Indwelling Foley Catheter | How to Insert a Foley Catheter

An important nursing skill nursing students learn in nursing school is how to insert a Foley catheter. The process of inserting a catheter is known as catheterization. Nurses must know how to indwell a foley catheter as one of the many duties of nursing. Inserting a Foley catheter is not an easy process and it involves a great deal of precision to perform correctly.

Introduction on How to Insert Foley Catheters

Inserting catheters is a skill that is often used in the medical profession by nurses. Nurses are able to gain access to patients’ bladders and the contents using Foley catheters. Since the catheter can be placed inside the bladder for an extended period of time, it is known as an indwelling catheter. The patient’s urine drains into a bag that is later taken from an outlet device and subsequently drained. Nurses can send the urine samples to the laboratory for further testing for crystals, infections, blood, kidney function, muscle breakdown, and electrolytes. Catheters are also used to treat bladder outlet obstruction and urinary retention in patients.

It is no longer recommended to inflate or pre-test the balloon prior to insertion.

This is because the catheter could become cuffed or creased after pre-testing of the balloon and could damage the urethra during insertion (Smith JM, 2003).

Steps on How to Inserts a Foley Catheter

Using an indwelling Foley catheter tray, collect all needed supplies.

1. Use two patient identifiers to identify the patient. Discuss all aspects of the procedure with the patient before proceeding. Let first time patients know exactly what to expect from the procedure. Allow time for the patient to ask any questions that he or she may have.
2. Thoroughly wash your hands before coming in contact with materials and the patient to control infection in the facility.
3. Help the patient rest of his or her back and spread the legs for easy access to insert the catheter.
4. Carefully open the catheterization kit, removing the sterile drape and placing it in the procedure area. Before proceeding, place an absorbent pad under the patient to catch any excess fluid during the procedure.
5. Nurses must now apply sterile gloves, open the betadine, and pour it over the cotton balls included in the betadine kit. Carefully remove the plastic that covers the catheter without touching the tube and squirt the jelly on the catheter to lubricate it. Carefully remove the rubber cap on the syringe that contains water.
6. Clean the urinary opening of the female patient. Using the non-dominate hand, gently separate her labia. Do not touch anything after this with the unclean, non-dominate hand. For a male patient, gently clean the peri-urethral mucosa with a cleaning solution. Clean the area using one swipe per swab. Make sure to discard the swab from the sterile area immediately.
7. Using the sterile dominant hand, pick up the catheter with a gloved hand. Holding the catheter loosely, insert it into the urethral opening of a female patient. For a male patient, life his penis to a perpendicular position and lightly apply traction in an upward position using the non-dominant hand. Gently insert the catheter one to two inches past where the patient’s urine is located.
8. Using the correct amount of liquid, inflate the balloon (check the balloon size for the correct amount). After inflating the balloon properly, carefully pull the catheter until it is snug against the neck of the bladder. Connect the drainage system to the catheter. Make sure that the drainage bag in lower than bladder level but not on the floor. Carefully inspect the function of the catheter before ending the process.
9. Remove gloves and dispose of them properly. Wash hands again after the procedure. Nurses should end the catheterization process by documenting the size of the inserted catheter, patient’s responses to the procedure, the amount of water contained in the balloon, and a thorough assessment of the urine.

You can also watch the following video for tips on preparing to insert your Foley:

Video on How to Insert a Foley Catheter

Tips on Foley Catheter Care

• Never have sexual intercourse with the catheter inserted.
• Alway make sure an indwelling foley catheter is secured with a securement device.
• Maintain the cleanliness of the catheter by cleaning the area around it twice daily with soap and water.
• Never tug or pull the catheter.
• Check the area directly around the catheter for signs of infection or inflammation.
• Never apply any type of lotion to the area around the catheter.

Complications with Inserting a Foley Catheter

Complications may include infection or tissue trauma. Other complications include pyelonephritis, renal inflammation, and nephro-cysto-lithiasis when catheters are left in for extended periods of time. One of the short-term complications includes the inability to insert the Foley catheter.

It is imperative that nurse learn the proper manner in which to insert a Foley catheter so that their patients do not run the risk of infection and trauma. So many patients suffer from conditions that create the need for catheterization so nurses should make their experiences with Foley catheters as comfortable and painless as possible.

References:

Indwelling catheter management: from habit-based to evidence-based practice. Ostomy Wound Manage. 2003 Dec;49(12):34-45. PMID: 14712009.

21.10 Checklist for Foley Catheter Insertion (Male) – Nursing Skills

Open Resources for Nursing (Open RN)

Use the checklist below to review the steps for completion of “Foley Catheter Insertion (Male). ”
See Figure 21.20^[1] for an image of a Foley catheter kit.

Figure 21.20 Foley Catheter Kit

Video Review of Male Foley Catheter Insertion:

^[2]

Steps

Disclaimer: Always review and follow agency policy regarding this specific skill.

1. Gather supplies: peri-care supplies, clean nonsterile gloves, Foley catheter kit, extra pair of sterile gloves, Velcro^TM catheter securement device to secure Foley catheter to leg, linen bag, wastebasket, and light source (i.e., goose neck lamp or flashlight).
2. Perform safety steps:
   • Perform hand hygiene.
   • Check the room for transmission-based precautions.
   • Introduce yourself, your role, the purpose of your visit, and an estimate of the time it will take.
   • Confirm patient ID using two patient identifiers (e.g., name and date of birth).
   • Explain the process to the patient.
   • Be organized and systematic.
   • Use appropriate listening and questioning skills.
   • Listen and attend to patient cues.
   • Ensure the patient’s privacy and dignity.
   • Assess ABCs.
3. Assess for latex/iodine allergies, enlarged prostate, joint limitations for positioning, and any history of previous issues with catheterization.
4. Prepare the area for the procedure:
   • Place hand sanitizer for use during/after procedure on the table near the bed.
   • Place the catheter kit and peri-care supplies on the over-the-bed table.
   • Secure the wastebasket and linen cart/bag near the bed for disposal.
   • Ensure adequate lighting. Enlist assistance for positioning if needed.
   • Raise the opposite side rail. Set the bed to a comfortable height.
5. Position the patient supine and drape the patient with a bath blanket, exposing only the necessary area to maintain patient privacy.
6. Apply clean nonsterile gloves and perform peri-care.
7. Remove gloves and perform hand hygiene.
8. Open the outer package wrapping. Remove the sterile wrapped box with the paper label facing upward to avoid spilling contents and place it on the bedside table or, if possible, between the patient’s legs. Place the plastic package wrapping at the end of the bed or on the side of the bed near you, with the opening facing you or facing upwards for waste.
9. Open the kit to create and position a sterile field (if on bedside table):
   • Open first flap away from you.
   • Open second flap toward you.
   • Open side flaps.
   • Only touch the outer 1” edge of the field to position the sterile field on the table.
10. Carefully remove the sterile drape from the kit. Touching only the outermost edges of the drape, unfold and place the touched side of the drape closest to linen, under the patient. Vertically position the drape between the patient’s legs to allow space for the sterile box and sterile tray. Do not reach over the drape as it is placed.
11. Wash your hands and apply sterile gloves.
12. OPTIONAL: Place the fenestrated drape over the patient’s perineal area with gloves on inside of the drape, away from the patient’s gown, with peri-area visible through the opening. Maintain sterility.
13. Empty the syringe or package of lubricant into the plastic tray. Place the empty syringe/package on the sterile outer package.
14. Simulate application (do not open) of the iodine cleanser to the cotton. Place package on sterile outer package.
15. Remove the sterile urine specimen container and cap and set them aside.
16. Remove the tray from the top of the box and place on sterile drape.
17. Carefully remove the plastic catheter covering, while keeping the catheter in the container. Attach the syringe filled with sterile water to the balloon port of the catheter; keep the catheter sterile.
18. Lubricate the tip of the catheter by dipping it in lubricant and replace it in the box. Maintain sterility.
19. If preparing the kit on a bedside table, place the plastic tray on top of the sterile box and carry it as one unit to the sterile drape between the patient’s legs, taking care not to touch your gloves on the patient’s legs or bed linens.
20. Place the top plastic tray on the sterile drape nearest to the patient. An alternate option is to leave the plastic tray on top of the box until after cleaning is complete.
21. Tell the patient that you are going to clean the catheterization area and they will feel a cold sensation.
22. With your nondominant hand, grasp the penis and retract the foreskin if present; position at a 90-degree angle. Your nondominant hand will now be nonsterile. This hand must remain in place throughout the procedure.
23. With your sterile dominant hand, use the forceps to pick up a cotton ball. Cleanse the glans penis with a saturated cotton ball in a circular motion from the center of the meatus outward. Discard the cotton ball after use into the plastic outer wrap, not crossing the sterile field. Repeat for a total of three times using a new cotton ball each time. Discard the forceps in the plastic bag without touching your sterile gloved hand to the bag.
24. Pick up the catheter with your sterile dominant hand. Instruct the patient to take a deep breath and exhale or “bear down” as if to void, as you steadily insert the catheter, maintaining sterility of the catheter, until urine is noted in the tube.
25. Once urine is noted, continue inserting to the catheter bifurcation.
26. With your nondominant/nonsterile hand, continue to hold the penis, and use your thumb and index finger to stabilize the catheter. With the dominant hand, inflate the retention balloon with the water-filled syringe to the level indicated on the balloon port of the catheter. With the plunger still pressed, remove the syringe and set it aside. Pull back on the catheter slightly until resistance is met, confirming the balloon is in place. Replace the foreskin, if retracted, for the procedure.
    If the patient experiences pain during balloon inflation, deflate the balloon and insert the catheter farther into the bladder. If pain continues with the balloon inflation, remove the catheter and notify the patient’s provider.

27. Remove the sterile draping and supplies from the bed area and place them on the bedside table. Remove the bath blanket and reposition the patient.
28. Remove your gloves and perform hand hygiene.
29. Apply new gloves. Secure the catheter with the securement device, allowing room to not pull on the catheter.
30. Place the drainage bag below the level of the bladder and attach the bag to the bed frame.
31. Perform peri-care as needed; assist the patient to a comfortable position.
32. Dispose of waste and used supplies.
33. Remove your gloves and perform hand hygiene.
34. Assist the patient to a comfortable position, ask if they have any questions, and thank them for their time.
35. Ensure safety measures when leaving the room:
    • CALL LIGHT: Within reach
    • BED: Low and locked (in lowest position and brakes on)
    • SIDE RAILS: Secured
    • TABLE: Within reach
    • ROOM: Risk-free for falls (scan room and clear any obstacles)
36. Perform hand hygiene.
37. Document the procedure and related assessment findings. Report any concerns according to agency policy.

1. ”Open Foley Kit 3I3A0654.jpg” by Deanna Hoyord, Chippewa Valley Technical College is licensed under CC BY 4.0 ↵
2. Open RN Project. (2021, November 11). Male Foley Catheter Insertion. [Video]. YouTube. Video licensed under CC-BY-4.0. https://youtu.be/H6C9FEayN8o ↵

installation, flushing and replacement of the Foley catheter at home in Moscow and the Moscow region, how to call a urologist at home to replace the Foley catheter at home

Replacement of the catheter at home

• Calling a urologist at home

  3500 ₽

• Replacement of a catheter at home 2500

  1200 ₽

The specialists of our clinic perform the replacement of the catheter at home. They use modern methods, sterile materials. They create a friendly, psychologically comfortable atmosphere. Ensure compliance with the requirements of reliability and safety at all stages of the procedure. Patients do not experience unpleasant, painful sensations. They are in a calm state, do not express complaints and concerns about possible side effects.

The home environment is the most favorable conditions for performing this manipulation. The support of relatives and friends helps to calm down even sensitive and nervous people. All medical instructions are carried out in a clear sequence. The patient fully trusts the experience of the invited specialist. He is not disturbed by any obsessive thoughts, he is confident in the correctness of the doctor’s actions. He can ask questions of interest to him, find out the picture of the dynamics of the disease. Get valuable advice on how to place a catheter.

Indication for Foley catheter replacement

Replacement of the catheter is carried out in a planned manner and in the presence of certain indicators. If this procedure is prescribed in the doctor’s recommendations, then it should be performed according to the instructions for use of the device. For silicone options – this is up to 30 days. Latex samples are changed at least once a week. When replacing silicone with silver, it will take no more than three months. The procedure must be carried out carefully. You can disconnect the catheter for its next processing, replacement or removal of urine from the urinal.

Pain symptoms in which it is necessary to install a new system may include the following signs:

• Pain in the abdomen;
• Appearance of blood clots and white flakes in excreted urine;
• Urine leaks from catheter;
• The outflow of urine from the catheter has stopped;
• Swelling of bladder, urinary ducts and tracts;
• Traumatic injury of the genitals;
• Cyst formation in bladder or urethra;
• Severe spinal injuries;
• For the purpose of postoperative rehabilitation.

Leakage of the system can occur if the catheter is too thin. Or the receiver balloon is poorly inflated, the urinal tube is bent. The device has been blocked.

The reasons for stopping the outflow of urine can be a weak flow of fluid into the body. Also, this problem appears when the urinal is set too high. Or the urinal tube is in the wrong, kinked condition. In the event of a deterioration in the patient’s well-being, impaired renal function, urine does not flow well from the catheter.

Which specialists can be called from the clinic

Tests at home

Dermatologist at home

Cardiologist at home

Neurologist at home

ultrasound at home

Urologist at home

Ultrasound of the veins

Ultrasound for children

Our doctors

Foley catheter placement at home

Changing the catheter at home can be done in two ways:

• Urethral;
• Ureteral.

In the first case, the catheter is inserted through the urethra. Before this, the genitals are treated with antiseptic agents. In order to alleviate the patient’s condition, an anesthetic composition is injected into the urethral region. This method of installation is used only in conditions of good patency of the urinary tract.

When using the ureteral type, the installation is made in the ureter. This method is necessary if separate urine sampling is performed from both lobes of the organ. The doctor prescribes this method for the formation of kidney stones or for the introduction of drugs into the upper urinary system.

The replacement procedure is practically the same for men and women. At the beginning, the genitalia and the mouth of the urerta are carefully processed. The end of the catheter inserted into the urethra is lubricated with petroleum jelly or glycerin. The tube is inserted into the body and submerged until urine appears. A urinal is attached to the other end of the tube. After the end of the catheterization process, the tube is carefully removed from the urethra.

Urologist house call for catheter insertion and replacement

Replacement of the catheter at home is performed by our specialists at any time convenient for patients. You can call a doctor by phone. Or apply remotely through the official website of the clinic. Before visiting, the urologist will tell you in detail how the manipulation is carried out at home. What method is used, how to care for the system. What complications can be encountered with improper processing of the catheter.

How to prepare for a catheter change at home

To change the catheter at home, the patient should perform preparatory procedures. They consist of the following actions:

• Wash with antibacterial soap;
• Remove hair from the skin in the genital area;
• Treat the genitals with an antiseptic solution.

Prior to the manipulation, the clinic specialist disinfects the instruments. The procedure will require surgical gloves, scissors, trays for instruments and waste material, a catheter, a urinal, tweezers, an antiseptic. You should also prepare a diaper, gauze wipes, syringe, anesthetic.

The patient takes a comfortable position. The nurse or doctor tells how the manipulation goes. They help you get ready for the process. Use only sterile materials and effective antiseptic preparations.

Complications when placing a catheter at home

If the catheter is placed incorrectly, serious complications can occur. The patient should immediately invite a medical professional to provide the necessary assistance if the following complications are detected:

• Bleeding in or around the catheter;
• Do not pass urine from the catheter if you drink a lot of liquid;
• The patient feels chills, he is in a fever;
• A large amount of urine forms around the catheter;
• Outgoing urine has an unpleasant odor, has a cloudy, thick structure;
• There is swelling of the skin in the area of ​​the catheter.

A specialist from our clinic will arrive within half an hour. He carefully examines the patient’s condition. Determine the cause of the side effect. Select effective methods to eliminate pain symptoms.

Foley catheter care at home

If pain or an infectious inflammatory process occurs during catheter operation, the defective device should be replaced immediately. In order to properly care for the system, it is necessary to constantly treat the urethra with antibacterial soap. To prevent infection of the body, the genitals should be treated after each bowel movement. Increasing the amount of fluid you drink will help avoid the development of complications. But check with your doctor first.

Lock the urinal in the correct position. It should be below the location of the bladder. As the receiver fills, it must be completely freed from the accumulated liquid. Be sure to wash your hands before and after handling the receiver. Do not allow the valve to become unsterile or come into contact with foreign objects. If the valve is dirty, wash it with soapy water.

Complication of replacing a Foley catheter at home

If the catheter is replaced incorrectly at home, the risks of infectious diseases and other pathologies are likely. It can be:

• Traumatic injury and perforation of the urethral canal;
• Bladder injury;
• Urethral fever;
• Urinary tract infection;
• Urerta inflammation.

To eliminate the risk of complications, a soft catheter should be used. You also need to carry out the procedure with the help of an experienced doctor or nurse. If all the replacement conditions are fully met, then this manipulation cannot worsen the patient’s condition, cause unpleasant sensations and discomfort.

Why should you visit our clinic?

Urologists of the highest category leave

Departure of the urologist at home on the day of treatment in Moscow and the Moscow region. Experience of specialists from 10 years.

The doctor will arrive within 2 hours

You can also schedule a doctor’s visit at any time from 8 am to 11 pm Moscow time and the Moscow region.

Expert class equipment

Ultrasound is performed on expert-class equipment manufactured by General Electric, SONY, Mindray.

Analyzes and ultrasound on the day of treatment

Analyzes, x-rays, ultrasound with interpretation, dressings on the day of treatment in Moscow and the Moscow region.

Consultations for adults and children

We help adult men and women, as well as babies from the first days of life.

Experienced Doctors

Our experienced doctors with over 15 years of experience. Candidates of Medical Sciences.

Foley catheter removal at home

To remove the catheter at home, our specialists suggest doing the following:

• Wash hands with warm water and soap;
• Dry hands with paper towel, which should then be discarded;
• Put on sterile gloves;
• Before removing the catheter, empty the bag of accumulated urine;
• Get into a comfortable position before removing the system. To do this, you need to undress to the waist, spread your legs, bending them at the knees. It is best to lie on your back. This will relax the body, relieve tension from the urethra and bladder;
• Put on gloves and rinse the tube thoroughly. This will ensure that there is no risk of infection;
• Locate the location of the catheter balloon opening;
• Deflate the balloon, then remove the catheter;
• Carefully examine the catheter for integrity;
• Discard the used catheter in a urine collection container;
• Flush the installation site with saline;
• Remove gloves and wash hands thoroughly.

Strict observance of these rules will help to remove the system without possible complications.

Recommendations for patients with a Foley catheter

The main condition for excluding the occurrence of infectious inflammation is the strict observance of the rules of personal hygiene. It is necessary to wash the genitals after each urination, it is also necessary to take a shower. To do this, disconnect the urinal by holding the catheter with a special clip. Wash the skin thoroughly with baby soap. Then dry the place of attachment of the system and the genitals. Fix the position of the receiver.

Do not allow moisture to enter the tube. This is how bacteria can grow. Treat the skin in the area of ​​fixation with special cotton pads and tampons made in the factory. During catheterization, you can not visit the sauna, bath or swim in the pond.

• Urologist’s consultation at the clinic

  1200 ₽

• Bladder ultrasound at home

  2500 ₽

You can see a more detailed price list on page prices for services .

Publication date: 2020-05-15

This article is for educational purposes only and does not constitute scientific material or professional medical advice.

Installation/replacement of a cystostomy drain in Cheboksary

How is the installation/replacement of a cystostomy drain (Foley catheter) performed? When the procedure is performed on a woman, the patient lies on her back, her legs are bent at the knees and spread apart. The specialist spreads the labia and gently inserts the catheter (length 26 cm) into the opening of the urethra, stops when urine flows through the catheter. Sterile water to inflate the balloon is injected through one of the passages of the outer end of the catheter with a syringe. After that, a bag is attached to the outer end, where urine will be collected. In the process of wearing, you need to make sure that the bag is always below the waist, otherwise the urine will go in the opposite direction along the catheter.

The male catheter is up to 40 cm long because the urethra in patients of this sex is much longer than in women.

If a child needs a catheter, the depth of insertion is less because the length of the urethra is shorter. The pediatric catheter is up to 28 cm long and has special stylets to facilitate insertion.

Wash the area around the catheter with soap and water several times a day to avoid irritation. It is timely necessary to drain the bag for collecting urine, make sure that it is below the bladder.

If the urine flow is normal, the catheter should be changed as directed by the physician. For example, if the catheter is silicone, it can be used up to 30 days, latex – up to 7, silicone with silver – up to 90. You can not pull on the catheter, you can disconnect it only in cases where you need to rinse or replace, and also in order to to empty the urinal.

What do I need to know about cystostomy drainage?

A medical catheter is a long tube with a smooth tip that has two slots, through which urine is drained from the bladder, below them there is a balloon that inflates and prevents the product from falling out of the body, blocking the bladder neck from the inside. The second end of the tube is a hole for draining urine, a separate hole for filling the balloon, as well as a special anti-reflux valve.

An indwelling Foley catheter or cystostomy drain can be made of latex or silicone that is tubing with two or three way balloon catheters. Three-way catheters have an additional hole for the introduction of drugs.

Once the drainage device is in place, urine begins to drain from the bladder through the holes into the tube and receiver. Widely used in urology and gynecology to:

• divert urine from the bladder;
• treat pathologies and injuries of the urinary system;
• prepare for surgery;
• induce labor;
• diagnose certain pathological conditions.

If the patient has urinary diversion problems, a catheter is placed for prolonged emptying of the bladder. The Foley catheter is used when the duration of wear is at least a week, depending on the characteristics of the device, it can be worn up to 90 days.

Main indications

Cystostomy drainage is installed in the following conditions:

• in the presence of ruptures of the bladder or urethra, trauma to the organ;
• a false urethral passage has formed;
• for acute urinary retention, including complications of urosepsis;
• for prostatic hypertrophy;
• in the presence of neoplasms of the bladder that compress the urethra;
• with complications of urolithiasis, due to which urine is retained;
• at the initial stage of reconstruction of the urogenital organs;
• if it is necessary to catheterize the bladder for a long time, so that the patient can lead a normal life, including intimate life;
• if you cannot insert the catheter yourself.

Preparation for the procedure

General blood and urine tests, blood clotting and sugar tests are prescribed before the catheter is inserted. No special preparation is required before the procedure.

Why is it better to contact the Lecardo Clinic medical center to install or replace a cystostomy drain?

The medical center “Lecardo Clinic” employs qualified specialists of various profiles. The extensive experience of the clinic’s specialists, the use of the best technologies and expert equipment allow us to provide high-quality medical services. By contacting Lecardo Clinic in Cheboksary, you can get the following benefits:

• Individual approach to each patient.
• Attentive attitude from the medical staff.
• Comfortable conditions during the procedure.
• Strict observance of sanitary and hygienic requirements.
• Extreme care and safety when performing medical procedures.
• Affordable cost of services.

To install or replace a Foley catheter, you need to make an appointment with a urologist at our clinic in Cheboksary at a convenient time. You can do this over the phone by calling the number: 8 (8352) 45-45-55.

Attention! Any procedures/operations performed by the medical center “Lecardo Clinic” require a preliminary examination and consultation of OUR specialized doctor. For any information on this issue, check with the administration before making an appointment and visiting the clinic.

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Had a foot massage at Gromova Zlata. I liked everything, the swelling in the legs went away, there was lightness in the legs. I’ll be back for a back massage.

I, Ilyina Marina Anatolyevna, was at the appointment of Tatyana Yuryevna, a cardiologist on the recommendation of my aunt, and did not regret it at all. A doctor from God, you can immediately see a good specialist. She listened to everything competently, calmly explained, if something was not clear, you can call her. More such experts. Thanks her!!!

Service at the highest level, special thanks to Belkova Tatyana 🙂 Everything is very fast and without any hassle, everything is explained, there are no queues. Avetisyan N.V. very pleasant doctor and person. Varnakova I.B. 07.06.23

Liked: front desk service. Quality services are provided at the doctor’s appointment. Well done employees!!! The girl administrator Engel Olga, very correctly and informatively conveyed the information, for which we are very grateful.

Fast, convenient, comfortable. Friendly staff. All tests, ultrasound and specialist consultations were provided in one place at one time, which is convenient and comfortable for me. 06/12/2023.

Cardiologist Parandeeva T .V. She listened very carefully to my blood pressure issues. Picked up a course of treatment, explained my health problems in an understandable way. Thanks a lot. While on vacation for several days, she examined ultrasound of the abdominal cavity, heart, echocardiography, and visited a cardiologist. Ultrasound doctors Novoshinova T.N., Yadrintseva E.V. everyone explained my health problems in a clear way. The staff at the reception are friendly and polite.

Incredibly nice staff at the reception and gin. Ilya is simply amazing! And also special thanks for the coffee machine. All good.

Evdokimov Leonid Anatolyevich, thank you for the quality treatment, for your professionalism! I wish you the very best. The receptionist is also very friendly. Thank you very much!!! I am already advertising your clinic to my friends

Pleasant treatment from administrators. Bala at the ultrasound, special thanks to the doctor Nikolaeva Anastasia.