Can't urinate after catheterization

The urinary catheter is the most commonly used urinary catheterization tool in modern medicine. In addition to patients, there are many elderly people who also need to have a urinary catheter due to their limited mobility. After the catheter is inserted, you must pay attention to timely care to ensure the cleanliness of the private parts and prevent bacterial infection. Moreover, the urinary catheter cannot be inserted all the time and needs to be removed after a period of time. But some people find that they can't urinate after the catheter is removed. So, what should you do if you can’t urinate after having a catheter inserted?

Why can't I urinate after the urinary catheter was removed after a cesarean section?

Caesarean section uses spinal anesthesia. After the operation, the urinary system will still be affected by the anesthetic and cause urination disorders, making it difficult for new mothers to urinate. Generally, the catheter should be removed 24 hours after the operation. The doctor and nurse will ask the mother to drink plenty of water and urinate independently as soon as possible. The earlier, the better for the mother's physical recovery.

In addition to the impact of anesthetics on the mother, there is another reason, which is the mother's own psychological factors. The first spontaneous urination failed, so the mother will feel a little anxious afterwards, which affects the normal relaxation and contraction function of the pudendal muscles and bladder sphincter.

Finally, let me talk about environmental issues. If the bathroom used after giving birth is a public bathroom, the coming and going of people will have a certain impact on the mother's urination. After giving birth, expectant mothers must drink plenty of water and try to urinate independently as soon as possible. If they still cannot urinate independently after trying hard, they may have to reinsert the catheter.

1. How can the patient recover to urinate on his own after the catheter is removed?

The simplest and most convenient method to guide urination after the catheter is removed is to blow a whistle to guide it. Generally, cases that are not too serious can be recovered. You can turn on the faucet and listen to the sound of running water, which can stimulate the cerebral cortex through hearing and achieve the effect of urination. Massage and hot compress. Hot compress massage can relax muscles and promote urination. You can also gently press the lower abdomen bladder to assist urination.

When this happens, you must not feel stressed, relax and eliminate anxiety and tension, find a secluded environment, close the doors and windows, turn on the water pipes and listen to the sound of water flow to promote urination. Drink more water and eat more diuretic fruits to fill your bladder and make you want to urinate.

2. Is it normal to have difficulty and pain when urinating when the catheter is removed?

It is normal to experience difficulty and pain in urination when the catheter is removed. Don't put pressure on yourself or think too much about it. This is a very private question, and also a very common question. Don't be shy or afraid. With careful guidance, you will be able to return to normal. You must relax and not put pressure on yourself.

3. Precautions for urinary catheter

Strictly implement aseptic operation: Replace immediately if accidentally inserted into the vagina or dislocated.

Control the urination speed and volume of patients with urinary retention: do not urinate too fast, use a 600-800ml clamp tube.

Observe and record urine color, quantity and properties:

Normal: 1500-2000ml/24h, polyuria>2500ml/24h, oliguria<400ml/24h, no<50ml/24h.

Color: Normal: colorless, transparent or light yellow; Abnormal: hematuria, hemoglobinuria, bilirubinuria, chyluria.

Fix the catheter properly and keep the tube normal. Check and adjust the position of the catheter in time when it is blocked. Flush it repeatedly with furacilin and replace it when necessary.

Prevention of urinary tract infection: It is not necessary to perform bladder irrigation every day, and the urethral opening needs to be scrubbed twice. 2. Remove the catheter as soon as the condition stabilizes. Strictly implement aseptic operation to change the urine bag daily. For those with long-term catheterization, change the catheter once a week and encourage patients to drink more water during the catheterization period.

Bladder function training: Clamp the tube daily and loosen the tube every 3-4 hours (except when using dehydration drugs).