Q1. What is clean intermittent self-catheterisation (CISC)?
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Q2. Why is it performed?
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Q3. What are the items required?
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Q4. How is CISC performed in men?
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| Q5. What conditions and/or problems should I report to the doctor? |
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| Q1. |
What is clean intermittent self-catheterisation (CISC)? |
| A2. |
It is the periodic insertion of a catheter (a hollow tube) through the urethra into the urinary bladder. Because the catheter is hollow, urine will flow through it and the bladder will empty. |
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| Q2. |
Why is it performed? |
| A2. |
It is performed for the following reasons:
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When the bladder distends excessively, it results in pressure being exerted backwards on to the kidneys. CISC prevents this from happening and thus protects your kidneys.
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It prevents the bladder from becoming excessively full and losing its muscle tone.
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When the bladder is excessively full, self-catheterisation prevents the bladder from leaking.
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It eliminates the residual urine that remains when the bladder does not empty completely. Residual urine allows bacteria to grow. These bacteria can sometimes multiply and cause bacterial infections.
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Self-catheterisation reduces the number of wetting incidents, allowing you to lead a more active, confident and healthy lifestyle. |
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| Q3. |
What are the items required? top |
| A3. |
The items required are:
- A catheter (as prescribed by the doctor)
- Lubricant
- Soap
- Water
- A dry hand towel
- A storage bag or a plastic container
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| Q4. |
How is CISC performed in men? |
| A4. |
CISC is performed in men in the following manner:
| Step 1: |
Wash your hands with soap and water. During this procedure, please touch only the catheter equipment in order to avoid coming into contact with germs that could possibly lead to a urinary tract infection. |
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Step 2: |
Hold the penis up with one hand and wash from the tip of the penis to the base of the glans with soap and water. |
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Step 3: |
Position yourself in front of the toilet. Many men prefer to stand during this procedure. |
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Step 4: |
Lubricate the catheter end that will go into the urethra – the tip and the first 6 inches of the catheter. |
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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 encounter 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 that it remains in the bladder until the emptying of urine is completed. |
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Step 6: |
When the urine stops, slowly begin to withdraw the catheter. This has to be done with a slow, steady pulling motion.If urine starts to flow again, stop each time more urine drains out.
Pinch the catheter just before it is removed completely in order to avoid soiling yourself with urine. |
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Step 7: |
Care Of the Catheter: Rinse the catheter in clean running water, dry it and place it in a clean plastic storage container until the next time it is used. Do not use an air-tight container. The catheter needs to be changed every 4 weeks, or earlier if it becomes brittle. | |
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| Q5. |
What conditions and/or problems should I report to the doctor? |
| A5. |
Please report any of the following to your doctor:
- Difficulty in inserting the catheter
- Significant changes in the amount, odour and colour of your urine
- Unusual pain and discomfort during the catheterisation procedure
- Unusual bleeding and discharge
- Fever and chills
- Leakage of urine in between catheterisation
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