Type of Surgery
Information
Last updated: 02/17/2009
BOOKS
Altman, M. Urinary Care/Catheterization. Albany, NY: Delmar, 2003.
Gearhart, John P. Pediatric Urology. Totawa, NJ: Humana Press, 2003.
Hanna, P. M., S. B. Malkowicz, and A. J. Wein. Clinical...
Manual of Urology, 3rd edition. New York: McGraw Hill, 2001.
Laycock, J. and J. Haslam. Therapeutic Management of Incontinence and Pelvic Pain. New York: Sringer-Verlag, 2001.
Newman, Diane K. Managing and Treating Urinary Incontinence. Baltimore, MD: Health Professions Press, 2002.
PERIODICALS
Johnson, J. R. "Safety of Urinary Catheters."Journal of theAmerican Medical Association 289(3) (2003): 300โ301.
Munasinghe, R. L., V. Nagappan V, and M. Siddique. "Urinary Catheters: A One-point Restraint?"Annals of Internal Medicine 138(3) (2003): 238โ239.
Wilde, M. H. and B. L. Cameron. "Meanings and Practical Knowledge of People with Long-term Urinary Catheters."Journal of Wound Ostomy Continence Nursing 30(1) (2003): 33โ43.
Winder, A. "Intermittent Self-catheterisation."Nursing Times 98(48) (2002): 50.
ORGANIZATIONS
American Board of Urology. 2216 Ivy Road, Suite 210, Chaarlottesviille, VA 22903. (434) 979-0059.
American Foundation for Urologic Disease. 1128 North Charles Street, Baltimore, MD 21201. (800) 242-2383.
American Urological Association. 1120 North Charles Street, Baltimore, MD 21201. (410) 727-1100.
National Health Service of Great Britain.
National Kidney and Urologic Diseases Information Clearing-house. 3 Information Way, Bethesda, MD 20892. (800) 891-5390.
OTHER
AdvancePCS. [cited February 28, 2003]
Harvard Pilgrim Health Care. [cited February 28, 2003]
Mount Clemens General Hospital, Mt. Clemens, MI. [cited February 28, 2003]
Wayne State University. [cited February 28, 2003]
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Other Information
The male urethral orifice (urinary meatus) is a vertical, slit-like opening, 0.15โ0.2 in (4โ5 mm) long, located at the tip of the penis. The foreskin of the penis may conceal the opening. This must be retracted to view the opening to be able to insert a catheter. With proper positioning, good lighting, and gloved hands, these anatomical landmarks can be identified. Perineal care or cleansing may be required to ensure a clean procedural environment.
The male urethra is longer than the female urethra and has two curves in it as it passes through the penis to the bladder. Catheterization of the male patient is traditionally performed without the use of local anesthetic gel to facilitate catheter insertion. Glands along the urethra provide some natural lubrication. Older men may require lubrication. In such an instance, an anesthetic or antibacterial lubricant should be used.
Once the catheter is inserted, it is secured as appropriate for the catheter type. A straight catheter is typically secured with adhesive tape. An indwelling catheter is secured by inflating a bulb-like device inside of the bladder.
Other Information
As a urologist, I've found it's easier to do the PSA test and then sit down with the patient and say here's what the results mean for you. Given what we know right now, that seems a very sensible approach.
-Dr. Evan Vapnek
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