Causes and management of indwelling urinary catheter-related pain

British Journal of Nursing : BJN
Mary Wilson

Abstract

Urinary catheters can be introduced into the urinary bladder either per urethra or via the suprapubic route; this article examines indications and contraindications to these routes. Catheter pain is subdivided into pain experienced as the catheter is passed, while in situ, and on removal. Relating to pain felt on insertion, risks associated with local anaesthetic/antiseptic gel and the occurrence of paraphimosis are discussed. Once in situ, the type of material used to manufacture the catheter, pressure on the urethra caused by a large Charrière size catheter, or from drainage bag traction, leading to discomfort and possible tissue damage are examined and solutions suggested. Catheter-associated meatal trauma in men and urethral post-menopausal discomfort in women are addressed; likewise, catheter cramp due to bladder spasm or catheter blockage, and interventions are recommended. Encrustation and 'cuffing' may cause pain during catheter removal and again, advice is given. Lastly, the possibility of pain due to fear/non-acceptance of the catheter is raised. In conclusion, once identified, the cause of catheter pain is often treatable, but should not be regarded negatively or ignored, as it warns of potentially harmful conditions...Continue Reading

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Citations

May 19, 2012·Journal of Clinical Nursing·Paul Gill
Jan 22, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·B M StubbsD Francis
May 11, 2017·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Alyson Sweeney
May 25, 2018·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Cathy Murphy
Jun 12, 2013·British Journal of Nursing : BJN·Mary Wilson
Sep 28, 2013·International Journal of Palliative Nursing·Naomi FarringtonAlison Richardson
Apr 28, 2020·Neurourology and Urodynamics·Chen ShenharShachar Aharony
May 15, 2009·British Journal of Community Nursing·Mary C R Wilson
Mar 12, 2010·British Journal of Community Nursing·Diane O'DonohueJoan Walsh
Aug 7, 2019·The World Journal of Men's Health·Yu Seob ShinHyun Jun Park
Aug 6, 2019·BJU International·James J Y ChongJonathon Olsburgh
Jan 7, 2021·International Neurourology Journal·Eun Bi JangHong Sang Moon
Aug 4, 2021·British Journal of Community Nursing·Drew Payne

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