{"id":4060,"date":"2018-01-02T04:06:47","date_gmt":"2018-01-02T04:06:47","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/?page_id=4060"},"modified":"2018-08-12T20:16:46","modified_gmt":"2018-08-12T20:16:46","slug":"catheterization","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/catheterization\/","title":{"rendered":"Urinary Catheterization (CIC) and Foley Catheter in NYC"},"content":{"rendered":"

Urinary Catheterization for Treatment of Urinary Retention and Incontinence<\/h1>\n

by Dr. Alex Shteynshlyuger<\/a>, a board-certified urologist, and specialist in the treatment of urinary problems in men and women including frequent urination, burning with urination and urinary retention.  <\/p>\n

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If you have any questions, to schedule a consultation<\/a> or if you need a second opinion<\/a>, please <\/a>contact us<\/a> or call: 646-663-4151<\/span><\/a><\/strong><\/p>\n

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What is Urinary Catheterization<\/h2>\n

\"\"Urinary catheterization refers to a small tube that is inserted into the urethra and passed into the urinary bladder.  The purpose of the urinary catheter is to drain urine from the bladder<\/strong> in patients who are unable to urinate on their own.<\/p>\n

There are two types of urinary catheterization: Indwelling urinary catheter<\/strong> (Foley catheter) and clean, intermittent self-catheterization (CIC)<\/strong>.<\/p>\n

What is the Purpose of Urinary Catheterization? When is Urethral Catheter Used?<\/h1>\n

The purpose of urinary catheterization is to empty urine from the bladder.  Urinary catheterization is also used to obtain sterile urine from the bladder in certain circumstances.  Foley catheter is often used after various surgeries while a patient is recovering from anesthesia or urethral, bladder or kidney surgery.<\/p>\n

In patients who are unable to urinate on the own, urinary catheterization can relieve urinary retention either as a temporary or permanent treatment.<\/p>\n

What is Clean Intermittent Urinary Catheterization (CIC)<\/h2>\n

Clean intermittent catheterization refers to using catheters to empty the bladder intermittently<\/strong>, usually every 4-6 hours instead of keeping the catheter inside the bladder continuously as happens with an indwelling Foley catheter.  Typically, patients are taught how to do clean intermittent catheterization so that they can self-catheterize at their convenience.  Disposable, one-time use catheters are available<\/strong> which make it convenient to use catheters outside of home and when traveling.<\/p>\n

Clean intermittent catheterization (CIC<\/strong>) is safe and effective.  The procedure is clean but not sterile<\/strong>.  The catheter is usually sterile but it can also be cleaned (washed with regular soap and air-dried) and can be re-used if necessary.  It\u2019s important that the hands are clean (cleaning with regular soap and water is sufficient) but no other special precautions are needed.  The risk of infection with clean intermittent catheterization is low<\/strong>; much lower than with having an indwelling urethral catheter.<\/p>\n

What is Indwelling Foley Catheter?<\/h2>\n

Indwelling Foley catheter refers to a catheter that is designed to stay in the bladder continuously usually for as long as a month at a time.  The catheter has an inflatable balloon at the tip<\/strong> that sits inside the bladder and prevents it from coming out.  Usually, the catheter is changed monthly<\/strong> to decrease the risks of infection.  Indwelling Foley catheter is typically used after surgery and in situations when clean intermittent catheterization is not advisable or cannot be performed by the patient or his\/her caretakers.<\/p>\n

What are the Benefits of Urinary Catheterization for Treatment of Urinary Retention or Incomplete Bladder Emptying<\/h2>\n

Urinary catheterization allows the bladder to be emptied completely.  This can prevent urinary tract infections<\/strong> and kidney damage in patients with urinary retention.  Typically, patients experience significant relief and improvement in the quality of life<\/strong> after they start clean intermittent catheterization.  Because the bladder is emptied completely with the catheter, patients typically do not have bladder discomfort and pain<\/strong>, do not have a constant urgency to urinate<\/strong> and are able to go and lead a fairly normal life.<\/p>\n

How Long Can Urethral Catheter (Foley Catheter) Stay in Place?<\/strong><\/h2>\n

While patients can use Foley catheter as a treatment option for their urinary problem for many years, it is necessary for the catheter to be changed on about once a month to decrease the risks of infection and incarceration (calcification) of the catheter. In patients who get frequent UTIs, more frequent catheter changes may be necessary.<\/p>\n

How Painful is Urinary Catheterization?<\/strong><\/h2>\n

Usually, urinary catheterization causes no pain in women but may cause some discomfort<\/strong>. If a permanent catheter is left in the bladder, the catheter can cause discomfort and inconvenience.<\/p>\n

In male patients, usually mild discomfort is experienced when the catheter is inserted but some men are more sensitive than others. Greater than 90% of men are able to do self-<\/b>catheterization<\/b><\/span> in our practice.  <\/b>Indwelling Foley catheter can cause more discomfort especially in patients who are moving a lot.  Discomfort typically occurs at the tip of the penis and medications such as lidocaine cream can help.<\/p>\n

What are the Treatment Options for Men and Women Who Need Urethral Catheters?<\/h1>\n

For patients who have urinary retention<\/a> due to obstruction, treatment of the underlying cause of obstruction can allow patient to become catheter free.<\/p>\n

For patients who have nonobstructive urinary retention, clean intermittent catheterization is effective.  For many patients with nonobstructive urinary retention<\/a>, InterStim sacral nerve neuromodulation<\/a> has been shown to reverse urinary retention and enable them to void on their own.<\/p>\n

Why Choose New York Urology Specialists for Treatment of Bladder Problems?<\/h2>\n