Clean Intermittent Self Catheterisation

Clean Intermittent Self Catheterisation - Male(CISC)

• What is it?

It is the periodic insertion of a hollow tube (catheter) through the urethra into the urinary bladder, because the catheter is hollow, urine will flow through it and the bladder will empty.

• Why is it done?

• It prevents the bladder from over distension & exerting back pressure on the kidneys and thereby protects your kidney.
• It prevents the bladder from becoming overfilled and losing its muscle tone.
• When the bladder is overfilled, self catheterization keeps the bladder from leaking.
• It eliminates the residual urine that remains when the bladder does not empty completely.� Residual urine allows bacteria to grow, multiply some times leading to bacterial infections.

Self catheterisation reduces the number of wetting incidents, freeing you for a more active, confident and healthy life style.

What equipments are required?

• Catheter (prescribed by doctor)
• Lubricant
• Soap
• Water
• Dry hand towel
• Storage bag / plastic container

How to do?

Step 1:� Wash your hands with soap and water.� During the procedure, touch only the catheter equipment to avoid coming in contact with germs that could possibly lead to a urinary tract infection.

Step 2:� Hold the penis up with one hand and wash the tip of the penis to the base of the glans with soap and water.

Step 3:� Position yourself in front of the toilet.� Many men prefer to stand during the procedure.

Step 4:� Lubricate the catheter end that will go into the urethra.� Lubricate� the� tip� and�� the�� first 6 inches of the catheter.

Step 5:� Hold your penis at a right angle to your body, grasp the catheter as you would a pen and slowly insert it into the urethra.
If you meet resistance, breathe deeply and try to relax.� If your first attempt is unsuccessful and you become nervous, stop, take a deep breath and then re-start.
Once urine has started to flow, continue to advance the catheter an additional inch to ensure it remains in the bladder until emptying is complete.

Step 6:� When the urine stops, slowly begin to withdraw the catheter with a slow, steady pulling motion.� If urine again starts to flow, stop each time more urine drains out. Pinch the catheter just before removing completely to avoid soiling yourself with urine.

Step 7:��CARE OF CATHETER�
Rinse catheter in clean running water.� Dry the catheter. �Place the catheter in a clean plastic storage container until the next use.� Do not use an airtight container.
Catheter needs to be changed every 4 weeks or earlier if it becomes brittle.

Report any and the following to your doctor:

• Difficulty in inserting the catheter.
• Significant changes in the amount, odour and color of urine.
• Unusual pain and discomfort during the catheterisation procedure.
• Unusual bleeding and discharge.
• Fever and chills.
• Leaking urine in between catheterization.

Educational material published as part of community service by:
DEPARTMENTSOFUROLOGY�

NUHOSPITAL�
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BANGALORE � 560 070
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