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There are three main categories of complications, which can arise during long-term catheterisation.
The catheter is a foreign body and therefore initiates an inflammatory response that can range in severity. This can be minimised by careful selection of catheter material and catheterisation technique. The bladder mucosa can easily be sucked into the catheter eyelets (hydrostatic suction). This can be minimised by placing the drainage bag no lower than 30cm below the bladder.
Failure to effectively support the catheter drainage bag can result in traction causing pressure ulceration and erosion of the urethral meatus. Adequate support must be used and whenever possible the bag should be attached to each leg alternately.
An individualised plan for catheter management must be made.
For patients with catheters in place consider the following: