How To Use A Urinary Intermittent Coude Catheter

The information provided in this video is not medical advice. Please follow the advice of your personal physician or other healthcare provider in performing self-catheterization. If you experience any persistent pain or discomfort associated with the catheter, consult with a medical professional.

Video Transcript

Hi, I’m Randy Golden for Medical Technologies of Georgia and I’m here today to introduce everybody to our new uncoated intermittent catheters.

Let’s take a look at what’s inside each package.

You get the catheter and on the male and pediatric lengths we also include the “no touch” sleeve and that’s a nice protector so that you don’t actually touch the surface of the catheter as you insert the catheter forward.

Before you use the catheters you want to verify French size, length and catheter tip are as prescribed by your doctor.

MTG catheters are available in French sizes 6 through 16 and in coude and straight tip as well as in soft or firm vinyl. The soft vinyl is a nice alternative if you’ve ever had any experience with sensation as you catheterize.

So let’s look at each of the individual catheters we offer.

First of all the pediatric style are 10 inches long with the appropriate color-coded funnel. This one happens to be an 8 because it is an international color coding. The pediatric products do come with a “no touch” sleeve.

For ladies we have the female length catheter which doesn’t have the sleeve and the reason being that we felt like there wasn’t enough room on the catheter to be able to hold the catheter and the sleeve and we thought the sleeve might just get in the way so we offer this one without the sleeve but again as you watch the female video you see how easy this catheter is to insert.

For male users we have a couple different options.

The 16 inch long male catheter does come with the blue “no touch” sleeve. This is our firm option, we also make that exact same catheter in a softer variety, so if you have any sensation as you catheterize, you may wish to try the soft variety as it is going to be more comfortable to insert, again with the blue “no touch” sleeve.

And then finally we offer the coude variety. This happens to be a 16 again, the orange tip, and you see here the end of the catheter has a little bend on it, and that is designed to get the catheter past any strictures along the way or an enlarged prostate.

All of our catheters whether it be coude, pediatric etc. all have rounded fire-polished eyelets so they’re going to be less traumatic as the catheter passes through the urethra, less irritating.

And all of our catheters are DEHP free. There isn’t any of the DEHP carcinogens in any of our catheters.

Hygiene is very important when you catheterize. Always remember to wash your hands and your genitalia prior to catheterization and afterwards.

All right. So now let’s talk about catheterization using a coude or curved tip catheter.

These would be used in patients that have issues with prostate enlargement or possibly stricture might be involved and make passing the catheter more difficult. So the catheter has a little bend and a tapered tip to it.

So for the time being, I’m going to set the catheter aside and I’m going to open up my gel packet and I find it helpful. And here is just to tear away each end of the packet. Like so. And you want to just kind of scoot the package together, kind of compress it a bit. What I’m doing here is I’m going to create a channel. I’m going to push the catheter through this channel, and coat it with the jelly. Okay.

But I set it aside for a second, and I’m going to open up my coude tip and I’m going to use that blue no touch sleeve to pull the catheter out of the package.

Now I’m going to expose the funnel. I don’t ever want to touch the surface of the catheter, but I can touch the funnel and I can use the blue sleeve to manipulate the tubing. And I’m going to go ahead down the shaft of the catheter, down to about, say 3 to 6 inches from the end. And I’m going to pass the catheter through my channel and get lubricant on the shaft of the catheter. Back and forth, side to side, round and round. I want to get as much of this lubricant on the tube of the catheter as I possibly can. And there’s no such thing as having too much lube.

Okay. So I want to pull out now and just want to get as much on there as I can. Okay. Now I’m going to reach up and get my funnel and I’m going to use the no touch sleeve to hold the catheter about three inches from the end.

Now, again, you see the little tip here. I want to make sure the tip goes in facing upward. Okay.

And during the entire process, I want to make sure that I can always see that the end of the tube always shows the line. The line is the indicator that’s going to tell me that the tip is facing upward. So when that catheter reaches the prostate, it’s going to go ahead and pass on into the bladder.

So once I’ve gone to the end and again, you can see the blue sleeve here is up against the penis. I’m going to go ahead and hold on to that funnel and back the catheter up about two inches and advance about two inches further.

Hold the funnel, back up two inches further.

See how easy that is?

You never want to force the catheter. If you do encounter any resistance, take a deep breath. Reposition yourself.

Okay. By now, we should see urine flow. You want to direct the flow of the urine directly into the toilet.

When I’m finished and I don’t see any more fluid flowing, I’m going to use that blue sleeve, and I’m going to pull the catheter out about an inch. It might be a drop or two left in the tube. When no more fluids flowing. You can reach back and get a tissue for my toilet paper roll and I’m going to remove the catheter.

And as the catheter leaves the body, I’m going to grab the eyes of the catheter with that toilet paper to prevent any sort of spread. You always want to kind of hold the catheter upward to make sure we don’t get any dripping.

When we’re done, wrap everything up. Get another piece of toilet paper, just kind of wipe the end of the penis. And then you, of course, you want to use soap and water and wash everything up afterwards.

Please remember that used catheters can be a potential biohazard. Please dispose of these using accepted medical practice.

Thank you for watching our video today.

If you’d like samples please go to our website where you can get samples of our uncoated catheters, our hydrophilic catheters and if you’re having issues with recurring urinary tract infections, you can request samples of our closed system intermittent catheters which are designed to reduce the risk of UTI’s.