SRI VENKATESWARA INSTITUTE OF

MEDICAL SCIENCES
COLLEGE OF NURSING
TIRUPATI,
ANDHRA PRADESH

PROCEDURE ON
male catheterization
DEFINITION
Urinary catheterization is Foley s a catheter introduce in
to the urinary bladder through male urethra opening by using aseptic
technique for the purpose of emptying the bladder.
Aim:

To ensure the insertion of urinary catheter without any

trauma and injury .It facilitate to drain the urine from the urinary
bladder.
 Purposes :
•To relive acute or chronic urinary retention.
•To prevent bed wetting ,when the patient is incontinence .
•To provide for intermittent(or) continuous bladder drainage and
irrigation.
•To obtain a sterile urine specimen.
•To maintain urinary drainage when it is not desirable for the patient to
void e.g. after repair of the perineum.
•To ensure safety by emptying of residual urine when the bladder is
incompletely emptied.
•To measure the amount of residual urine when the bladder is
incompletely emptied.
•To prevent urine from passing over a wound e.g. after repair of the
perineum.
 Equipments:
Articles
Sterile tray
 A small bowl with cotton swabs .
 Dissecting forceps or sponge holding
forceps.
 A syringe and a needle.
 A kidney tray.
 Hole towel and slight
 A pair of gloves .
 Sterile catheter-straight or an
indwelling catheter (Foley’s)depending To withdraw( or)drain urine from bladder.
upon the purpose of catheterization.
A clean tray contains:
 A mackintosh and towel.
 Kidney tray and paper bag.
 Spot light (or )torch
 Xylocaine jelly.
Purposes
To clean the penis ,scrotum and
surroundings area.
To hold the swabs to clean the penis
,scrotum and surrounding area.
To inflate the bulb of the Foley’s catheter.
To collect the urine
To create a sterile filed.
To keep up the aseptic technique.
To protect the bed.
To protect the bed.
To visualize the meatus.
To lubricate the catheter.
 PROCEDURE

Sno Steps Rational

To aid in co-operation and reduce

1 Explain the procedure to the patient
apprehension of the patient.

Close door( or) draw curtain or

2 To provide privacy
screen the patient.

Wash hands with soap and water put

3 To prevent cross contamination.
on clean (or) sterile gloves

Place a waterproof absorbent pad

(or) a mackintosh lined with paper
4 To protect bed linen.
(or) towel under the patient‘s
buttocks.

Bring the patient towards one side of

5 Prevents strain on the nurse’s arms and back.
the bed.
 Place the patient in the supine
6 Allow the relaxation of muscle.
position with legs are extended.

Drape the patient with a bath

To prevent embarrassment .keep the patient warm
7 blanket covering both legs leaving
and provide privacy
genitalia exposure.
Wash the penis and surrounding
To reduce introduction of microorganism into the
8 area with warm soapy swabs and
urinary bladder
plain water swabs.
9 Rinse and dry the area To prevent a skin breakdown

10 Remove the gloves and wash hands To prevent cross-infection

 To provide a sterile working
11 Put on sterile gloves. environment and prevent cross-
infection
Open the sterile catheterization tray
12 To prepare the sterile field
using sterile technique.
Clean surrounding of perineal area
with a gloved hand ,pick up a cotton
ball with a forceps and clean the penis
13 To prevent cross –infection
move it in a circular motion from
urethral meatus down to to the base of
glans. Repeat using swab once.
Sterile catheter is kept covered untile Bacteria are present in air(prevent
14
ready for use. contamination).
Pick –up the catheter with a gloved To easier manipulation and
15
hand 3-4inches from the catheter insertion of catheter
 Hold one end of the catheter loosely
16 Easy insertion.
coiled in the palm of the same hand.
Lubricate the tip of the catheter with To facilitate easy and safe insertion to
17
a sterile lubricant. prevent friction.
Gently insert appropriate size of the
Ensure and complete emptying of the
18 catheter
bladder prevent trauma by avoiding force.
2-4inches for the male.
Do not use force to insert the
19 Force full insertion causes injury.
catheter.

Collection a urine specimen if

needed by placing the open end of
20 To obtain a sterile specimen.
the catheter into the specimen
container.
 The indwelling catheter inflate
21 balloon with the required amount of To anchor catheter in the bladder.
normal saline 20ml.

22 Pull gently to feel resistance. To ensure anchoring.

Securing the catheter tubing on the

thigh( or) lower abdomen (with
Anchoring catheter reduces pressure on
penis directed to words the
23 the urethra ,thus reducing the possibility of
chest)with a strip of non allergic
a tissue injury in their area.
tape not cause tension on the
catheter.
After care of the patient and articles:
•Wash hands and dry the penis to remove any urine spilled on the skin.
•Remove the drape sheet and replace the bed linen.
•Place the patient in comfortable position.
•Erasure urine drain and observe the characteristics of urine and record it.
•Wash articles ,dismantle and replace in the utility room
•Send the urine specimen for laboratory investigation
•Record the procedure on the nurses record(time, purpose ,amount and characteristics
of urine drained)maintained an intake -out put chart.
•For indwelling catheter ensure complete closed urinary drainage system, empty the
collection bag at least every eight hours .keep tubing s free of Knicks.
•Foley’s catheter has to be changed after two weeks if necessary.
•Remove Foley’s catheter by first completely deflating the balloon.
•Perineal exercises help restore sphincter control after a catheter is removed.
Date time treatment Nurses notes
17-1-19 10am Preliminary assessment:
Chief complaints:
•Abdominal pain.
•Burning sensation of during
passing urine.
•Incontinence of urine sine 2
days.
17-1-19 10-20am Catheteriz - After catherization 150 ml of
ation done urine was collected into urosac
With 2% bag.Foleys’catheter secured with
xylocaine adhesive plaster.
jelly
- Patient feels comfortable after
catheterization.