URINARY CATHETERIZATION underlying tissues of the tube through which urine flows out

of the bladder (urethra). This irritation may cause open

Definition: wounds of those tissues.
Urinary catheterization is the introduction of Call your doctor or nurse if any of the following occurs:
catheter (rubber or plastic tube for injecting or removing • Little or no urine flows into the bag over a period of
fluids) through the urethra into the bladder to provide a 4 hours
continuous flow of urine. • Little or no urine flows into the bag over a couple of
The two types of catheterization are the hours, and you feel like your bladder is full
intermittent and indwelling catheter. Intermittent technique • Lower abdominal pain and/or pain in your pelvis
involves the use of a straight single use catheter introduced • Pain at the insertion site
long enough to drain the bladder. Indwelling or Foley • Urine has changed in color or consistency, or there
catheter remains in place until the client is able to void is blood in the urine.
completely and voluntarily. • Drainage comes from the catheter insertion site
Purposes: that looks like pus or has a foul odor
1. To relieve acute or chronic urinary retention. • Increased leakage around the insertion site
2. To assess amount of residual urine if the • Temperature above 100 F (38.0 C)
bladder empties completely. Equipments:
3. To obtain urine specimen when a specimen • Flashlight or lamp
cannot be secured satisfactorily by other • Mask, if required by agency policy
means. • Bath blanket
4. To empty the bladder before and after surgery • Soap; a basin of warm water, a washcloth
or delivery and before certain diagnostic and a towel
examinations. • Disposable gloves
Indications:
Therapeutic: • A sterile catheterization kit containing:
• Relief of acute or chronic urinary retention  Sterile gloves
 Drapes, fenestrated (optional)
• To allow urinary bladder irrigation  Antiseptic cleansing solution
• During certain surgical procedures (e.g.  Cotton balls or gauze squares
abdomino-pelvic surgery)  Forceps
• In certain patients with intractable urinary  Water soluble lubricant
incontinence (e.g. bed bound patients with  Catheter of appropriate size
urinary incontinence and were all other (either straight or indwelling)
interventions have failed)  French #14 or #16 for adult
Diagnostic: women
 French #18 or #20 for adult
• Monitor urinary output in critically ill patients men
• To obtain an uncontaminated sample of urine  French # 8 or # 10 for
for microbiological examination children
Contraindications: • Drainage tubing or collection bag
• Actual or suspected urethral trauma (e.g. • Specimen container (if necessary)
pelvic trauma) • Receptacle for waste
• Urethral stricture or obstruction • Tape or plaster
Complications: • Rubber draw sheet
Urinary bladder catheterization is an invasive Precautions in establishing effective urinary drainage:
procedure. The decision to insert a urinary catheter has to be 1. Ensure the emptying base of the drainage bag
taken carefully and only after considering all other options. is closed.
There are many potential compilations including: 2. Make sure that the drainage tubing is not
1. Urinary tract infections kinked. Do not place it under a part of the leg
2. Urethral trauma where it can be compressed.
3. Bladder trauma 3. Do not place drainage bag above the level of
4. Urethral / bladder spasm the bladder since it may cause drainage of the
5. Paraphimosis urine by suction rather than gravity causing
6. Pressure necrosis of the urethra injury or infection to the bladder.
Special Considerations: 4. Plaster the drainage tubing to the bottom bed
1. The bladder is normally a sterile cavity. linen to help hold the drainage tube in the
2. The external opening to the urethra can never proper place while the patient is in bed.
be sterilized. 5. Keep the drainage bag off the floor at all times
3. The bladder has defense mechanism that to reduce the risk of infection.
empties itself of urine regularly and maintains
an acidic environment. INSERTING A STRAIGHT CATHETER IN FEMALES
4. Pathogens introduced in the bladder can
ascend the ureters and lead to bladder and PROCEDURE RATIONALE
kidney infection. 1. Assess the status of the
5. Normal bladder is not as susceptible to client may indicate bladder
infection as an injured one. a. When client last voided dysfunction
b. Level of awareness or reveals ability to
Prior to any procedure it is important to perform a developmental stage cooperate
full clinical assessment (including a drug and allergy history).
c. Mobility and physical
It is important to ascertain the indication and any potential affect the way that nurse
limitations
contraindication. If at any stage you are unsure whether or will position client
d. Age-Determines
not to perform the procedure - always seek expert advice. Determine allergy to
catheter to use
Consent: antiseptic, tape or rubber
Obtain informed consent from the patient. Make sure e. Pathological condition
that the patient that may impair
passage of catheter
• Understands the reasons for doing the such as enlarged
procedure prostate
• Inform them of what they will experience f. Allergies
• Understands the information given to them 2. Prepare all equipment and Ensures organized and
supplies before entering efficient procedure.
• Understands the potential benefits and risks of
room of the patient. Be sure
a decision to wash hands.
• Understands the consequences of refusal of 3. Explain the procedure. Reduces anxiety and
treatment Describe the pressure promotes cooperation.
• Believes the information given to them sensation that will be felt Relieving patient’s
during insertion. tension can facilitate
• Can retain the information for long enough to
insertion of catheter
make an effective decision because urinary
• Can weigh up the information and make a sphincter is most likely to
balanced decision be relaxed.
• Can make a free choice 4. Clear bedside table and Placement of equipment
Client Teaching: arrange equipment for in order of use increases
Urinary catheters may cause infections in the convenience. Place the speed of
bladder and kidneys of men and women. In men, they may materials for cleaning performance. Reaching
cause infection in the genital tract. In men, they may cause perineum separately. over the sterile items
infection in the genital tract. Catheters also may cause may increase the risk of
bladder stones. Catheters may irrigate the lining and contamination.
5. Provide privacy to the
client. Have her lie on a
firm mattress. Place
waterproof pad under the
client.
6. Position the client in dorsal
recumbent position with
thighs elevated and
externally rotated. Pillows
may support legs.
7. Drape the client with bath
blanket. Place blanket over
client one corner at each
side corner over arms and
sides, last corner over the
perineum. Raise gown
above hips.
8. Wear disposable gloves.
Wash perineal – genital
area with warm water and
soap. Dry the area. Remove
and dispose of gloves.
9. If necessary, position lamp
to illuminate perineal area.
10. Open catheterization kit and
catheter according to
direction. Put on sterile
gloves.
11. Organize supplies on the
sterile; open sterile package
containing catheter, pour
antiseptic solution over the
cotton balls; open packet
containing containing
lubricant, remove specimen
container.
12. Apply sterile drape. Use first
drape as an underpad, and
place it under buttocks.
Place fenestrated drape
over perineal area exposing
only the labia. If
fenestrated drape is snot
available, place two high
drapes from side farthest to
the side and nearest to you.
Place sterile kit between
thighs.
13. Lubricate the insertion tip of
the catheter about 1-2
inches. Be careful not to
clog the opening.
14. With non-dominant hand,
carefully retract the labia to
fully expose urethral
meatus. Maintain position of
nondominant hand
throughout the remainder
of procedure.
15. With nondominant hand,
pick up forceps with cotton
balls and clean the perineal
area wiping from front to
back (clitoris to anus). Use
one cotton ball for each
stroke near the labial field,
along far labial field and
directly over meatus.
16. Pick up catheter with gloved
dominant hand
approximately 5 cm from
the catheter tip. Hold end of
catheter loosely coiled in
palm
17. Insert the catheter slowly
through the urinary meatus.
Advance the catheter
approximately 5-7.5 cm in
adult (2.5 cm in children)
until urine flows out of the
catheter. Ask the client to
take deep breaths if
catheter meets resistance.
Release labia and hold
catheter securely.
18. If urine specimen is to be
collected, pinch the catheter
and transfer the drainage
end of it into sterile
Reduces embarrassment
and aids in relaxation.
Waterproof pad prevents
soiling of bed linen.
Position provides a good
view of the structures of
perineum and reduces
the risk of contaminating
the catheter.
Maintains comfort while
avoiding unnecessary
exposure of body parts.
Reduces presence of
microorganisms over
meatus and possibility of
introducing microbes
with catheter.
Permits accurate
identification and good
view of urethral meatus.
Allows nurse to handle
sterile supplies without
contamination
Maintains sterility of work
surface. Placing thigh
drape from farther side
to nearer side prevents
reaching across a sterile
drape.
Water-soluble lubricant
reduces friction thereby
facilitating ease of
insertion.
Full retraction provides
full visualization of
meatus and prevents
contamination during
cleansing. Closure of
labia during cleaning
requires that the
procedure be repeated
again.
Reduces number of
microorganism at the
urethral meatus. Use of
single cotton ball for
each stroke prevents the
transfer of microbes.
Cleaning should proceed
from least contaminated
(clitoris) to more
contaminated area
(anus). Dominant hand
remains sterile.
Catheter should be held
far enough from end to
allow full insertion into
the bladder and maintain
control of tip of catheter
so it will not be
accidentally
contaminated.
Forceful pressure exerted
against the urethra can
produce trauma. Deep
breathing relaxes the
external sphincter.
Holding catheter securely
prevents accidental
expulsion by possible
contraction.
Allows sterile specimen
to be obtained for culture
analysis.
specimen bottle. Cover
specimen cup and set aside
for labeling.
19. Allow bladder to empty fully Rapid removal of large
or partially depending on amount of urine is
agency policy or physician’s thought to induce
order. engorgement of the
pelvic blood vessels and
hypovolemic shock.
However, retained urine
may serve as a reservoir
for microbes to multiply.
20. When flow of urine begins This method minimizes
to decrease withdraw discomfort of patient as
catheter slowly about 1 cm well as prevents
at a time until barely drips, accidental expulsion by
then withdraw the catheter possible bladder
completely. contraction.
21. Remove the equipment Excess lubricant and
used. Assist the client to a solution in the area can
comfortable position. Dry irritate the skin. Ensure
the client’s perineum with a patient’s comfort and
towel or drape. Proper safety.
aftercare of equipment
should be done. Send urine
specimen to laboratory after
proper labeling.
22. Document the Communicate pertinent
catheterization. Include information to all
assessment before and members of health care
after procedure; type and team.
size of catheter inserted:
time, character and amount
of urine obtained; specimen
sent to laboratory and
client’s response to
procedure.
INSERTING A STRAIGHT CATHETER IN MALES
PROCEDURE RATIONALE
1. Follow techniques 1-5 of
female straight
catheterization
2. Assist the client to Allows greater relaxation of
assume supine position the abdominal and perineal
with thighs slightly muscles and permits easier
abducted and knees insertion of catheter.
slightly flexed.
3. Drape the client’s upper Avoids unnecessary
trunk with bath blanket exposure of body parts and
and cover lower maintains comfort.
extremities with
bedsheets exposing only
the genitalia.
4. Place catheter set next Placement of equipment
to patient’s legs. within nurse’s reach
increases speed of
performance.
5. Follow technique 8-11 of
female straight
catheterization.
6. Apply sterile drape over Maintains sterility of work
thighs just below the surface.
pelvis. Pick-up
fenestrated drape, allow
it to unfold and drape it
over penis, with
fenestrated slit resting
over penis.
7. Lubricate 7.5 – 12.5 cm Allows easy insertion of
(3-5 inches) along side catheter tip through meatus.
of catheter tip. Be
careful not to clog the
eye of catheter.
8. With the non-dominant Minimizes chance of
hand, grasp the penis erection. If erection
firmly behind the glans develops, discontinue
while spreading meatus procedure.
between thumb and
forefinger. Retract the
foreskin of an
uncircumcised male.
Maintain non-dominant
hand in this position
throughout catheter
insertion.
9. With dominant hand, Reduce the number of
pick up cotton ball with microorganism at the
forceps and clean penis. meatus and moves from
Clean the meatus first, area of least to most
and then wipe the tissue contamination.
surrounding the meatus
in a circular motion.
Discard each swab after
each stroke.
10. Pick up the catheter with Holding the catheter far sudden pain, aspirate back urethra, pain will occur
dominant hand holding enough from end maintains solution and advance during inflation.
it about 8-10 inches control of the tip of catheter catheter further. Inject no
from the insertion tip. to avoid accidental more fluid than the balloon
Place drainage end in contamination. size indicates.
the urine receptacle. 5. When the balloon is safely This indicates that the
11. Lift the penis to a Lifting the penis so that it is inflated, apply slight tension catheter balloon is well
position perpendicular to perpendicular to the body on catheter until resistance anchored in the bladder.
the body (90 angle) and strengthens the downward is felt. Move catheter Moving back can keep
exert slight traction curvature of the urethra. slightly back in bladder. the balloon from exerting
(pulling or tension Slight resistance is usually Remove the syringe. pressure on the neck of
upward). Insert catheter encountered at the external the bladder.
steadily about about 20 and internal sphincters. 6. Attached end of catheter to Establishes closed
cm (8 inches) or until Deep breathing relaxes the collecting tube of drainage system for urine
urine flows. If resistance internal sphincter. system. Place bag in drainage. Dependent
is met, twist the dependent position. position promotes flow of
catheter or ask the urine away from the
client to take deep bladder.
breaths or try to void. 7. Tape the catheter to the Taping restricts the
12. While urine flows, lower Bladder or sphincter inside of female thigh or movement of catheter
the penis and hold the contraction may cause abdomen of a male client. thus reducing friction
catheter securely with accidental expulsion of and irritation in the
dominant hand. catheter. urethra when client
13. Follow technique 18-22 moves. It also prevents
for female skin excoriation at
catheterization for penile-scrotal junction.
remainder of the 8. Hang the drainage bad on Promotes flow of urine
procedure. the frame of the bed below via gravity. Backward
the level of the bladder. and forward
displacement of the
INSERTING A RETENTION CATHETER catheter introduces
contaminants into the
Note: The procedure for inserting an indwelling catheter is urinary tract.
the same as for inserting straight catheter. Follow procedure 9. Document pertinent data
for straight catheterization up to and including putting sterile • Time and date of
drape on the client. Give additional explanation as to why catheterization
retention catheter is to be inserted how long will it stay in • Reason for
place and how urinary drainage equipment needs to be catheterization
handled. • Amount of sterile water
Client Teaching: to inflate balloon
Urinary catheters may cause infections in the • Character and amount
bladder and kidneys of men and women. In men, they may of urine obtained
cause infection in the genital tract. In men, they may cause • Specimen sent to
infection in the genital tract. Catheters also may cause laboratory
bladder stones. Catheters may irrigate the lining and • Other pertinent
underlying tissues of the tube through which urine flows out information before and
of the bladder (urethra). This irritation may cause open after procedure
wounds of those tissues. • Client’s response
Call your doctor or nurse if any of the following occurs:
• Little or no urine flows into the bag over a
period of 4 hours PROVIDING CATHETER CARE
• Little or no urine flows into the bag over a
couple of hours, and you feel like your bladder Definition:
is full Consists primarily of steps to reduce the chance of
• Lower abdominal pain and/or pain in your developing a urinary tract infection. It includes performing
pelvis steps and client and family teaching about maintaining
• Pain at the insertion site adequate fluid intake (3L/minute if possible), emptying and
• Urine has changed in color or consistency, recording urine output, and maintaining the patency and
or there is blood in the urine. cleanliness of the drainage system.
• Drainage comes from the catheter Purposes:
insertion site that looks like pus or has a foul 1. To decrease the risk of infection from the
odor indwelling foley catheter and later scarring.
• Increased leakage around the insertion 2. To prevent infection, maintain patency, and
site ensure catheter integrity
• Temperature above 100 F (38.0 C) Client Teaching:
1. Purpose of urinary catheter and expected
PROCEDURE RATIONALE duration of catheter
1. Test catheter balloon by Checking integrity of 2. Proper hygiene and catheter care
injecting fluid from pre-filled balloon ensures that all 3. Signs/symptoms to report to RN: pain in
syringe into balloon valve. equipment is of their urethral area, flank/back pain, unusual
The balloon should inflate functional status. drainage or discharge around catheter, inability
without leakage. Withdraw to void after catheter removal
fluid and leave syringe on 4. Maintain adequate fluid intake (3L/day) if not
port of catheter. contraindicated.
5. Emptying and recording urine output.
2. Follow steps as of straight
6. Maintaining patency and cleanliness of the
catheterization.
drainage system.
a. Lubricate insertion tip of Equipments:
catheter • Soap
b. Remove sterile cap of • Washcloth and towel
specimen container if • Bath basin
urine specimen is • Warm water
needed • Disposable glove
c. Clean urinary meatus • Bath blanket
and surrounding tissues • Waterproof pad
d. Insert the catheter
PROCEDURE RATIONALE
e. Collect urine specimen if 1. See Standard
required Protocol.
3. Insert the catheter an Ensures that balloon is 2. Position client Position provides a good view
additional of 2.5 cm (1-2 inflated inside the comfortably and cover of the structures of perineum
inches) beyond the part at bladder and not the with bath blanket, and reduces the risk of
which urine began to flow. urethra, where it could exposing only perineal contaminating the catheter.
produce trauma. area.
4. Slowly inject total amount Balloon within the 3. Place waterproof
of solution (5-10 ml. sterile bladder should serve as pad under client.
water). If client complain of an anchor. If balloon is 4. Provide routine
mal-positioned in
 perineal care, making between thighs. Drape can
sure all perineal folds lay on male’s thighs.
are cleansed 3. Insert hub of syringe into Unlocks the balloon for
thoroughly. inflation valve (balloon removal.
5. Hold catheter Properly securing the catheter port). Aspirate until tubing
securely near the prevents catheter movement collapses, indicating that
meatus with the and traction on the urethra. entire contents of balloon
gloved nondominant Suppurative drainage and has been removed.
hand. Using a clean encrustation occur at the exit 4. Remove catheter smoothly Prevents discomfort.
washcloth, soaps and of any tube. Infectious and steadily.
water, take the organisms can migrate to the 5. Wrap catheter on
dominant hand and bladder along the outside of waterproof pad. Unhook
wipe in a circular any indwelling catheter; collection bag and drainage
motion along the however, excessive tubing from bed.
length of the catheter manipulation of the catheter
6. Measure urine, and empty
for about 100 10cm may promote migration of
the drainage bag. Record
(4 inches). Avoid bacteria.
output.
placing tension on or Pulling of the catheter may be
7. Cleanse the perineum with Promote comfort and
pulling on the painful. Backward and forward
soap and water, and dry hygiene and avoid skin
exposed catheter displacement of the catheter
area thoroughly. irritation and infection.
tubing. introduces contaminants into
the urinary tract. 8. Place the urine “hat” on the
6. Replace as toilet seat.
necessary the anchor 9. See Completion Protocol
device used to secure 10. Evaluation:
the catheter tubing to • Observe time and
the client’s leg or amount of first voided
abdomen. specimen.
7. Check drainage Securing the tubing helps • Monitor I & O.
tubing and bag. prevent kinking or forming • Ask client to list the
loops of stagnant urine signs and symptoms
8. Empty collection Suppurative drainage and or urinary tract
bag as necessary or encrustation occur at the exit infection.
at least every 8 of any tube. Infectious 11. Documentation:
hours. organisms can migrate to the a. Record and report time
bladder along the outside of catheter was removed.
any indwelling catheter
9. See Completion
b. Record teaching
Protocol. relating to increasing
fluid intake and signs
and symptoms or
urinary tract infection.
REMOVAL OF RETENTION CATHETER
c. Record and report time,
Equipments: amount, and
characteristics of first
• 10-ml syringe without a needle or larger voiding.
depending upon volume of solution used to
inflate the balloon
d. Record I & O.
• Waterproof pad
• Clean disposable gloves
APPLYING AND REMOVING A DRAINAGE CONDOM
• Urine “hat”
Special Considerations:
Definition:
Indwelling catheters should be removed as soon as
The application of a condom or external catheter
possible because the presence of the catheter increases the
connected to a urinary drainage system commonly prescribed
risk for urinary tract infection
for incontinent males. Use of a condom appliance is
Following surgery, catheters maybe removed after
preferable to insertion of a retention catheter because the
8 to 24 hours depending on the type of surgery. In some
risk of urinary tract infection is minimal.
situations the catheter will have been in place for days or
even weeks. The longer the catheter has been in place, the
Purposes:
greater the risk the client will have difficulty voiding after it
1. To collect urine and control urinary
has been removed.
incontinence.
Clients are expected to void adequately no more
2. To permit the client physical activity without
than 8 hours after removal. Clients who have had an
fear of embarrassment because of leaking
overdistended bladder or who have altered sensory
urine.
perception because of regional anesthesia, such as spinal or
3. To prevent skin irritation as a result of urine
epidural block, may also have difficulty voiding after removal
incontinence.
of the catheter.
4. To safely apply and remove an external device
The presence of a urinary catheter increases the
to penis to collect urine.
risk of urinary tract infection, which is one of the most
common types of iatrogenic infections and often develops 2
Indications:
to 3 months or more days after catheter removal. With early
In some situations, incontinent patients are
discharge from the acute care setting, clients often are at
catheterized to reduce their cost of care. A condom catheter,
home by this time. Before discharge, clients need to be
which fits on the outside of the penis using adhesive, can be
informed of the risk for infection, prevention measures, and
used for short-term catheterization in males. However, long-
signs and symptoms that need to be reported to the
term catheterization is not recommended because chronic
physician.
use carries a significant risk of urinary tract infection.
Client teaching:
Because of this risk catheterization should only be considered
1. Tel the patient it is important to have fluid
as a last resort for the management of incontinence where
intake of 1.5 to 2 L/day (unless
other measures have proved unsuccessful and where there is
contraindicated).
significant risk to the skin
2. Instruct the client of need to void within 8
Equipments:
hours and that each voiding will be into the
“hat” and measured to ensure ability to empty
the bladder adequately.
3. Explain that many clients experience mild
burning or discomfort with first voiding, which
soon subsides.
4. Inform the client to report any signs of urinary
tract infection, which are most likely to develop
in 2 to 3 days.

PROCEDURE
1. See Standard Protocol.
2. Position the client supine,
and place a water-proof
pad under the catheter.
Females will need to abduct
the legs with the drape
RATIONALE
Position provides a good
view of the structures of
perineum and reduces the
risk of contaminating the
catheter.
 • Leg drainage bag with tubing or urinary • Clean gloves
drainage bag with tubing • Basin of warm water and soap
• Condom sheath • Washcloth and towel
• Bath blanket or similar drape • Elastic tape or Velcro strap
remain in bed, attach
Special considerations: the urinary drainage
Methods of applying condoms vary. The nurse bag to the bed frame.
needs to follow the manufacturer’s instructions when • If the client is
applying a condom. First, the nurse determines when the ambulatory, attach
client experiences incontinence. Some clients may require. the bag to the client’s
Some clients may require a condom appliance at night only, leg.
others continuously. 12. Teach the client about the Backward and forward
drainage system. displacement of the
PROCEDURE RATIONALE • Instruct the client to catheter introduces
1. Review the client record to keep the drainage contaminants into the
determine a pattern to bag below the level of urinary tract.
voiding and other the condom and to
pertinent data. avoid loops or kinks
2. Apply clean gloves and in the tubing.
examine the client’s penis 13. Inspect the penis 30 To decrease the risk of
for swelling or excoriation minutes following condom infection from the condom
that would contraindicate application, and check catheter.
the use of the condom urine flow. Document
3. Assemble the leg drainage these findings.
bag or urinary drainage • Assess the penis for
bag for attachment to the swelling and
condom sheath. discoloration, which
4. Roll the condom outward indicates that the
onto itself to facilitate condom is too tight.
easier application. On • Assess urine flow if
some models, the inner the client has voided.
flap will be exposed. This Normally, some urine
flap is applied around the is present in the tube
urinary meatus to prevent if the flow is not
the reflux of urine. obstructed.
5. Position the client in either Position provides a good 14. Change the condom daily To decrease the risk of
a supine or a sitting view of the structures of and provide skin care. infection from the condom
position. perineum and reduces the • Remove the elastic or catheter.
risk of contaminating the Velcro strip, apply
catheter. clean gloves, and roll
6. Explain to the client what Explanation promotes off the condom.
you are going to do, why client knowledge and • Wash the penis with
it is necessary, and how participation. soapy water, rinse,
he can cooperate. and dry it thoroughly.
7. Discuss if using a condom • Assess the foreskin
catheter will impact for signs of irritation,
further care treatments. swelling, and
8. Wash hands, apply clean Reduces presence of discoloration.
gloves, and observe microorganisms. Promotes • Reapply a new
appropriate infection asepsis. condom.
control procedures. 15. Document in the client
9. Provide for client privacy. Reduces embarrassment record using forms or
• Drape the client and aids in relaxation checklists supplemented
appropriately with the by narrative notes when
bath blanket, appropriate. Record the
exposing only the application of the condom,
penis. the time, and pertinent
observations, such as
10. Inspect and clean the Minimizes skin irritation
irritated areas on penis
penis. and excoriation after the
• Clean the genital area condom is applied.
and dry it thoroughly. Space prevents irritation of
the tip of the penis and
• Secure the condom provides for full drainage
firmly, but not too of urine.
tightly, to the penis.
Some condoms have
an adhesive inside
the proximal end
that adheres to the
skin of the base of
the penis. Many
condoms are
packaged with special
tape. If neither is
present, use a strip of
elastic tape or Velcro
around the base of
the penis over the
condom. Ordinary
tape is
contraindicated
because it is not
flexible and can stop
blood flow.
11. Securely attach the
urinary drainage system.
• Make sure that the tip A twisted condom could
of the penis is not obstruct the flow of urine.
touching the condom
and that the condom Attaching the drainage
is not twisted. bag to the leg helps
• Attach the urinary control the movement of
drainage system to the tubing and prevents
the condom. twisting of the thin
• Remove the gloves material of the condom
and wash your hands. appliance at the tip of the
• If the client is to penis.