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Foley Catheter

WHAT YOU SHOULD KNOW

A Foley catheter (KATH-uh-ter)--a soft, thin rubber tube with a balloon on the end--is used to drain urine from the bladder. It can remain in place for a short or long period of time. The catheter is threaded through the urinary duct (urethra) and into the bladder. A Foley catheter is needed when normal urination is disrupted by an infection, a swollen prostate gland, bladder stones, or, sometimes, an injury. In very sick people, a catheter may be used to keep track of urine production.

Risks

Your bladder or urethra could be injured when the Foley catheter is inserted. You could also develop an infection. But, if you follow your doctor's directions, you should not have problems.

IF YOU'RE HEADING FOR THE HOSPITAL...

What to Expect While You're There

You may encounter the following procedures and equipment during your stay:
  • Taking Your Vital Signs: These include your temperature, blood pressure, pulse (counting your heartbeats), and respirations (counting your breaths). A stethoscope is used to listen to your heart and lungs. Your blood pressure is taken by wrapping a cuff around your arm.
  • Inserting the Foley Catheter:
    • You will lie on your back covered by a sheet. Using sterile gloves, your doctor will carefully clean the area around your urethra.
    • The catheter will be gently inserted in your urethra and passed up to your bladder.
    • When the tube reaches your bladder, the balloon at the tip will be filled with sterile water by your doctor. This will hold the catheter in place.
    • The balloon presses against the wall of your bladder. This may make you feel the need to urinate. However, the urine will drain out the catheter, instead.
    • To keep it secure, the catheter will be taped to your belly or leg.
    • The insertion will take about 10 minutes.

After You Leave

  • Do NOT pull on the catheter or try to remove it. Keep the catheter tube taped or tied to your leg to prevent accidental pulling.
  • Always keep the urine drainage bag below the level of your bladder. This prevents urine from running back into your bladder and reduces your chances of getting a bladder infection.
  • Do not puncture, cut, or clamp the catheter.
  • To help keep the catheter from clogging, drink 8 glasses of water a day. Your urine should be clear or pale yellow.
  • Empty the drainage bag frequently. Do not allow the urine to sit in the bag for more than 2 or 3 hours. This helps prevent infection and also reduces odor and the chance of leakage. Measure and write down the amount of urine you empty from the bag.
  • If crusty deposits form on the catheter, they should be washed off gently with warm water and mild soap. Rinse the area well after washing. Do not put creams or ointments on the catheter unless prescribed by your doctor.
  • You may shower with the catheter in place, but do not take tub baths.
  • The catheter will need to be changed regularly. Be sure to keep your appointments.

Call Your Doctor If

  • The catheter's point of entry is painful.
  • You feel pain or burning in your bladder.
  • You begin to see blood in your urine.
  • Bloody or pus-like discharge appears around the catheter.
  • You have a high temperature.
  • The catheter slips out.
  • No urine is draining into the urine bag.

Seek Care Immediately If...

  • Your symptoms get worse.
  • Your temperature gets very high.
  • You notice blood specks in your urine, or the urine becomes red or smelly.

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