A urinary catheter is a thin, flexible tube designed to drain urine from the bladder. While serving a medical purpose, the idea of catheterization can understandably cause apprehension, particularly for women. Concerns about potential discomfort or pain during and after the procedure are common. This article clarifies the sensations typically associated with catheterization, providing a clearer understanding of what to expect.
Catheter Insertion and Removal
During catheter insertion, women often experience pressure or a strong urge to urinate rather than sharp pain. The urethra is sensitive, so some discomfort is common but brief. Healthcare professionals minimize this by using ample lubrication and a gentle technique. Relaxing pelvic floor muscles can also help reduce discomfort during this process.
Removing a catheter is generally quicker and less uncomfortable than insertion. Many women describe a pulling sensation or a brief, mild burning as the deflated balloon and tube exit the urethra. While temporary soreness or a burning sensation during urination might occur immediately after removal, these feelings usually subside within a few days as the urethral lining recovers.
Experiencing a Catheter While In Place
Once a catheter is inserted and secured, women commonly report a persistent feeling of pressure in the bladder or urethra. This can manifest as a constant awareness of the catheter’s presence, along with a sensation of needing to urinate, even though the bladder is continuously draining. Bladder spasms, which feel like stomach cramps, are also common as the bladder muscle attempts to expel the foreign object. These spasms can range from mild to sharp and may cause urine to leak around the catheter.
The level of discomfort can be influenced by several factors, including the catheter’s size, the inflation of the balloon that holds it in place, and individual sensitivity. The duration the catheter remains in place can also affect how noticeable these sensations are. Some women may find the initial days more bothersome as their body adjusts to the foreign object.
Managing these ongoing sensations involves several strategies:
Stay well-hydrated to keep urine dilute and reduce irritation.
Ensure catheter tubing is free of kinks and not pulling on the body.
Maintain good hygiene around the insertion site to prevent irritation and infection.
Use over-the-counter pain relievers as recommended for mild discomfort or bladder spasms.
Consider catheter materials like silicone, which may be less irritating.
When to Seek Medical Help
While some discomfort with a catheter is expected, certain signs indicate a potential problem requiring immediate medical attention:
Severe or worsening pain not relieved by typical methods.
Fever or chills, signaling an infection.
Changes in urine appearance, such as cloudy or foul-smelling urine, or the presence of blood (more than a faint tinge).
Leakage of urine around the catheter, especially if accompanied by a feeling of a full bladder.
No urine draining into the collection bag.
If any of these symptoms occur, contact a healthcare professional or seek emergency care without delay.