Catheter disposable collection bags

SpeediBag Compact (Coloplast)

• Catheter disposable collection bag (28592) (£22.43 = pack of 30)

Catheterisation gels

Catheterisation can be painful for both males and females. It is important that the urethra is prepared with a lubricating or anaesthetic gel before insertion of the catheter

OptiLube (Optimum Medical)

• Lubricating jelly in pre-filled syringes 6ml, 11ml (£1.03 = 1 x 11ml syringe)

OptiLube Active CHG Free (Optimum Medical)

(Lidocaine 2%)

• Lubricating jelly in pre-filled syringes 6ml, 11ml (£1.13 = 1 x 11ml syringe)

Instillagel (CliniMed)

(Lidocaine 2%, chlorhexidine gluconate 0.25%, methyl hydroxybenzoate 0.06%, propyl hydroxybenzoate 0.025%)

• Gel in pre-filled syringes 6ml, 11ml (£1.10 = 1 x 11ml syringe)

Catheter patency (maintenance) solutions

• Catheter maintenance solutions should be used as a treatment plan and not as routine for every patient. Their use must be based on clinical need and after an appropriate assessment
• They should only be used where proactive catheter changes are not suitable for the patient. They are treatment preparations for dissolving encrustation only and should only be prescribed for 4 weeks, then reviewed. They are not to be used prophylactically or to attempt to unblock a non-draining catheter
• These should only be used after an assessment of need has taken place. Solution G and solution R should only be used once it has been established that encrustation is the cause
• Sodium chloride should only be used for the washing of debris (blood, mucus and pus) from the catheter
• Two sequential instillations of a small volume (2 x 50mls) are more effective than a single administration (100mls) (Getliffe 2000)

Prescription - amount will depend on frequency of catheter irrigation

Sodium chloride

Solution G

Solution R

Please see section 7.4.4 Bladder instillations and urological surgery for more information

Catheter straps

Ugo fix (Optimum Medical Solutions)

• Catheter straps
  • Extra Short 35cm (3001) (£13.56 = pack of 5)
  • Short 45cm (3002) (£13.56 = pack of 5)
  • Medium 80cm (3003) (£14.97 = pack of 5)
  • Long 130cm (3009) (£18.23 = pack of 5)
  • Extra Long 180cm (3010) (£20.40 = pack of 5)

GB Fix It Retaining Strap (Great Bear Healthcare)

• Short 35cm (10646C) (£15.36 = pack of 5)
• Medium 45cm (10644A) (£15.36 = pack of 5)
• Long 80cm (10645B) (£16.81 = pack of 5)
• Adjustable strap 150cm (cut to fit) (10647D) (£19.38 = pack of 5)

StatLock (Bard)

• Foley catheter stabilisation device (FOLO102DT) (£13.84 = pack of 5)

Notes

1. For use with All Silicone and Latex Foley catheters

Catheter valves

• Correct selection for the patient is essential. A sterile valve can be attached to the catheter for 7 days. It should then be replaced.
• Ideally these should be considered as first choice as opposed to "free drainage" via a urine drainage bag, unless contraindicated for a medical reason such as renal impairment or patient choice
• A night bag can be attached directly to the valve outlet for "free drainage" at night
• Using a valve 2-3 weeks prior to trial without catheter (TWOC) may help to regain bladder function and tone, although there is no strong evidence for this any many TWOCs are carried out before a catheter has been in place for that long
• Need to be changed every 5-7 days

Prescription - 5 per box enough for 5 weeks supply, no more than one packet should be prescribed every month

Libra Lever Catheter Valve (Great Bear Healthcare)

• Sterile catheter valve (10540A) (£13.80 = pack of 5)

Flip-Flo Catheter Valve (Bard)

• Sterile catheter valve (BFF5) (£14.33 = pack of 5)