Urinary catheters are tubes inserted into the bladder to drain urine, often used when natural urination is difficult or impossible. Many wonder about the sensations. This article outlines what to expect during insertion, while in place, and during removal.
The Insertion Sensation
The insertion of a urinary catheter is generally more uncomfortable than painful. Individuals typically feel pressure as the tube advances through the urethra toward the bladder. Many describe a strong urge to urinate, a normal response as the catheter approaches the bladder. A brief stinging or burning sensation may occur as the catheter passes through the urethra’s narrowest parts.
To reduce discomfort, healthcare providers use a lubricating gel on the catheter. This gel often contains a local anesthetic, like lidocaine, which numbs the urethra and minimizes sharp sensations. Pain tolerance varies, but the process is usually quick, lasting only a few seconds. Do not force the catheter if resistance is met, as this can cause injury.
Experiences While Catheterized
Once a urinary catheter is in place, many report a constant feeling of pressure in the bladder, similar to a persistent urge to urinate. This sensation arises because the bladder’s internal balloon, holding the catheter in position, can irritate the bladder wall. Despite the urge, the catheter is actively draining urine, so the bladder is not full.
Some may experience mild irritation or a burning sensation around the urethra where the catheter enters the body. Bladder spasms, feeling like abdominal cramps, are common as the bladder attempts to expel the foreign object. Movement can sometimes exacerbate these feelings, but proper securing of the catheter and drainage bag helps prevent pulling and reduce discomfort.
The Removal Sensation
Catheter removal is typically quick, often described as less uncomfortable than insertion. Before removal, a healthcare professional deflates the small balloon holding the catheter in the bladder. As the catheter is gently withdrawn, a brief pulling or “slithery” feeling is reported.
A fleeting stinging or burning sensation may occur as the catheter exits the urethra. Many immediately feel a strong urge to urinate after removal, a natural response as the bladder regains normal function. Any discomfort during removal is usually momentary and subsides quickly.
Minimizing Discomfort and Seeking Support
Several factors influence catheter discomfort. The healthcare provider’s skill during insertion, and catheter type and size, play a role. Individual pain thresholds and medical conditions also contribute to how a person perceives sensations.
To minimize discomfort, relaxing during insertion and removal is beneficial. Deep breathing techniques can assist. Ensuring the catheter tubing is not kinked and the drainage bag is positioned below the bladder helps maintain proper flow, preventing pulling sensations. Staying hydrated, if medically appropriate, also helps maintain urine flow.
Communicate any severe or worsening pain, fever, chills, or changes in urine appearance (e.g., cloudiness, foul odor, blood) to a healthcare provider. These could indicate a urinary tract infection or other complications requiring prompt medical attention. Seeking emotional support also contributes to a more manageable experience.