A catheter (200) with a distal length extending to a distal end, the distal length configured to indwell a cavity of a patient body. The distal length includes a first lumen (202) extending longitudinally through a lengthwise portion of the distal length, where the first lumen may be at least partially defined by a first inner diameter surface of the distal length. The distal length includes a second lumen (204) extending longitudinally through the lengthwise portion of the distal length, where the second lumen may be at least partially defined by a second inner diameter surface of the distal length. A first fenestration may be disposed through a side wall of the first lumen. A cuff is disposed on an outer surface of the proximal length.