View source for Suprapubic catheter changing or replacement

==Overview==


==Indications==


==Contraindications==


==Equipment Needed==


==Procedure==
''Using sterile procedure''
===Preparation===
#Identify appropriate size catheter (past catheter size, if available)
#Open standard Foley kit (catheters are the same as standard Foley catheters)
#*Attach Foley to drainage catheter, if not already attached
#Apply lubricant liberally to the first two inches of the catheter tip
#*There is no longer a need to test the catheter balloon prior to procedure and this is no longer recommended by the manufacturer
#Attach syringe to inflation port of new catheter (normally 10cc of normal saline)
#Sterile prep including of patient and old catheter (if present)

===Old Catheter Deflation (if still present)===
*Have assistant (or wear a second pair of gloves for this part, if you have no assistant):
*#Deflate balloon of old catheter
*#Remove old catheter (you may feel some mild resistance. If you are sure the balloon is fully deflated, it’s alright to give it a little tug). 
*#*Note how far old catheter length was inside patient
*#*If you had no assistant, remove first pair of gloves afterwards
*#*Afterwards, move to next step quickly to minimize time that there is no catheter in fistula site

===Insertion of New Catheter===
#Pick up the pre-lubricated catheter and insert it. 
#*Only push it in just slightly further than previous catheter was in
#Wait until urine flows freely to confirm that catheter is in the correct position
#Keep holding the catheter in position and slowly inflate the balloon with 8cc of sterile water
#*Immediately stop if the patient has significant pain during inflation and insert the Foley further

==Complications==


==See Also==
*[[Urinary retention]]
*[[Coude catheter]]
*[[Suprapubic catheter placement]]
*[[Suprapubic bladder aspiration]]
*[[Post-obstructive diuresis]]

==External Links==
https://www.youtube.com/watch?v=lRCtvr79trU

==References==
<references/>

[[Category:Procedures]]
[[Category:Urology]]