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Care of an Indwelling Urinary Catheter in Long-Term Use

An indwelling urinary catheter is a device that consists of a flexible tube inserted through the urethra into the bladder that drains urine into a bag attached to the thigh. The device remains continuously in place and is kept from slipping by an inflated balloon of sterile water placed inside of the bladder. Urinary catheters are used when you are unable to urinate by yourself due to paralysis or medical conditions often associated with the prostrate or other bladder issues.

  1. Daily Care

    • The catheter should be checked regularly to ensure the urine is flowing into the drainage bag. Improper flow may be indicated by inflammation or infection near the insertion site or drainage surrounding the catheter. Red, swollen or irritated skin may be indications there is a problem with the device. A small piece of gauze can be tied around the catheter tube in the area it comes out from the body; use a fresh piece each time you clean the catheter and change any time it feels wet. Always keep the drainage bag below bladder level and be sure it does not pull or drag on the catheter tube. Always wash your hands thoroughly before and after handling the catheter.

      Keeping well hydrated is important when using a catheter, in addition to avoiding constipation; drink plenty of fluids, a minimum of eight glasses of water a day plus other liquids along with fresh fruits, fiber and plenty of vegetables. If you become constipated, you may take a stool softener such as Colace to help relieve your dysfunction. You may not have sexual intercourse while wearing your catheter.

    Draining & Cleaning the Bag

    • The urinary collection bag should be emptied regularly when it reaches the half-full point and before bedtime. Wash your hands thoroughly before and after emptying the bag; those changing the bag for another person may also wish to wear disposable gloves (in addition to washing hands before and after).

      To remove the bag: unfasten the tubing from the bag, affix the tubing clamp and remove the drain cap. Dispose of urine in the toilet making sure not to touch the tube or drainage cap on anything while performing the operation--it must remain sanitary. You may be instructed to measure the urine by your health professional; if so, pour the urine first into a measuring device before disposing of it in the toilet. Finish by putting the cap back on, closing the clamp and affixing the tube back to the bag. Wash your hands thoroughly.

    Danger Signs

    • Call your doctor if any of the following occur: little or no urine collection in four or more hours or when your bladder feels full; any pain or discomfort in your legs, pelvis, back or abdomen; the insertion site is swollen or tender; urine or pus is draining from the site; there are changes in urine odor, color or consistency or you notice cloudiness, blood or clotting. Also, call your physician if you have a fever of more than 100 degrees or come down with nausea, chills or vomiting.

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