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How To Deflate Foley Catheter Balloon

What Is a Foley Catheter?

ALT Person holding a catheter.

A Foley catheter is used to treat urine problems.

A Foley catheter is a thin, sterile tube inserted into the float to bleed urine. Because it tin can be left in place in the bladder for a menstruation of time, information technology is also called an indwelling catheter. Information technology is held in identify with a balloon at the end, which is filled with sterile water to prevent the catheter from beingness removed from the bladder. The urine drains through the catheter tube into a bag, which is emptied when full. The procedure to insert a catheter is called catheterization.

A Foley catheter is used with many disorders, procedures, or problems such as these:

  • Retention of urine leading to urinary hesitancy, straining to urinate, subtract in size and force of the urinary stream, interruption of urinary stream, and sensation of incomplete emptying
  • Obstruction of the urethra past an anatomical status that makes it hard for i to urinate: prostate hypertrophy, prostate cancer, or narrowing of the urethra
  • Urine output monitoring in a critically ill or injured person
  • Collection of a sterile urine specimen for diagnostic purposes
  • Nerve-related bladder dysfunction, such every bit after spinal trauma (A catheter can be inserted regularly to assist with urination.)
  • Imaging study of the lower urinary tract
  • After surgery

How Practise You Gear up for Foley Catheter Insertion?

Continue the genital surface area clean. Switch to looser-plumbing equipment cotton wool habiliment, and exercise not use chemical irritants in the genital area prior to having the catheter inserted.

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What Happens During the Foley Catheterization Procedure (Pictures)?

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Picture of Foley catheter, female catheterization.

Picture of Foley catheter, female catheterization.

Picture of Foley catheter, male catheterization.

Picture of Foley catheter, male catheterization.

Picture of Foley catheter completion in a male.

Picture of Foley catheter completion in a male.

  • Female catheterization: The female person urethra is short compared to the male urethra. It is located in a higher place the vagina in the pelvis. Insertion of the catheter is facilitated by having the patient lie down on his or her back with the buttocks at the border of the examination table. Adequate exposure of the urethra is obtained past elevating and supporting the legs past stirrups or placing them in a frog-legged position. Finally, the labia are separated to expose the urethra.
  • Male catheterization: The male urethra is long compared to the female person urethra. A catheter is placed while lying down or in the frog-legged position. If there is a foreskin, it is retracted to its maximal limit.
  • The doc or medical banana will insert the Foley catheter in this manner:
    • The urethra and the surrounding areas are cleaned with a cotton-ball dipped in antiseptic solution. Beginning at the urethra, the cleansing is performed in a circular motility, moving outward to the surrounding areas.
    • A Foley catheter, lubricated with h2o-soluble jelly, is inserted into the bladder through the urethra.
    • Once the catheter is passed, the balloon is in the bladder. Information technology is then slowly inflated with nigh 10cc of water using a syringe. Inflating the balloon should non be painful.
    • At this fourth dimension, urine, if present in the bladder, should catamenia back through the catheter and into the sterile drainage purse.
  • Drainage bag
    • While at the infirmary, the urinary drainage purse volition be hung to the bedside rail past a claw on the pocketbook.
    • If the patient needs to be discharged from the hospital and sent dwelling wearing the Foley catheter, the drainage handbag volition exist replaced with a portable drainage bag (leg bag). Adhesive tape will exist used to hold the bag to the calf area.
    • Removal of the catheter and bag
  • The catheter balloon is deflated by inserting a syringe into the catheter valve and pulling back on the syringe.
    • The pressure level in the balloon will cause the water to catamenia into the syringe.
    • Once the balloon is empty, the Foley catheter can be pulled out.

What Should You lot Await Later on the Foley Catheterization Procedure?

  • A slight irritation in the urethral area may be felt.
  • Switch to looser plumbing equipment cotton clothing.
  • Exercise not use chemical irritants in the genital area and continue the area clean.

The doctor will want to follow upwardly with the patient in a few days. If the patient has whatever questions, he or she should not hesitate to telephone call the doctor.

When Should You lot Phone call a Doctor for Complications of a Inserted Foley Catheter?

Call the physician if the patient experiences the following symptoms:

  • Any pink or red urine or bleeding from the urethra
  • Symptoms exercise non get away
  • Symptoms of infection
    • Burning awareness upon urination
    • Urgency and frequency
    • Increased lower abdominal pain
    • Fever
    • Foul-smelling discharge coming from the urethra or in the genital area
    • Redness or swelling in the genital area
    • Hurting in the urethral area or genital expanse
  • If the patient is sent home with a Foley catheter or has had a catheterization performed, he or she should go to the infirmary's emergency department if they notice the whatsoever of the following:
    • Bleeding from the urethra
    • Nausea and airsickness
    • Dizziness
    • Symptoms of infection such as urinary frequency, urgency, or pain or called-for sensation; blood in the urine; fever; increased lower intestinal pain; or foul-smelling discharge
    • Symptoms of acute urinary retentiveness such equally urinary hesitancy, straining to void, decrease in size and force of the urinary stream, interruption of urinary stream, sensation of incomplete elimination of the float
    • Irritative symptoms such as urinary frequency, urgency, hurting or burning; increased urination at night; or wetting the bed at night

What Are the Risks of Foley Catheters?

  • The airship can suspension while the catheter is being inserted. In this case, the medico volition remove all the balloon fragments.
  • The airship does not inflate later on information technology is in place. Usually the doctor will check the balloon inflation before inserting the catheter into the urethra. If the balloon still does non inflate after its placement into the bladder, the doctor volition then insert another Foley catheter.
  • Urine stops flowing into the handbag. The medico volition check for correct positioning of the catheter and bag or for obstacle of urine menses within the catheter tube.
  • Urine flow is blocked. The physician will have to change the pocketbook or the Foley catheter or both.
  • The urethra begins to drain. The physician will have to monitor the bleeding.
  • The Foley catheter may innovate an infection into the float. The adventure of infection in the urine increases with the number of days the catheter is in place.
  • If the balloon is opened before the Foley catheter is completely inserted into the bladder, bleeding, impairment and even rupture of the urethra can occur. In some individuals, long-term permanent scarring and strictures of the urethra could occur.
  • Float spasms can occur when a catheter is placed. This is a sudden intense urge to urinate and can be painful. Oft, urine will leak around the outside of the catheter when a spasm occurs. Medication tin can be prescribed for bladder spasms.

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Care for an Indwelling Urinary Catheter

Always wash your hands before and after handling your catheter. Follow all of the instructions your dr. has given you. Besides:

  • Make sure that urine is flowing out of the catheter into the urine collection bag. Make sure that the catheter tubing does non get twisted or kinked.
  • Keep the urine collection handbag below the level of your float.
  • Make sure that the urine drove bag does non drag and pull on the catheter.
  • Unless you accept been told not to, information technology is okay to shower with your catheter and urine collection bag in place.
  • Bank check for inflammation or signs of infection in the area around the catheter. Signs of infection include pus or irritated, swollen, blood-red, or tender skin.
  • Make clean the area effectually the catheter twice a day using soap and water. Dry with a clean towel afterward.
  • Practice non apply pulverisation or balm to the skin around the catheter.
  • Do non tug or pull on the catheter.
  • Practice non have sexual intercourse while wearing a catheter.
  • At nighttime you may wish to hang the urine collection bag on the side of your bed.

References

Aghababian, R. et al.

Emergency Medicine

. 2nd ed. Lippincott-Raven, 1992.

Clayman, C. "Urinary catheterization." In:

The American Medical Association Encyclopedia of Medicine

. Random House, Inc.; 1989.

Roberts, J. R. et al.

Clinical Procedures in Emergency Medicine

. 3rd ed. WV Saunders Co.; 1997.

Rosen, P. et al.

Emergency Medicine: Concepts and Clinical Practise

. 4th ed. Mosby-Year Book; 1997.

Tintinalli, J. E. et al.

Emergency Medicine: A Comprehensive Study Guide

. 4th ed. McGraw-Hill Co.; 1995.

Patient Comments & Reviews

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