If there is difficulty with passing the catheter in boys through the external sphincter, the olive-tip Coude catheter
is a good choice.
5) Often a simple technique consisting of passage of a coude catheter
antegrade through a cystotomy, then tying it to another that can then be drawn back into the bladder is effective.
He was given weekly appointments to return to the outpatient urology clinic to ensure proficiency with the ISC regimen of ISC every 4 to 6 hours using a well-lubricated 14 French Coude catheter
and maintaining total urine volumes (voided plus catheterized residual) at less than 500 cc to avoid bladder over-distention.
Key Words: Coude catheter, quality improvement project.
Use of a Coude catheter is one way to address difficult catheterization, particularly in male patients with benign prostatic hyperplasia (BPH), and can be performed by nurses who have been educated on this procedure.
The goal of the project was to shift the primary responsibility of Coude catheter placement during the off-shift from the physician to a group of specially trained nurses.
Collectively, these studies indicate that training for Coude catheter placement decreases the incidence of urethral injury and is an appropriate procedure for specifically trained providers (Canales et al.
Previously established institutional policy and procedures on urinary catheter insertion clearly define the circumstances in which a Coude catheter can and should be placed by a nurse.
Examples of common clinical rationale for going from a straight tip to a Coude catheter
include trouble passing a straight catheter, strictures, false passages, or for trouble locating the meatus (in females) (Newman & Willson, 2011).
Lidocaine jelly, Coude catheters, or other supportive measures are offered to make catheterization less traumatic.
use of a topical numbing agent) to ease placement of straight or Coude catheters were reported.
Tiemann Coude catheters
make negotiating the urethral passage virtually painless.