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10 Steps to Self-Catheterization

Laura Cox
Ostomy Lifestyle Specialist | Shield HealthCare
03/21/16  2:23 PM PST
how to use an intermittent catheter

Although intermittent self-catheterization may be more intimidating than a Foley (indwelling) catheter, there are some definite advantages of intermittent catheterization if it is an option for you. The biggest advantage of self-catheterization is having the freedom to choose when and where to empty your bladder, giving you more control over your life. Using a single-use intermittent catheter also reduces the risk of Urinary Tract Infections (UTIs) compared to an indwelling catheter.

Follow these 10 steps for safe, simple self-catheterization:

How to use an Intermittent Catheter (illustrations below)

  1. Wash your hands thoroughly.
  2. Set out all necessary supplies – these can include a mirror, the catheter, water, soap and/or a sterile wipe.
  3. Position yourself in front of the toilet or in front of a collection container.
  4. Wash or sterilize around the urethra. For women, wash from front to back, never re-using a wipe. For men, wash in a circular motion, starting at the urethra and working your way out.
  5. Open the catheter. To keep the catheter as clean as possible, do not allow the catheter to touch anything once you pull it out of the wrapping.
  6. Apply lubricant to the catheter if applicable.
  7. For women, gently open the labia with your fingers. For men, hold penis straight out from the body and angled slightly upward toward your body and gently squeeze the head of the penis to very gently to open the urethra.
  8. Insert the clean or sterile catheter until urine begins to flow. Gently push the catheter about 1 inch further into the bladder after urine begins to flow.
  9. When the urine stops flowing, shift position a few times to ensure all urine is emptied, then slowly remove the catheter
  10. Wipe the insertion site of any urine, throw away the catheter and wash your hands.

How to use an Intermittent Catheter 1

How to use an Intermittent Catheter 2

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How to use an Intermittent Catheter 4aHow to use an Intermittent Catheter 4b

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How to use an Intermittent Catheter 6

How to use an Intermittent Catheter 7aHow to use an Intermittent Catheter 7b

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How Frequently Should I Self-Catheterize?

In most cases, you should self-catheterize about every 4-6 hours in a clean environment. It is also recommended to catheterize before going to sleep and directly after waking up. This will help to prevent distention of the bladder. Self-catheterizing on a regular schedule 4-6 times a day will also reduce your risk of UTIs and bladder infections from urine sitting in the bladder for extended periods of time. (source: http://calder.med.miami.edu/pointis/intermit.html )

This article was written by a contributing author for Shield HealthCare. This information does not replace the advice of a medical professional. If you have any questions or concerns, please contact your doctor.

Helpful Links:

For more information about urinary tract infections, please click here: http://www.shieldhealthcare.com/community/urological/2011/07/27/understanding-urinary-tract-infections/

To watch a webinar about preventing catheter associated urinary tract infections (CAUTI), please click here: http://www.shieldhealthcare.com/community/urological/2015/11/11/video-and-slides-preventing-catheter-associated-urinary-tract-infections-cauti-webinar/

References:

http://www.aboutkidshealth.ca/en/healthaz/testsandtreatments/medicaldevices/pages/clean-intermittent-catheterization-cic-step-by-step-instructions-for-boys.aspx

http://calder.med.miami.edu/pointis/intermit.html

http://curemedical.com/pdfs/Sterile%20IC_parent_girl.pdf

Comments

4 Comments

  1. Shelley Boucher
    Posted May 18, 2016 at 6:17 am PDT

    where are the sterile gloves ?

  2. Aimee Sharp
    Posted August 15, 2016 at 3:20 pm PDT

    Hi Ms. Boucher. You can find our gloves here: http://shop.shieldhealthcare.com/ProductList.aspx?CategoryName=INCONTINENCE_SKIN%20CARE_GLOVES Thanks for commenting! -Aimee, Shield HealthCare

  3. Ana
    Posted August 29, 2017 at 5:09 pm PDT

    I would like to know how to choose the catheter diameter. I use the 3.3mm and they suggested me to use the 4mm. I see that the catheter drains faster but I feel that it is a little uncomfortable to me…
    So how to choose it….I am very confused!!

  4. Aimee Sharp
    Posted September 5, 2017 at 10:10 am PDT

    Hi Ana. Thanks for reaching out! We posed your question to our spinal cord injury lifestyle specialist, who knows quite a bit about catheters. Here is his response: “Hi Ana. Discussing the catheter diameter with your urologist is a safe place to start. I personally use what is most comfortable, despite function. The larger diameter catheter may perform better, but as the cliche says… “if the shoe doesn’t fit…” don’t wear it! I would suggest asking your medical supply company for samples in different sizes to test out which diameter feels and works the best for you. Good luck! -Aaron”

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