The LSUHSC New Orleans
Emergency Medicine Interest Group

Presents

The Student Procedure Manual


Urethral (Foley) Catheterization

by Rodd Daigle with
Patrick Hymel

Indications
Contraindications
Prerequisites
Equipment
Procedure
-General Procedure
-Male Catheterization Notes
-Female Catheterization Notes
Complications
Follow Up
Interpretation of Results
Related Procedures

Indications

Contraindications

Prerequisites

Equipment

Note: all of the above equipment should be sterile, and usually comes prepackaged as a catheterization kit.

Procedure

Complications

Follow Up

Interpretation of Results

Related Procedures
Suprapubic aspiration of the bladder:

So what do you do if your patient has a urethral injury which precludes catheterization, but has a full urinary bladder? A large bore central venous catheter may be inserted into the bladder suprapubically with the Seldinger technique. The needle should be inserted 2 finger-breadths above the pubic symphysis, and urine should be aspirated. The catheter should be threaded enough to coil within the lumen of the bladder. A small amount of contrast dye should be injected into the bladder, and an x-ray should be obtained to confirm placement.

 


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