Urology. Bladder Catheterisation. patientinformation. Rotherham Hospital Your health, your choice, our passion

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1 Urology Bladder Catheterisation patientinformation Rotherham Hospital Your health, your choice, our passion

2

3 What is a catheter? A catheter is a hollow, soft tube which drains urine (water) from your bladder. There are many reasons why the Doctor or Nurse may have recommended that you need a catheter. If you have any questions about why you need a catheter, please ask. Figure 1 Bladder Balloon Prostate Catheter Male Anatomy How does the catheter stay in? To prevent the catheter falling out, once it has been inserted, it has a small balloon on the end which is inflated to hold it in the bladder (figure 1). The catheter will then drain urine from your bladder which can then be collected in a bag which is attached to the catheter, or you may have been shown how to use a catheter valve (figure 2). How long can the catheter stay in my body? The catheter will stay for as long as the Doctor or Nurse have decided, depending on your medical condition. Arrangements will be made for the catheter to be changed at regular intervals. A catheter will need changing before 12 weeks. You may be asked to attend the hospital for this, or we can arrange for the District Nurse to change it at your home. 3

4 How do I look after my catheter? Please try to follow these simple rules: l Drink 2 3 pints of fluid per day (6-9 cups) l Keep your bowels regular ensure you have plenty of fruit and vegetables l Try to have a bath or shower everyday l Clean around where the catheter enters your body with water twice a day l Do not use soap or other cleansing agents l Dry the area thoroughly l Do not use talcum powder or creams l Wash your hands, before and after emptying, or connecting the drainage bag/valve l Ensure that the catheter bag is fitted and supported correctly l Alternate the position of the bag on your leg daily Can I still have sex? Yes. Do not be afraid to discuss with this with your Doctor or Nurse. Many people have urinary catheters and still have an active sex life! 4 Can I go on holiday? You should be able to continue all your normal activities, even though you now have a urinary catheter. If you go on holiday always ask your Doctor or Nurse for a spare catheter and leg bags / valves to take with you, just in case you have any problems. You can then take these with you to any Hospital or GP surgery for help. Always take this booklet with you.

5 Will urine leak from my bladder? Urine may still occasionally leak from your bladder and pass around the outside of the catheter. This may be due to bladder spasm. Always check that the catheter or the tubing is not kinked or trapped. Figure 2 Figure Drainage Bag Flip Flo Valve Always ensure the drainage bag is secured below the level of your bladder so that the catheter can drain. It is common for a small amount of urine to leak from around the catheter if you strain to have your bowels opened. If no urine is draining from the catheter, please contact your District Nurse or GP. Which drainage systems do I use? The Doctor or Nurse will discuss with you which drainage system they recommend you to use. This may be either a drainage bag (see figure 2) which is then secured to your leg, or a catheter valve (see figure 3) Leg drainage bag The leg bag attaches to the catheter and is then secured to your leg either to the thigh or calf with a pair of straps. Occasionally, the Doctor or Nurse may recommend a special catheter holder which fits like a sleeve around your thigh. As the bag gradually fills with urine, it will become heavier and you will feel a strain on the straps. Please empty the drainage bag before it becomes too full. 5

6 Figure 3 The catheter valve can be strapped to your leg to secure it. Emptying the bag l Firstly, wash your hands l Open the tap at the bottom of the bag and allow the urine to drain either directly down the toilet, or into a container that you can later empty down the toilet l Do not allow the tap to touch the toilet l Close the tap l Wash your hands Catheter Valve A catheter valve is like a tap fitted to the end of the catheter (see figure 3). It allows your bladder to fill and store urine until either you have the normal sensation that you need to pass urine or you have been instructed to empty the valve by the clock (time intervals). Emptying the catheter valve l Firstly, wash your hands l Open the valve and allow the urine to drain either directly down the toilet, or into a container that you can later empty down the toilet l Do not allow the valve to touch the toilet l Close the valve l Wash your hands l Never allow more than 4 hours to pass without emptying the valve 6

7 Figure 5 Overnight drainage system attached to leg bag. Remember to open the tap at the bottom of the leg bag. Figure Overnight drainage system attached to catheter valve. Remember to open the valve. Overnight drainage bags This is a large capacity bag (will hold up to 2 litres) that can be attached to either the catheter bag (see figure 5) or catheter valve (see figure 6). It is used overnight, so that you do not have to worry about getting up during the night to empty the leg bag or valve. When you go to bed, loosen the leg straps and attach the large bag to the end of the leg bag or catheter valve. The Doctor or Nurse will explain how to do this. Then in the morning remove the large urine bag and empty the urine down the toilet. When do I have to change the catheter bag or valve? The Department of Health recommend that the leg bag, overnight drainage bag, or catheter valve are changed once a week. The Doctor or Nurse will explain how to do this. To dispose of used catheter bags or valves, wrap them in either newspaper or a plastic bag before placing them in a dustbin. In certain areas, your Doctor or Nurse may have made arrangements for Environmental Health to collect them from your home. 7

8 When should I call my Doctor or GP? Call your GP immediately if: l The catheter falls out l You feel generally unwell or if you develop a sudden high temperature l You experience any abnormal abdominal pain l You experience any bleeding, either within or around the catheter For general advice, please contact your District Nurse Who do I contact if I have any questions? If you need to contact the Urology Department, please telephone or contact the Urology Nurses on (an answer machine may be in use at busy times). Patients notes Department of Urology Rotherham General Hospital. Reason for catheterisation Date of first insertion Drainage system used 8

9 Patient record Date Problems Catheter size Balloon size Review date Comments 9

10 Useful contact numbers NHS Direct Telephone Patient Services Telephone Health Info Telephone Stop Smoking Service Telephone A&E Telephone For GP out of hours, contact your surgery Useful websites If you require this document in another language, large print, braille or audio version, please contact Patient Information on Produced by Jan Farrell, November 2006 Revised January 2008, September 2011 Revision due September Version: 3.0 The Rotherham NHS Foundation Trust All rights reserved.

11 How to find us Hospital site plan Woodlands P Two Way traffic One Way traffic Public Parking Leapfrog Day Nursery Child Development Centre Oakwood Hall Greenoaks P Oakwood Hall Annexe P Oldfield Centre Moorgate Wing OAKWOOD HALL DRIVE Day Surgery Centre Maternity Entrance Rotherham Hospital Main Entrance Accident & Emergency P PAY AND DISPLAY P PAY AND DISPLAY P PAY AND DISPLAY One Way Bus stop BAKER STREET MOORGATE One way Bus stop ROAD A618 Bus stop Security Centre TO WOODSIDE Rotherham main routes To Leeds Parkgate To Doncaster 35 Thorpe Hesley B6089 A633 M1 North 34 South 34 To Sheffield Kimberworth Park A629 Kimberworth A6109 A631 A630 A630 Woodside Brinsworth A A630 TOWN Clifton CENTRE A618 A631 East Dene Rotherham Hospital Moorgate A6123 Whiston Herringthorpe A631 M1 Wickersley Bramley 32 A631 To A1, M62 & Hull M18 1 To Sheffield Treeton A618 M1 To Nottingham and the South

12 LS /11 V3 WFO How to contact us Urology Department Telephone am to 5.00pm Urology partial booking appointments Telephone Urology Ward Telephone hour service Urology Nurses Telephone Switchboard Telephone Rotherham Hospital Moorgate Road Oakwood Rotherham S60 2UD Telephone Sustainable Forests / Low chlorine

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