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    A 66y Old Man Came To Your Office, and Complain For: Dysuria, Urgency and Severe Distension Feeling at The Lower Abdomen

    Uploaded by

    Ibrahim
    The 66-year-old man is experiencing dysuria, urgency, and lower abdominal distension. The doctor's impression is likely urinary tract infection or urinary retention given his symptoms. The first treatment would be to perform male urethral catheterization to drain the bladder, obtain a urine specimen, and help relieve the patient's symptoms. Urethral catheterization involves inserting a catheter through the urethra into the bladder and has indications for both diagnostic and therapeutic purposes. Complications can include urinary tract infection, trauma, calculi formation, and loss of muscle tone.

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    A 66y Old Man Came To Your Office, and Complain For: Dysuria, Urgency and Severe Distension Feeling at The Lower Abdomen

    Uploaded by

    Ibrahim
    17 views41 pages
    The 66-year-old man is experiencing dysuria, urgency, and lower abdominal distension. The doctor's impression is likely urinary tract infection or urinary retention given his symptoms. The first treatment would be to perform male urethral catheterization to drain the bladder, obtain a urine specimen, and help relieve the patient's symptoms. Urethral catheterization involves inserting a catheter through the urethra into the bladder and has indications for both diagnostic and therapeutic purposes. Complications can include urinary tract infection, trauma, calculi formation, and loss of muscle tone.

    Original Description:

    Understand Male Urethral

    Original Title

    Male Urethral Catheterization

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    The 66-year-old man is experiencing dysuria, urgency, and lower abdominal distension. The doctor's impression is likely urinary tract infection or urinary retention given his symptoms. The first treatment would be to perform male urethral catheterization to drain the bladder, obtain a urine specimen, and help relieve the patient's symptoms. Urethral catheterization involves inserting a catheter through the urethra into the bladder and has indications for both diagnostic and therapeutic purposes. Complications can include urinary tract infection, trauma, calculi formation, and loss of muscle tone.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    17 views41 pages

    A 66y Old Man Came To Your Office, and Complain For: Dysuria, Urgency and Severe Distension Feeling at The Lower Abdomen

    Uploaded by

    Ibrahim
    The 66-year-old man is experiencing dysuria, urgency, and lower abdominal distension. The doctor's impression is likely urinary tract infection or urinary retention given his symptoms. The first treatment would be to perform male urethral catheterization to drain the bladder, obtain a urine specimen, and help relieve the patient's symptoms. Urethral catheterization involves inserting a catheter through the urethra into the bladder and has indications for both diagnostic and therapeutic purposes. Complications can include urinary tract infection, trauma, calculi formation, and loss of muscle tone.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 41

    Case

    A 66y old man came to your


    office, and complain for
    dysuria, urgency and severe
    distension feeling at the
    lower abdomen.

    What is your impression?

    What is the first treatment?


    Male Urethral
    Catheterization
    福建医科大学省立临床医学院

    WuXiang M.D.
    Urology Department, Fujian Provincial Hospital
    Definition

    Urethral catheterization:
    A urinary catheter is inserted into a
    patient's bladder via the urethral for
    drainage or irrigation.
    Indication: Theraputic

    1. Acute or chronic
    urinary retention

    2. Instillation of
    medication

    3. Removing blood and


    clots
    Indication: Theraputic

    1. Acute or chronic
    urinary retention

    2. Instillation of
    medication

    3. Removing blood and


    clots
    Indication: Theraputic

    1. Acute or chronic
    urinary retention

    2. Instillation of
    medication

    3. Removing blood and


    clots
    Indication: Diagnostic

    1. Obtain a sterile
    urine specimen

    2. Monitor urine
    output

    3. Measure residual
    urine

    4. Cystography
    Indication: Diagnostic

    1. Obtain a sterile
    urine specimen

    2. Monitor urine
    output

    3. Measure residual
    urine

    4. Cystography
    Indication: Theraputic

    1. Obtain a sterile
    urine specimen

    2. Monitor urine
    output

    3. Measure residual
    urine

    4. Cystography
    Indication: Theraputic

    1. Obtain a sterile
    urine specimen

    2. Monitor urine
    output

    3. Measure residual
    urine

    4. Cystography
    Contraindication

    1. Traumatic urethral injury

    Rupture of membranous urethra

    Rupture of bulb urethra


    Contraindication

    1. Urethral stricture

    2. lower urinary tract


    infection (serious not mild)

    3. Menstrual period

    4. Combative or uncooperative
    patient
    Urinary Catheterization Kit
    Types of Catheters
    Intermittent catheter Foley catheter

    Coude tip catheter

    Triple-lumen catheter
    Catheters Size

    From French 8 to French 24


    Catheters Size
    <14 French 14–18 French 20–24 French

    Kid Most common Patients with


    high risk for
    obstruction
    Narrow urethral
    e.g. patients
    with gross
    History of hematuria and
    stricture or clots
    scar formation
    Catheters Size
    <14 French 14–18 French 20–24 French

    Kid Most common Patients with


    high risk for
    obstruction
    Narrow urethral
    e.g. patients
    with gross
    History of hematuria and
    stricture or clots
    scar formation
    Catheters Size
    <14 French 14–18 French 20–24 French

    Kid Most common Patients with


    high risk for
    obstruction
    Narrow urethral
    e.g. patients
    with gross
    History of hematuria and
    stricture or clots
    scar formation
    Foley and Triple lumen catheter

    Cross section
    Balloon Drainage
    Balloon Drainage

    Irrigation

    Foley Triple lumen

    Balloon
    Balloon
    Irrigation
    Drainage
    Drainage

    Longitudinal section
    Double and Triple
    lumen catheter
    False triple lumen catheter

    Balloon

    Drainage
    Complication

    1. Urinary tract infection

    2. Trauma

    3. Calculi formation

    4. Loss of muscle tone


    Complication

    1. Urinary tract infection

    2. Trauma False passage

    3. Calculi formation

    4. Loss of muscle tone

    True urethral
    Complication

    1. Urinary tract infection

    2. Trauma

    3. Calculi formation

    4. Loss of muscle tone


    Complication

    1. Urinary tract infection

    2. Trauma

    3. Calculi formation

    4. Loss of muscle tone


    Anatomy

    Long, Bending, Slim Short, Straight, Wide


    Anatomy

    Curvatura
    praepubica

    Curvatura
    infrapubica
    Curvatura
    infrapubica

    Hold the penis perpendicular to the body will


    facilitate the procedure
    Patient Concerns

    1. Pain

    2. Will it fall out

    3. How to wear clothes

    4. Washing or showering
    Patient Concerns

    1. Pain

    2. Will it fall out

    3. How to wear clothes

    4. Washing or showering
    Procedure

    1. Informed consent

    2. Position

    3. Open Kit
    Procedure

    1. Informed consent

    2. Position

    3. Open Kit
    Procedure

    4. Sterilize

    1
    2
    3
    2
    Procedure

    5. Draping
    6. Disinfect the
    head of the penis
    7. Prepare catheter
    Procedure

    5. Draping
    6. Cleanse head of
    the penis
    7. Prepare catheter

    Oil cotton ball

    Tip
    Procedure

    8. Insert catheter

    Hold the penis tall


    Procedure

    8. Insert catheter
    Procedure

    8. Insert catheter

    Insert for 20cm


    Check the urine flow
    Procedure

    8. Insert catheter
    Procedure

    9. Secure the catheter properly


    Poor urine volume

    1. Obstructed catheter

    2. Catheter not in good site

    3. Empty bladder
    Summary

    1. Urinary catheterization is basic skill

    2. We should know the benefit and risk of


    this procedure

    Homework:

    • What is the indication for urinary catheterization?

    • What is the contraindication for urinary catheterization?

    • What is the complication for urinary catheterization?


    Contact information

    单位： Urology Department, Fujian Provincial Hospital


    电话： 13600825550
    邮箱： Tianyang0909.student@sina.com
    QQ号： 78337434

    谢谢大家！

    THANK YOU

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