Clean intermittent self-catheterization

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Catheterization

Intermittent catheterization is the temporary placement of a catheter (tube) to remove urine from the body. This is usually done by placing the catheter through the urethra (the tube that leads from the bladder to the outside opening) to empty the bladder.

Self-catheterization; CISC; CIC; Intermittent catheterization

INTERMITTENT CATHETERS:

Some people may need a catheter occasionally. Intermittent catheterization may be necessary for:

• Anyone who is unable to properly empty the bladder
• People with nervous system (neurological) disorders
• Women who have had certain gynecological surgeries

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The goal of intermittent catheterization is to:

• Completely empty the bladder
• Prevent further bladder or kidney damage
• Prevent urinary tract infections

Most people can learn how to perform this procedure.

To perform clean intermittent self-catheterization (CISC), the person must learn the basic location of the important parts of the urinary system.

The person must also be physically able to reach the urethra, and to move the equipment as necessary. People who are unable to see the urethra may be taught how to feel for the proper location of the urethral opening.

Catheters that are used for CISC are slightly different from the catheters used for long-term catheterization. A long-term catheter is held in place by a balloon. CISC catheters do not have this balloon.

CISC catheters may be made of a clear plastic or a softer rubber material. These catheters also come in a variety of sizes.

Although some catheters are disposable, some CISC catheters may be reused.

HOW TO PERFORM CISC (MEN):

1. Assemble all equipment: catheter, lubricant, drainage receptacle (container).

2. Wash your hands thoroughly with soap and water and clean the penis and opening of the urethra.

3. Lubricate the catheter using water-based lubricants only.

4. Hold the penis on the sides, perpendicular to the body.

5. Begin to gently insert and advance the catheter.

6. You will meet resistance when you reach the level of the prostate. Try to relax by deep breathing, and continue to advance the catheter.