Types of Urinary Catheters: A Practical Guide to Choosing the Right Catheter Type

There are many different urinary catheter configurations, but the main differences are easier to understand when they are broken down into a few simple choices: intermittent or indwelling, 2-way or 3-way, catheter material, length and tip design.
 

Important: This guide provides a straightforward overview of the main urinary catheter types and shows how these differences relate to the UNOQUIP urinary catheter range supplied by Ebrington Medical.

It is intended as a product and terminology guide rather than a guide to catheter insertion or individual catheter selection.


View the UNOQUIP Urological Drainage range

View the UNOQUIP Urinary Catheters catalogue
 

 



 

Urinary catheter types at a glance


A useful starting point is whether a catheter is intermittent or indwelling.
 

An intermittent catheter is inserted when required to drain the bladder and then removed. An indwelling catheter remains in the bladder and is normally held in position by a balloon. Indwelling urinary catheters are also commonly referred to as Foley catheters.
 

The NHS also describes suprapubic catheters, which reach the bladder through an opening in the abdomen rather than through the urethra.
 

Read the NHS guide to types of urinary catheter

 

Requirement or design Catheter type UNOQUIP options Typical setting
Temporary bladder drainage followed by removal Intermittent catheter Nelaton, Female Nelaton, Tiemann, sheathed and Extra-Soft options Hospital, community or home care following appropriate assessment and training
Continuous urinary drainage 2-way Foley catheter 100% Silicone Foley, Integral Balloon Foley and Hydrophilic Latex Foley Hospital, community or home care depending on product and clinical requirements
Postoperative drainage without a separate irrigation lumen 2-way postoperative Foley catheter UNOQUIP Postoperative Silicone Foley options Specialist / acute care
Postoperative drainage and irrigation 3-way Foley catheter UNOQUIP Postoperative Silicone Foley; selected Hydrophilic Latex postoperative options Specialist / acute care
Shorter catheter length for female anatomy Female-length catheter Female-length silicone Foley, hydrophilic latex Foley and intermittent options Depends on catheter type and clinical requirement
Curved catheter tip Tiemann / Coudé-tip catheter UNOQUIP silicone Foley and intermittent Tiemann options Selected according to clinical requirement


 



 

Urinary catheter selection guide


The following guide shows how the main catheter categories relate to one another and where the principal UNOQUIP options sit within them.
 

1. DOES THE CATHETER REMAIN IN THE BLADDER?

NO


INTERMITTENT CATHETER

 

Inserted when required for short-term drainage and then removed.
 

UNOQUIP options include:
 

  • Nelaton intermittent catheter
  • Female-length Nelaton
  • Nelaton with protective sheath
  • Tiemann-tip intermittent catheter
  • Extra-Soft variants
  • Paediatric options

View UNOQUIP intermittent catheter options

YES


INDWELLING / FOLEY CATHETER

 

The catheter remains in the bladder and is retained by an inflatable balloon.

 


 

2. FOR AN INDWELLING CATHETER: ROUTINE DRAINAGE OR POSTOPERATIVE / SPECIALIST USE?

Routine/longer-term drainage

 

2-way Foley catheter
 

A 2-way Foley has a drainage lumen and a separate channel for balloon inflation.
 

UNOQUIP product families:
 

  • 100% Silicone Foley Catheters
  • Integral Balloon Foley Catheters
  • Hydrophilic Latex Foley Catheters
 

Configuration can then vary by:
 

  • Male / standard or female length
  • Nelaton / cylindrical tip
  • Tiemann tip
  • Open tip
  • Paediatric configuration

Postoperative / specialist drainage

 

2-way or 3-way postoperative Foley catheter
 

UNOQUIP postoperative silicone catheters are designed for postoperative drainage, tamponade and irrigation requirements.
 

UNOQUIP tip configurations include:
 

  • Cylindrical
  • Couvelaire
  • Dufour
  • Mercier
 

 


 

3. HOW MANY CHANNELS ARE REQUIRED?

2-WAY

 

Two channels:
 

  • Urinary drainage
  • Balloon inflation
 

2-way configurations are found across the UNOQUIP silicone Foley, Integral Balloon Foley and hydrophilic latex ranges, as well as selected postoperative products.

3-WAY

 

Three channels:
 

  • Urinary drainage
  • Balloon inflation
  • Irrigation
 

UNOQUIP offers specialist postoperative 3-way options for drainage and irrigation following surgical procedures.
 

Typical setting: specialist / acute care.


RCN catheter-care guidance describes continuous bladder irrigation using a three-way catheter as an intervention normally undertaken for short periods within an acute-care setting.
 

Read the Royal College of Nursing catheter-care guidance

 



 

UNOQUIP 100% Silicone Foley Catheters


The UNOQUIP 100% Silicone Foley Catheter range covers a broad range of acute and long-term indwelling drainage requirements for hospital and home-care settings.
 

The range includes male and female lengths, paediatric catheters, Tiemann-tip catheters and open-tip options. The manufacturer's current catalogue states that its 2-way silicone Foley catheters can be retained for up to 90 days, subject to the individual product specification and appropriate clinical use.
 

The catalogue also states that UNOQUIP's 2-way silicone Foley catheters may be used for transurethral or suprapubic urinary drainage where indicated.
 

Explore UNOQUIP 100% Silicone Foley Catheters

View catheter sizes and configurations in the UNOQUIP catalogue

 



 

UNOQUIP Integral Balloon Foley Catheters


UNOQUIP also offers Integral Balloon Foley Catheters, using a low-profile integral balloon design within its silicone Foley range.
 

These are 2-way indwelling catheter options intended for acute and longer-term urinary drainage, with Nelaton / cylindrical and Tiemann-tip configurations available within the range.
 

View the UNOQUIP Foley catheter range

 



 

UNOQUIP Postoperative Silicone Foley Catheters


The UNOQUIP Postoperative Silicone Foley Catheter range is designed for specialist postoperative urinary drainage, tamponade and irrigation applications.
 

Unlike standard Foley ranges, postoperative options include both 2-way and 3-way configurations and specialist tip designs including cylindrical, Couvelaire, Dufour and Mercier variants.
 

Three-way configurations provide an additional channel for irrigation and are therefore primarily associated with specialist acute-care applications rather than routine community catheterisation.
 

View UNOQUIP postoperative catheter configurations

 



 

UNOQUIP Hydrophilic Latex Foley Catheters


The UNOQUIP range also includes hydrophilic latex Foley catheters for transurethral urinary drainage.
 

These are latex catheters with a hydrophilic coating and are available in several configurations, including standard and female lengths, paediatric sizes and selected postoperative 3-way options.
 

Material selection should take account of the individual product specification, intended duration and relevant clinical considerations, including known material sensitivities.
 

View UNOQUIP hydrophilic latex catheter options

 



 

UNOQUIP Intermittent Catheters


An intermittent catheter provides a temporary pathway for bladder drainage and is removed after use rather than remaining in position.
 

The UNOQUIP intermittent range includes Nelaton, female-length Nelaton and Tiemann-tip catheters, together with protective-sheath, Extra-Soft and paediatric options.
 

The NHS advises that people carrying out intermittent self-catheterisation should be appropriately taught how to do so.
 

Read NHS information on intermittent catheters

View UNOQUIP intermittent catheter options

 



 

Understanding the final catheter configuration

 
Male or female catheter length?


Male and female catheter descriptions often relate to catheter length rather than an entirely different catheter type.
 

The UNOQUIP range includes female-length versions within selected silicone Foley, hydrophilic latex and intermittent catheter families.
 

Catheter length should be selected according to the intended use, individual clinical requirements and the manufacturer's instructions.

 

Nelaton or Tiemann tip?


A Nelaton or cylindrical tip is a straight, rounded catheter-tip design commonly found across Foley and intermittent catheter ranges.
 

A Tiemann tip, also called a Coudé tip, has a curved tip. RCN guidance describes the curved design as helping negotiate the upward bend of the male urethra.
 

UNOQUIP offers Tiemann variants within both its silicone Foley and intermittent catheter ranges. Specialist tip selection should be based on appropriate clinical assessment.
 

Read the RCN catheter-care guidance

 

What about open-tip Foley catheters?


The UNOQUIP 100% silicone Foley range includes open-tip configurations alongside standard Nelaton and Tiemann-tip options.
 

UNOQUIP describes these as options for improved drainage and optional guidewire use. They are specialist product configurations and should be selected according to the intended clinical application and product instructions.
 

See the UNOQUIP catheter catalogue

 

Silicone or hydrophilic latex?


Both materials are represented within the UNOQUIP Foley portfolio, but they should not be treated as interchangeable solely on the basis of material.
 

The UNOQUIP 100% silicone range covers acute and long-term applications including hospital and home care, while the manufacturer describes its hydrophilic latex range for transurethral bladder drainage with multiple configurations available.
 

Selection should take account of the specific product's intended use, duration, patient requirements, material sensitivities and relevant clinical guidance.

 

Are 3-way catheters for home use?


A 3-way Foley catheter has an additional lumen that can be used for bladder irrigation. These products are associated primarily with specialist postoperative and acute-care applications.
 

Current RCN guidance states that continuous bladder irrigation through a three-way catheter is normally used for short periods within an acute-care setting.
 

For that reason, this guide describes UNOQUIP postoperative 3-way catheters as specialist / acute-care products rather than using the term "restricted catheter" or implying a general legal restriction on supply.
 

Read the RCN catheter-care guidance

 

Where do suprapubic catheters fit into the guide?


A suprapubic catheter is an indwelling catheter that enters the bladder through an opening in the abdomen rather than through the urethra.
 

The NHS lists suprapubic catheterisation separately from urethral intermittent and indwelling catheterisation. Placement is a clinical procedure, although ongoing catheter care may subsequently take place outside hospital.
 

The current UNOQUIP catalogue states that its 2-way silicone Foley catheters may also be used for suprapubic urinary drainage where appropriate.
 

Read NHS information on suprapubic catheters

 


 



Choosing between the main UNOQUIP catheter ranges


The UNOQUIP urinary catheter portfolio can be broadly grouped according to the intended type of drainage and product configuration.
 

UNOQUIP range Main distinction Key options
Intermittent Catheters Temporary urinary drainage followed by catheter removal Nelaton, female, Tiemann, protective sheath, Extra-Soft and paediatric
100% Silicone Foley Catheters 2-way indwelling drainage Nelaton, Tiemann, open tip, male / standard and female length, paediatric
Integral Balloon Foley Catheters 2-way silicone Foley with integral balloon design Nelaton and Tiemann configurations
Hydrophilic Latex Foley Catheters Hydrophilic-coated latex Foley Standard, female, paediatric and selected postoperative options
Postoperative Silicone Foley Catheters Specialist postoperative drainage and irrigation 2-way / 3-way; cylindrical, Couvelaire, Dufour and Mercier tip configurations


Explore the complete UNOQUIP Urological Drainage range

Download the UNOQUIP Urinary Catheters catalogue

 



 

Important information about urinary catheter selection


A catheter should not be selected simply by matching a symptom to a product. The appropriate catheter type, size, material, length, tip and configuration depend on the intended clinical use and individual requirements.
 

NICE states that people who require urinary catheterisation should have their risk of infection minimised through appropriate insertion and maintenance procedures and removal of the catheter as soon as it is no longer needed.
 

This article is provided for general product and educational information only. It is not a substitute for clinical assessment, professional medical advice or the manufacturer's instructions for use. Catheter insertion, replacement and specialist procedures such as bladder irrigation should be undertaken in accordance with appropriate professional guidance, local procedures and the relevant product instructions.
 

Read NICE Quality Statement 4: Urinary catheters