Safe Urinary Catheterisation of a Male Patient - Essay Example

When the patient gives consent and their identities are verified, they should be positioned as comfortable as possible in order to reduce anxiety and also facilitate access to their anatomy (Michael 2012, p. 31). The proper type and size of the catheter are selected and then the genital area is cleaned thoroughly. In the case of an uncircumcised patient, the foreskin should be retracted and the area cleansed with saline (Saint 2000, p. 804). This reduces the chances of contamination and trauma to the urethra. The penile urethra is straightened by extending the penis at a 90-degree angle to the body to facilitate the administration of local anesthetic gel. The gel, which requires approximately five minutes to take effect, will dilate, lubricate and anesthetize the urethral passage (Bradsley, A. 2005, p. 45).

The catheter is then inserted approximately 20 centimeters into the urethra, at which point urine should flow. In case of resistance at the sphincter, gentle pressure should be applied to the catheter. It is then inflated to make sure it remains in situ and a suitable closed drainage unit attached. Before the foreskin is returned to its position, it must be dry and clean (Francis 2008, p. 69). Indications include acute urinary retention, hygienic care of patients who are bedridden and monitoring the output of urine. Traumatic injury of the urinary tract, such as a urethral tear, will contraindicate urinal catheterization. Possible complications include infection, bladder spasm and trauma to the bladder neck or urethra (Stewart 1998, p. 124).