Indwelling urethral and supra-pubic catheters

• Not all catheters are licensed for supra-pubic use. Check the manufacturer's instruction
• Indwelling urinary catheters (urethral or supra-pubic) are either short term, less than one-month duration, or long term, can remain in situ up to 12 weeks
• If catheter life is less than four weeks, i.e. requiring recurrent re-catheterisation, consider a short-term catheter
• Male: standard length, female: shorter length, paediatric: longer than female length, but significantly smaller lumen size.
  • It is critically important that a female catheter is not inserted into a male urethra due to the risk of adverse events (see NPSA Rapid Response Report April 2009)
  • Female length catheters should only be used in females
• Wherever possible always use the smallest catheter size i.e. size CH 12-14 for urethral catheters in adults
  • Supra-pubic catheters are larger i.e. CH 16-20
• For supra-pubic catheterisation, prescription indicators, balloon size and equipment are the same as those for indwelling urethral catheter. The exception to this is catheter size, where currently a size CH 16 or CH 18 is usually used

Prescription - individual item, prescribe 2 to ensure 1 is available for change at any time

Please see local formulary guidelines if suspected catheter associated urinary tract infection (CA-UTI)

Short-term use

Foley PTFE Coated Latex (Bard)

• Male sizes (10ml balloon)
  • CH 12 (D1265LV12), CH 14 (D1265LV14), CH 16 (D1265LV16), CH 18 (D1265LV18), CH 20 (D1265LV20), CH 22 (D1265LV22), CH 24 (D1265LV24), CH 26 (D1265LV26)
• Female sizes (10ml balloon)
  • CH 12 (D0169LV12), CH 14 (D0169LV14), CH 16 (D0169LV16), CH 18 (D0169LV18), CH 20 (D0169LV20), CH 22 (D0169LV22)

Notes

1. For up to 4 weeks use in situ

Long-term use

Biocath Hydrogel Coated (Bard)

• Male sizes (£9.04 = 1 x 10ml balloon)
  • CH 12 (D226512), CH 14 (D226514), CH 16 (D226516), CH 18 (D226518), CH 20 (D226520), CH 22 (D226522), CH 24 (D226524), CH 26 (D226526)
• Female sizes (£9.15 = 1 x 10ml balloon)
  • CH 12 (D226912), CH 14 (D226914), CH 16 (D226916), CH 18 (D226918), CH 20 (D226920), CH 22 (D226922)

Notes

1. For up to 12 weeks use in situ

Latex-free

Lubri-Sil Aquafil Hydrogel Coated Silicone (Bard)

• Male sizes (£10.38 = 1 x 10ml balloon)
  • CH 12 (D175812E), CH 14 (D175814E), CH 16 (D175816E), CH 18 (D175818E), CH 20 (D175820E), CH 22 (D175822E)
• Female sizes (£10.38 = 1 x 10ml balloon)
  • CH 12 (D176112E), CH 14 (D176114E), CH 16 (D176116E)

Notes

1. For up to 12 weeks use in situ
2. Includes pre-filled syringe of sterile water

Foley tray

Foley tray contains everything required to either catheterise or re-catheterise

Biocath Comprehensive Care Foley Tray (Bard)

• Male sizes (£18.50 = 1 x 10ml balloon)
  • Short: CH 12 (D22655S12), CH 14 (D22655S14), CH 16 (D22655S16)
  • Medium: CH 12 (D22655M12), CH 14 (D22655M14), CH 16 (D22655M16)
  • Long: CH 12 (D22655L12), CH 14 (D22655L14), CH 16 (D22655L16)
• Female sizes (£18.50 = 1 x 10ml balloon)
  • Short: CH 12 (D22695S12), CH 14 (D22695S14), CH 16 (D22695S16)
  • Medium: CH 12 (D22695M12), CH 14 (D22695M14), CH 16 (D22695M16)
  • Long: CH 12 (D22695L12), CH 14 (D22695L14), CH 16 (D22695L16)

Notes

1. For up to 12 weeks use in situ
2. All in one kit includes a pre-connected leg bag. Subsequent leg bags should be one of the formulary choices

Latex-free

Lubri-Sil Comprehensive Care Foley Tray (Bard)

• Male sizes (£19.53 = 1 x 10ml balloon)
  • Small: CH 12 (D17585S12), CH 14 (D17585S14), CH 16 (D17585S16)
  • Medium: CH 12 (D17585M12), CH 14 (D17585M14), CH 16 (D17585M16)
  • Large: CH 12 (D17585L12), CH 14 (D17585L14), CH 16 (D17585L16)
• Female sizes (£19.53 = 1 x 10ml balloon)
  • Small: CH 12 (D17615S12), CH 14 (D17615S14)
  • Medium: CH 12 (D17615M12), CH 14 (D17615M14), CH 16 (D17615M16)
  • Large: CH 12 (D17615L12), CH 14 (D17615L14), CH 16 (D17615L16)

Notes

1. For up to 12 weeks use in situ
2. All in one kit includes a pre-connected leg bag. Subsequent leg bags should be one of the formulary choices

Anti-infective latex catheter

Bardex I.C is a hydrogel silver catheter which may reduce catheter-associated urinary tract infections

Bardex I.C. Silver Alloy Coated (Bard)

• Male sizes (£10.55 = 1 x 10ml balloon)
  • CH 12 (D236512S), CH 14 (D236514S), CH 16 (D236516S), CH 18 (D236518S), CH 20 (D236520S), CH 22 (D236522S)
• Female sizes (£10.55 = 1 x 10ml balloon)
  • CH 12 (D236912S), CH 14 (D236914S), CH 16 (D236916S)

Notes

1. Recommended indwelling time not to exceed 28 days
2. The cost of the catheter must be considered. The nursing cost of repeatedly changing a catheter and the cost of providing antibiotics for recurring urinary tract infections may be outweighed by its use.