show the use of gloves. It is not necessary to use gloves when doing this on yourself; however, if you have a helper in the home/community setting, they may choose to wear them.

Foley Catheter: Step by Step Process

1. Gather the Supplies

  • Indwelling Foley Catheter Tray with a 10 cc balloon. (Size 16fr is a common size used for adults). The tray comes with all the needed supplies.
  • Syringe to deflate the balloon of the existing catheter (if there is one already in the bladder).
  • Soapy wash cloth and wet wash cloth.

2. Wash hands with soap and water.

3. Prepare all needed supplies.

4. Lie flat on back with legs flat.

5. If there is already a catheter in place, remove it by deflating the balloon(the balloon is what holds the catheter in place inside the bladder).

  • Attach the syringe to the end of the “Y” pigtail (side port)
  • Withdraw the plunger of the syringe. This will deflate the balloon on the catheter inside the bladder. (The balloon is what holds the catheter in place inside the bladder).
  • You will know it is completely deflated when you are unable to pull anymore water into the syringe.

6. Gently pull the catheter out from the bladder.

 7. Wash urinary opening

Wash with the soapy cloth and rinse with the wet cloth. Dry well.

8. Wash hands again.

9. Open the indwelling catheter tray carefully. Set up the supplies.

  • Place paper pad under hips.
  • Put on the gloves if this is not a self catheterization.
  • Pour the betadine onto the cotton balls
  • Remove the plastic cover from the catheter (be careful not to touch the catheter tube) & squirt the lubricating jelly onto the catheter.
  • Remove the rubber cap from the syringe with the water in it.
  • Connect the end of the catheter to the drainage bag

10. Choose your “clean” and “dirty” hand.

Whatever hand comes in contact with the body, the one that holds the labia, is dirty. The one that touches the catheter supplies is clean. Never mix clean and dirty hands in regard to the catheter supplies. It is important that this procedure stay “super clean” so as not to allow germs to enter the bladder.

11. Using one hand, spread the labia open so you can find the urinary opening.

This hand is now your “dirty” hand. Do not use it to touch supplies in the kit.

12. Clean urinary opening

  •  Use clean hand to touch items in the kit
  • Clean urinary area with the cotton balls soaked in betadine.
  • Use one cotton ball per wipe.
  • Always wipe from the top of the area towards the bottom.
  • Never re-use a cotton ball.

13. Insert the catheter slowly and gently into the urinary opening

14. See the urine flow into the catheter

Continue to insert the catheter slowly for another 2 inches

15. Blow up the balloon

While holding the catheter in place, attach the pre-filled syringe in the kit to the “Y” pigtail port and insert all of the water from the syringe.

If it is easier, you can attach the syringe before you insert the catheter so it is ready when you need it. Do not blow up the balloon until the catheter is in and you see urine flowing.

Never blow up the balloon until you see flowing urine inside the catheter.

Below is a picture of a catheter with an inflated balloon…this is what it would look like inside the bladder

16. Wash off the extra Betadine from the urinary area.

17. Always hang/attach the drainage bag to chair/bed frame below the level of the bladder.

This will allow for the best drainage.

18. Consider wearing a leg strap.

The leg strap attaches the catheter to the inner thigh. It helps to keep the catheter secure.

19. If wearing a leg bag, always wear it below the knee.

20. Clean around the catheter and urethra daily

  • Use unscented antibacterial soap and water.
  • Dry the area carefully.
  • Wash area after each bowel movement.

Real Questions from Real People

1. How often does the catheter need to be changed?

Catheters can stay in for about a month as long as it is not leaking or having crusty areas around it near the urethral opening. You should wash the urinary opening at least twice a day while the catheter is in place. Change the catheter by the schedule given to you by your doctor.

2. Should I save anything from the catheter kit in case problems arise with the catheter?

Yes. Save the syringe so you can deflate the balloon when the catheter needs to be removed.

3. What if touch the catheter with my dirty hand or I drop the catheter on the floor before I have it safely inserted?

Stop and get another catheter or kit. It is important that germs do not enter the bladder during this procedure.

4. What if I have spasms while the catheter is being inserted?

Stop and wait for the spasm to pass; then continue with the insertion.

5. What if the catheter will not go in easily or I feel like I meet resistance when inserting it?

Do not force the catheter in. Call the doctor for further advice.

6. What if I accidentally insert the catheter into the vagina instead of the urethra?

Start over and use a new kit. Don’t feel bad. Sometimes this happens.

Steps in male catheterization

Steps in male catheterization

  • Place the
    patient in the supine position with legs extended and flat on the bed.
  • Prepare the
    catheterization tray and catheter and drape the patient appropriately using the
    sterile drapes provided. Place a sterile drape under the patient’s buttocks and
    the fenestrated (drape with hole) drape over the penis.
  • Apply
    water-soluble lubricant to the catheter tip.
  • With your
    non-dominant hand, grasp the penis just below the glans and hold upright.
  • If the
    patient is uncircumcised, retract the foreskin. Replace the foreskin at the end
    of the procedure.
  • With your
    dominant hand, cleanse the glans using chlorhexidine soaked cotton balls. Use
    each cotton ball for a single circular motion.
  • Place the
    drainage basin containing the catheter on or next to the thighs.
  • With you
    non-dominant hand, gently straighten and stretch the penis. Lift it to an angle
    of 60-90 degrees. At this time you may use the urojet to anesthetize the
    urinary canal, which will minimize the discomfort.
  • With your
    dominant hand, insert the lubricated tip of the catheter into the urinary
    meatus.
  • Continue to
    advance the catheter completely to the bifurcation i.e. until only the
    inflation and drainage ports are exposed and urine flows (this is to ensure
    proper placement of the catheter in the bladder and prevent urethral injuries
    and hematuria that result when the foley catheter balloon is inflated in the
    urethra).
  • Note: If resistance is met during advancement of
    the catheter: Pause for 10-20 seconds. Instruct the patient to breathe deeply
    and evenly. Apply gentle pressure as the patient exhales
  • If you still
    meet resistance, stop the procedure and repeat above steps.
  • Attach the
    syringe with the sterile water and inflate the balloon. It is recommended to
    inflate the 5cc balloon with 7-10cc of sterile water, and to inflate the 30cc
    balloon with 35cc of sterile water. Improperly inflated balloons can cause
    drainage and leakage difficulties.
  • Gently pull
    back on the catheter until the balloon engages the bladder neck.
  • Attach the
    urinary drainage bag and position it below the bladder level. Secure the
    catheter to the thigh. Avoid applying
    tension to the catheter.
  • Remove
    drapes and cover patient. Ensure drainage bag is attached to bed frame. Remove
    your gloves and wash hands.
  • Note: Never inflate a balloon before establishing
    that the catheter is in the bladder and not just in the urethra. If the patient reports discomfort, withdraw
    the fluid from the balloon and advance the catheter a little further, then
    re-inflate the balloon.

Overview of the Foley Catheter and Surgery

A Foley catheter is an indwelling urinary catheter. Named for Frederic Foley, the surgeon who first designed the catheter, the Foley is a hollow, flexible tube that is inserted into the bladder through the urethra.

For patients who are unable to empty their bladder for a wide variety of reasons that including having anesthesia during surgery or a problem with the bladder itself, the Foley allows urine to drain continuously. While urine would normally collect in the bladder, then be released during urination, the Foley allows it to be constantly drained from the bladder. The urine is collected in a bag and emptied as needed.

FS Productions / Getty Images

Overview

The Foley catheter is inserted into the urethra, the tube that carries urine out of the body. It is gently pushed up the urethra until it reaches the bladder. A hole in the bladder end of the tube allows urine to flow out of the bladder, through the urethra and out of the body into the collection bag.

Once the top of the Foley tubing reaches the bladder, a balloon is inflated with sterile water to keep the tube in place. The catheter is intended to remain in place for several hours or longer. For example, patients who have joint replacements have catheters placed before surgery and will typically have it remain in place for up to a few days after surgery if they are unable to get on the bedpan without having pain and are unable to walk to the bathroom.

It is important that a catheter only remains in place as long as it is necessary, as the risk of infection increases the longer the catheter is in place.

A catheter is not a substitute for good nursing care, nor is it a substitute for frequent trips to the restroom. Foley catheters are not appropriate as a treatment for incontinence. 

Foley Insertion

Foley catheters are commonly placed prior to surgery, to keep the bladder empty during and after the procedure. During the procedure, the patient is unconscious and unaware of the need to urinate. After the procedure, however, it may not be safe for the patient to walk. They may be too sick to take care of their own bathroom needs or their surgeon may feel that a catheter is best for their particular recovery. 

At most hospitals, the placement of an indwelling catheter is considered standard for surgical procedures that:

  • Are expected to last one hour or longer
  • Involve the urinary tract
  • Will require the patient to go to the ICU after surgery
  • Will require the patient to stay in bed (be unable to walk) during recovery

The insertion of the Foley is typically done by a nurse, and may be done before or after anesthesia is given, but typically prior to the first incision if the patient is having surgery. The urine collection bag attached to the Foley helps track urine output during surgery and during a stay in the hospital.

The catheter is inserted using sterile technique, which means the catheter itself is sterile. The skin is prepared with a solution to remove germs and sterile gloves are worn by the nurse. The catheter is coated with a sterile lubricant to make insertion easier and to avoid irritating the inside of the urethra. Sterile technique is used to help prevent urinary tract infections (UTIs), the most common complication associated with urinary catheter use.

Insertion of a Foley should not be painful; nor is it painful to have one in place. Some patients describe having a Foley in place as a mild irritation. The catheter may interfere with your normal sensation of needing to urinate. You may feel as though you need to use the restroom even though the catheter keeps your bladder empty.

Foley Catheter Care

Once the catheter is in place, a patient may walk, but great care should be taken not to pull the tube out of place. Something as simple as tripping or stumbling can result in the tube being pulled out.

Removing the catheter without deflating the balloon is not only very painful, but it can also cause permanent damage to the urethra. Frequently, the Foley tubing is taped to the patient’s thigh to prevent accidental removal and trauma.

When a Foley is in place, excellent hygiene is essential for preventing a UTI. The portion of the tube that touches the body should be thoroughly cleaned during bath time and any time it is soiled. In addition, special soaps or cleansers may be used on the genitals to minimize the risk of infection after surgery.

Urinary Catheter Risks

An indwelling urinary catheter is intended to stay in place for an extended period of time, ranging from hours to weeks. In some patients, the catheter stays in even longer, but this is rare. Most hospitals have programs and policies that require catheters to be removed as soon as possible to reduce the risk of infection occurring.

Some patients experience urinary retention after surgery, which may make a catheter necessary even if the patient did not need one during the procedure. Patients may also experience urinary retention after the removal of a Foley catheter.

In the past, patients who are allergic to latex would have issues with catheters of all types, as they often contained latex. Currently, most major brands of catheters have no latex component at all, eliminating this risk in almost all cases. Patients with latex sensitivity or allergies should notify their healthcare team prior to treatment, as there are many other potential sources of latex that should be avoided.

Straight Catheters

A Foley is a urinary catheter that is meant to be in place for a period of time. The Foley catheter should not be confused with a straight catheter, which is inserted once and discarded after the bladder has been emptied.

Foley Catheters: Vogt Medical

Vogt Medical Foley Catheters are designed for long-term bladder catheterization. High degree of comfort in use. Made of high quality silicone coated latex or 100% silicone. A large assortment of sizes, various types (2-way and 3-way) allow you to choose the right model correctly. Also available in pediatric sizes for children.

Description:

  • designed for long-term bladder catheterization
  • Robust and symmetrical balloon of 3-5 ml, 5-15 ml or 30 ml volume
  • guarantees maximum safety in use
  • Two laterally located large drainage holes ensure effective urine outflow
  • a wide range of catheters allows you to choose the right model
  • the catheter can be 2-way or 3-way (additional channel for bladder lavage and administration of medications)
  • catheters made of silicone-coated latex or of 100% silicone
  • latex material provides catheter flexibility and patient comfort
  • silicone coating facilitates catheter insertion, prevents irritation of the urethral mucosa and reduces the risk of developing an allergic reaction
  • colors The coding of the connector as well as the marking of the filling volume of the balloon provides additional convenience for use by medical personnel

Medical supplies (tested for safety):

  • high quality latex with silicone coating
  • 100% silicone

Packing: blister / box / carton

Quality: in accordance with EN 1616 standards

Sterilization: ethylene oxide

Expiry date: 5 years

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Foley and Nelaton Catheter

The Foley catheter is considered the safest urological catheter for bladder drainage. Thanks to the surface treatment with silicone, it easily passes the narrowing of the urethra. It is ideal for both short-term and long-term use. And the durable balloon is easy to deflate and inflate, thereby ensuring patient safety. The stiffness of the tube is quite high for insertion, but flexible enough for a less painful catheterization procedure.

A catheter is a special medical instrument that is a tube and is designed to interact with the natural channels of the body in order to empty or introduce fluids with it.Urological products periodically undergo quality control, proper certification and verification of compliance with standardization. The goods sold by our online store “Lifestoma” are reliable products and our company guarantees their safety. Foley’s products are designed for a fairly long catheterization, which can be up to seven days.

Catheters are subdivided into: urological male external, urological female, children’s, bedside urinals, leg wearable urinals, intravenous peripheral, single lumen, trocars, umbilical and epidural. The most common and well-known brands are:

  • Foley
  • Malekota
  • Pezzera
  • Nelatona
  • Robinson

The nelaton catheter is intended for short-term and long-term bladder catheterization. It is made of plastic and non-toxic polyvinyl chloride, it has a universal connector. It is produced with a Tiemann standard tip.

Nelaton of optimal rigidity is designed for a fast catheterization process, after insertion it softens under the influence of body temperature, which helps to reduce human discomfort.

Bladder catheterization is performed both for therapeutic purposes and for diagnostic purposes. In the modern world, there are a large number of different catheters and preference for one or another product is given based on the purpose. Also, catheterization is required for people who have undergone surgery. Catheterization in such cases serves as an assistant in tissue restoration and suture healing in patients who have undergone surgery on the prostate, bladder, urethra, etc.

The foley catheter is an elastic tube designed for long-term use.Provides the exit of urine through the external fistula on the anterior abdominal wall in the absence of the possibility of urine excretion in natural ways. Has a tip with two holes. The disadvantages of such a product are considered to be rather small openings of the holes, which are often clogged with salts and the absence of divisions, which is not possible to determine the depth of introduction. The Nelaton catheter has a smooth surface and a closed, rounded end, which makes the introduction of the product easy and painless.

Installation, replacement and removal of the Foley catheter in Kiev at home and in the Yurinmed clinic

at home made by prior arrangement

In case of problems with urination, the installation of a Foley urinary catheter helps to gently and quickly solve the problem. The miniature device is recommended for long-term use in women and men, it controls the outflow of urine during injuries, after surgery, reducing the risk of complications. But there are a number of features during insertion and removal that require the professional help of doctors.

Purpose of the Foley catheter

A small medical device or device comes in the form of a tube with a balloon that is carefully inserted into the bladder cavity. It is designed for forced emptying in the event of a malfunction of the genitourinary system. Depending on the type of staging of a Foley urinary catheter, it is possible for a period of 5 to 30 days.

Bladder catheterization is a medical method for restoring urinary excretion. In some diseases and injuries, the process is disrupted, which threatens the patient’s health with severe complications, severe pain.It can also be used to inject drugs, wash, and draw fluid for laboratory research.

Main indications for urination catheter placement:

  • presence of stones in the bladder;
  • tumors;
  • prostate adenoma;
  • postoperative period;
  • finding the patient in an unconscious or comatose state;
  • exacerbation of cystitis in women;
  • injection of drugs into the bladder;
  • rinsing the organ cavity for certain diseases;
  • diagnostics and sampling of biomaterial for analyzes.

The insertion of a catheter is recommended for a woman to stimulate labor in a natural way. It speeds up uterine dilatation without medication and painful procedures, while simultaneously removing excess urine before delivery. The technique is safe for the woman in labor and the fetus.

A female bladder catheter is also inserted for the following diagnoses and patient conditions:

  • diabetes mellitus;
  • gestosis;
  • polyhydramnios;
  • multiple pregnancies;
  • high blood pressure;
  • diseases and heart defects.

Installation of a urethral catheter is indicated for spinal cord and spinal cord injuries: loss of sensation often leads to urination problems. It is recommended for abnormal structure of the urethra, severe edema with allergies, side effects of drugs, some rare pathologies and diseases.

Types of catheter

In medical practice, several variants of the urinary catheter are used. They have an identical principle of operation, but differ in materials, shape and some details.It depends on the purpose and gender of the patient, therefore, the selection of the size should be performed by a specialist after examining the patient.

There are several types of Foley urinary catheter:

  • Silicone . The most popular and demanded model that can be used for a long time and repeatedly. High-quality material does not provoke an allergic reaction, inflammation, does not stimulate the development of pathogenic microflora. After the introduction, the discomfort quickly disappears, therefore it is recommended for patients undergoing home treatment.
  • Latex . More flexible and safer design with easy insertion into the urethra. It can be heat treated, therefore it is used repeatedly, it is distinguished by an affordable price and quality. It has a high degree of strength, therefore it can be used for up to 1 month, but in rare cases it provokes allergies.
  • Silver Plated . Material cost affects the price of a urine catheter. But silver effectively destroys bacteria, speeds up recovery, and reduces the risk of secondary infection.It is used to stimulate labor in women, for diagnostic procedures, for the treatment of cystitis and urethritis.

Depending on the severity of the patient’s condition and the expected diagnosis, the doctor chooses different types of catheter in the bladder. Most effective for medical manipulation:

  • 2-way . The product has one channel that is inserted into the bladder. It is fixed with a balloon that inflates and relieves congestion or swelling. At the first stage, urine is excreted, at the second stage, washing or administration of a medicinal solution is carried out.It is easy to sterilize, but inconvenient if you need to carry out daily medical procedures.
  • 3-way . A more advanced fixture with an additional channel. It allows you to inject drugs directly at the time of emptying the bladder, to do rinsing. Such a “female” urinary catheter is recommended for diseases of the uterus, it is prescribed after abdominal operations.

Depending on the size and gender of the patient, doctors select different types of catheters:

  • Male urinary catheter .Given the structure of the genitals and the duration of the urethral canal, it can reach a length of 40 cm. More often, silicone or latex is used, softer and more elastic, with minimal discomfort during insertion.
  • Female urine catheter . It does not exceed 26 cm in length. In patients of the weaker sex, the urethra is located in the immediate vicinity of the vagina, therefore, many doctors recommend silvered models. They prevent the development of bacterial infections and are safer during pregnancy.
  • Child . Supplemented with a special stylet for easy and painless insertion, made of soft and lightweight material.

For children, it is recommended to choose medical devices from 1.1 to 3.3 mm in diameter. For adult men, more massive catheters up to 8 mm thick are selected. When choosing, doctors take into account the age and purpose of use, the period for which the balloon is supposed to be inserted.

Catheter insertion – basic rules

The procedure must be entrusted to an experienced doctor to avoid complications or infection.All manipulations are performed with sterile gloves with utmost care. The specialist additionally treats the genitals and the skin around the penis with an antiseptic.

A specific algorithm for placing a Foley urinary catheter has been developed:

  • For easier insertion, the tip is generously lubricated with Vaseline-based agent. A quality lubricant with a moisturizing effect is recommended for women.
  • The external genitals are thoroughly washed, wiped with a solution based on furacilin, chlorhexidine.
  • The patient is placed on his back, legs are bent and spread apart.
  • The soft tip is carefully and slowly introduced into the urethral canal, slightly twisting around the axis. The man needs to move the foreskin additionally in order to expand the canal.
  • A catheter is inserted into a man until urine appears in a transparent tube. Bloody discharge in the first portion of urine is not considered a deviation from the norm. Often, a complication is associated with the presence of blood in the bladder during an inflammatory process or injury.

When inserting a catheter, a specialist should not experience acute pain or spasms. Before starting, the doctor carefully examines the history, images, in order to exclude injuries and ruptures. To reduce discomfort, apply a few drops of lidocaine pain reliever.

In women, the process of inserting a catheter has certain nuances associated with the anatomical features of the body. Before preparing for surgery or labor, after inserting the tube into the urethra, the doctor additionally expands the canal using a balloon.Up to 10 ml of water is injected into it with a syringe. This ensures that urine flows out smoothly.

Women often have a catheter inserted for severe cystitis. In addition to excreting urine, an antiseptic solution is injected through thin soft tubes. It removes pathogenic bacteria, normalizes microflora, accelerates recovery.

The most difficult process is the placement of a urinary catheter in a child. The doctor needs to calm the baby, lay him on his back, carefully treat the external genitals with a disinfectant.When introduced, the specialist acts without pressure, in order to exclude canal rupture, trauma and painful sensations, he must apply anesthesia. The maximum depth for catheterization of a boy is up to 15 cm, depending on age.

Features of replacement and flushing of the urinary catheter

Foley catheter can be used multiple times. But the narrow tube is often clogged and requires regular cleaning and rinsing. On average, it can be used for up to 5 days, after which processing is carried out:

  • The doctor thoroughly treats his hands with an antiseptic, wipes the outer parts and tubes with a solution.A little chlorhexidine is applied to the injection site into the urethral canal.
  • Carefully disconnect the catheter from the tube and inject saline with a large syringe.
  • The liquid after washing is drained, repeated until the plaque is completely removed and the tubes are cleaned.

During cleansing, the urinary catheter is removed only from the outside. In this case, the patient does not remove the elements introduced into the urethra. This eliminates painful sensations. If long-term catheterization is necessary, only silicone products are used: they do not deform during heat treatment.

Removal of urinary catheter

Despite the simplicity of the design, an experienced specialist should remove the tube according to a specific algorithm of actions:

  • It is obligatory to treat hands with a disinfectant solution, to work in sterile gloves.
  • Carefully remove the retaining clip that prevents the catheter from moving.
  • Empty the bladder and tube completely.
  • Ask the patient to take a supine position with legs spread apart, to relax as much as possible.
  • Carefully remove the structure with a slow movement without sudden jerks, make sure it is not damaged.

After removal of the Foley catheter, the genitals and urethra are carefully treated with an antiseptic solution. For several days, unpleasant sensations may persist during spontaneous urination, which does not require additional treatment or pain relief.

Contraindications to urinary catheter placement

Before using the construct, the physician should ensure that easy and unimpeded administration is possible.The procedure is contraindicated for the following diagnoses and pathologies:

  • severe pelvic injuries;
  • malignant and benign tumors of the prostate;
  • rupture of the urethra;
  • spasms;
  • acute inflammation of unknown etiology.

The insertion of a urinary catheter in men is prohibited in case of damage to the external genital organs. In such a situation, a more complex system is used in which the structure is installed in the area above the pubis.

Possible complications

The introduction and removal of a urinary catheter In Kiev, at home, you must entrust only an experienced doctor who observes precautions. Otherwise, you can face serious complications:

  • infection of the organs of the genitourinary system, uterus in women;
  • rupture or trauma of the urinary tract with sudden introduction;
  • exacerbation of cystitis, urethritis, urolithiasis;
  • microtrauma of the cervix.

In women in labor, improper use of a Foley catheter can provoke abnormal labor that requires an urgent caesarean section. In some patients, with prolonged wear, irritation of the mucous membranes is observed at the point of contact with silicone or latex tubes.

It is imperative to consult a doctor if the patient’s condition has worsened, an admixture of pus or blood appears in the urine. With a secondary infection brought in during the installation of the structure, the patient quickly develops signs of intoxication with an increase in temperature, chills.

It should be noted that any complications are the result of the doctor’s inept work. If you need long-term catheterization, it is better to seek help from a trusted specialist, carefully follow the instructions, do not forget about the cleanliness and use of antiseptics.

If you need a bladder catheterization or replacement, removal of the Foley catheter in Kiev, you can contact the Yurinmed clinic or call our urologist at home for the manipulation.Call us!

Catheterization, types of catheters and urological devices

Catheterization is a medical procedure, the essence of which is the introduction of a catheter into the cavities and channels of the human body. There are 2 types of catheterization:

Diagnostic. This method is irreplaceable when there is no other way to diagnose the presence of urine inside the bladder.

Medical. This is one of the advanced methods of stimulating the outflow of urine from the bladder in various urological diseases, such as prostate adenoma, prostate cancer, narrowing of the urethra, spinal paralysis, etc.e. Also, catheterization is used to crush and remove stones from the ureters.

Types of urological catheters

Foley catheter is one of the most popular types of catheters in urology, designed for various types of medical intervention in men and women. Typically made from silicone coated latex. At the distal end of the catheter is a balloon that holds the device in the bladder. It can be made in two- and three-channel versions – for short-term or long-term urine diversion.

Catheter Nelaton is a disposable device designed for short-term or intermittent catheterization, as well as for the installation of drugs into the bladder.

Lubricated catheter features a hydrophilic coating that reacts with water and becomes slippery and therefore does not require additional lubricants. Thanks to this, the risk of infection of the patient is significantly reduced.

Ureteral catheter is used to diagnose the area of ​​the kidney responsible for the accumulation and excretion of urine, as well as for long-term external drainage of the urinary tract.

Other urological agents

Other effective modern means have been developed to solve delicate problems.

Urine container – a device for collecting urine.

There are two types of drainage bags. The bedside urine collection bag is used in inpatient and outpatient conditions when the patient is in a supine state. Attaches to the bed and draws urine from the bladder through the catheter tube.

The wearable bag allows the patient to move freely throughout the day without any discomfort. Attaches to the leg and hides under clothing, remaining completely invisible. The leg urine bag does not restrict movement, is easy to use and is equipped with a urine return flow control system.

Urocondoms are devices that help men effectively manage moderate to severe urinary incontinence. Visually, they are similar to conventional condoms, but they are equipped with a special drain port, which is connected to the urine bag through a drain tube.This allows urine to be diverted without contact with the skin of the perineum.

Trocar catheter. Used for prompt and safe drainage of the pleural cavity in order to remove pathological fluids or air through the drainage tube.

Modern manufacturers of urological products

Coloplast is a Danish company that has been one of the world leaders in the production of medical products for solving delicate problems for over 50 years.The core business of Coloplast is the production of care products for elimination dysfunctions, as well as for wounds and ostomy.

All products are subject to the strictest quality control and undergo multi-stage testing in a clinical setting. The manufacturer continuously monitors the opinions of consumers in order to offer only the best solutions.

The Conveen System is a Coloplast development specially designed for men with urinary incontinence.The Conveen system includes uro-condoms, urine collection bags and straps that secure the bag under the garment on the leg. Today, this device is one of the most convenient and effective in this class of medical products.

Covidien is a world renowned manufacturer of medical products. The company has developed a wide range of surgical equipment, consumables and other products. Including male catheters, both one-way and two-way.

M.P.A. medical partners ”offers a wide range of urological products, as well as many other types of medical equipment, consumables and instruments from the world’s leading manufacturers. You can contact us by phone

+7 (495) 210-79-36

or through the feedback form on our website. 90,000 Foley Catheter: Application – Blog and Articles about Medicine and Health

Foley catheter is widely used for bladder catheterization for therapeutic, auxiliary or diagnostic purposes.The flexible latex tube is easy to insert and does not cause any discomfort to the patient.

Its purpose is indicated for a number of diseases of various etiologies, as well as for the diagnosis and elimination of the pathological state of the ureter. With the help of the device, catheterization can take quite a long time – up to seven days.

Nowadays, urologists quite often recommend using a silvered model, and not at all for aesthetic purposes. The silver content on a product can significantly reduce the risk of contamination, because silver is known for its disinfecting properties.

Transportation of a patient in serious condition, neurosurgical or oncological diseases, the inability to go to the toilet on their own – all this is an indicator for the appointment of a catheter by a urologist.

Gastric tube, PVC, CH 20, 80 cm

Competent use of the Foley catheter

The device is a flexible tube made of high quality latex coated with silicone.A feature of these materials is their absolute safety. In addition, they have another useful property: under the influence of body temperature, the material softens, which allows the tube to take an anatomical shape and thereby reduce the discomfort during insertion.

Installation is carried out by qualified medical personnel only. The process requires adherence to some simple rules:

  • thorough hand and mouth hygiene,
  • careful, not sudden movements when entering,
  • attachment of the collection bag strictly below the waist, to prevent urine from flowing back.

The medical staff involved in the installation of catheters are well aware of these and other important nuances.

What else is important to know

Before buying, consider not least the manufacturers and their attitude to their product. In the field of manufacturing of medical materials, the well-appreciated brand Portex, a subsidiary of the leading British company Smiths Medical, which produces high-quality medical products, is in the lead.You can find out more about the features of purchase and use from consultants on the onlymed.pro website.

Foley catheters, price in Moscow

Foley catheters

Catheterization of the urinary system is performed for a variety of medical indications. This can be the treatment of urological diseases, compensation for the consequences of injuries, preparation for operations, etc.

Foley catheters are the most common long-term catheter options.In addition, using specialized products with a refillable rubber balloon, you can perform some diagnostic procedures, for example, to determine the volume of the bladder. They are used to thoroughly flush the urinary system before surgery or tube insertion.

Foley urinary catheter is made of latex or silicone. Both materials have good ductility and chemical resistance. The maximum period of its stay in the urethral canal is 7-10 days.However, there are silver-coated products that can be installed for a month or more.

Foley urological catheter is available in several variations. The most common is a two-way catheter with a rubber balloon at the blind end. The balloon is designed to securely fix the device, which reduces the likelihood of injury and disruption of the catheterization.

In terms of specific brands, the most common are Apexmed products.

If you choose a Foley catheter, the price of the product will depend on its type and size. For example, in addition to two-way, there may be three-way, which are used to enter various medical devices. It is especially important to correctly size the device. The discrepancy between its anatomical features of the body is fraught with injuries or, at least, serious discomfort. That is why, products for men and women, adults and children are distinguished into separate categories.

Where to buy a Foley catheter when you have decided on its parameters? You can do it right here! Please read the payment procedure and remember that we ship your purchases all over the country. If something remains unclear to you, you can always call +7 495 432-32-22 or write to us at [email protected]

630203IC Urological urethral catheters, Foley type, silvered 20FR, 30ml

Foley catheters are made of pure silicone, coated with silver ions, which prevents the development of uroinfection. Silver helps kill germs that can enter the urinary tract and cause irritation or infection.

Silver coated silicone catheters have a prophylactic effect against the occurrence of manifest and subclinical forms of urinary tract infections. That is why the silver-plated Foley catheter can be used for a long time. Despite the fact that a silver-plated catheter is more expensive than a silicone-coated catheter, some patients opt for it, since only this product guarantees complete safety and a significant reduction in the risk of infections during catheterization.

Size 20FR (diameter 6.7 mm), balloon volume 30 ml (see table below for other sizes).

Foley catheter silicone with silver:
– Foley catheters are made of pure silicone, which provides comfort and safety for the patient.
– Silicone is non-reactive, non-sticking and minimizes incrustation, reducing patient irritation and infection. Reinforced smooth tip simplifies insertion and ensures safe use of the catheter.
– Smooth transition from balloon to catheter tip reduces trauma during insertion.
– Catheters are available in various diameters. Sterile.
– The catheter is packaged in a long soft cellophane bag that allows it to be inserted directly from the bag without touching it.

Catheters Foley urological urethral with silver:

  • Silver-plated catheters are intended for long-term (up to 90 days) catheterization.
  • silver plated (additional antimicrobial effect)
  • with 5-30 ml bottle
  • sterile

Silver-plated Foley catheter can be used in surgery, gynecology, radiology, clinical urology for continuous catheterization of the bladder, administration of drugs and special solutions, washing.

Manufacturer: Covidien (Medtronic).


Assortment of Foley catheters silver plated:

Name, article: Balloon volume: Size (diameter): Color:
605122IC Urological urethral catheters, Foley type, silvered 5 ml 12FR (4 mm) white
605148IC Urological urethral catheters, Foley type, silvered 5 ml 14FR (4.7 mm) green
605163IC Urological urethral catheters, Foley type, silvered 5 ml 16FR (5.3 mm) orange
605189IC Urological urethral catheters, Foley type, silvered 5 ml 18FR (6 mm) red
605205IC Urological urethral catheters, Foley type, silvered 5 ml 20FR (6.7 mm) yellow
605221IC Urological urethral catheters, Foley type, silvered 5 ml 22FR (7.3 mm) purple
605247IC Urological urethral catheters, Foley type, silvered 5 ml 24FR (8 mm) blue
605262IC Urological urethral catheters, Foley type, silvered 5 ml 26FR (8.7 mm) pink
630187IC Urological urethral catheters, Foley type, silvered 30 ml 18FR (6 mm) red
630203IC Urological urethral catheters, Foley type, silvered 30 ml 20FR (6.7 mm) yellow
630229IC Urological urethral catheters, Foley type, silvered 30 ml 22FR (7.3 mm) purple
630245IC Urological urethral catheters, Foley type, silvered 30 ml 24FR (8 mm) blue
630260IC Urological urethral catheters, Foley type, silvered 30 ml 26FR (8.7 mm) pink

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