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While an 18-gauge, or a catheter measuring 0.234 inches (about 5.94 mm), used to be the standard, the development of short peripheral catheters with smaller but stronger walls made it possible to use a smaller size for a larger fluid flow.
The size in French units is roughly equal to the circumference of the catheter in millimeters. A 14 to 16 French is used on most adults. Larger catheters of 22 French are recommended for patients with hematuria or clots. Pediatric French sizes range from 3 to 14. A catheter that is too big can lead to urethral irritation and difficult placement. A catheter that is too small can lead to kinking and urinary leakage. Below are some catheter French size conversion charts: