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Placement and management of urinary bladder catheters in adults

Anthony J Schaeffer, MD
Section Editor
Jerome P Richie, MD, FACS
Deputy Editor
Wenliang Chen, MD, PhD


Bladder catheters are used for urinary drainage, or as a means to collect urine for measurement. Many clinical situations are appropriate for the placement of catheters, but too frequently they are used without proper indication or continued longer than needed. Daily evaluation of the ongoing need for the catheter is essential to reduce complications. Alternatives to indwelling urethral catheterization should be considered and include external sheath (ie, condom) catheters, suprapubic catheters, intermittent catheterization, and in some cases, supportive management with protective garments. Our recommendations for urinary bladder catheter placement and care are generally consistent with major guidelines that focus on prevention of catheter-associated urinary tract infection [1-4].

This topic will discuss the use and management of urinary bladder catheters. Management of bacteriuria and catheter-associated urinary tract infection is discussed elsewhere. (See "Catheter-associated urinary tract infection in adults" and "Complications of urinary bladder catheters and preventive strategies".)


The single most important factor for preventing urinary catheter-related complications is limiting their use to appropriate indications (table 1) [5-7]. Urinary catheters are indicated in the following clinical situations:

Management of urinary retention with or without bladder outlet obstruction. (See "Clinical manifestations and diagnosis of urinary tract obstruction and hydronephrosis" and "Acute urinary retention", section on 'Options for bladder decompression'.)

Hourly urine output measurement in critically ill patients.

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Literature review current through: Nov 2017. | This topic last updated: Nov 20, 2017.
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