CLEAN INTERMITTENT SELF CATHETERISATION – FEMALE

Clean Intermittent Self Catheterisation Female-CISC - FEMALE - NU Hospitals
  • 1.What is CIC?

    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.

  • 2.Why is CIC 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

  • 3.What items are required?

    • Catheter
    • Lubricant jelly (Caligno 2 %)
    • Soap

    Optional;

    • Hand sanitizer/ cup of water, in case of unavailability of clean water and running water respectively

  • 4.Genital hygiene

    • Keep the pubic hair cut short
    • Separate labia and clean with soap and water

  • 5.Hand hygiene

    • Keep the nails cut short
    • Wash with soap and water by following all six steps of hand wash
    • Also, wash the handle of the tap so that you can close it later with your washed hands
    • After washing hands do not touch other areas like basin, clothes, wall etc

  • 6.Cleaning and lubrication of catheter

    • Wash the catheter with soap and rinse with water to remove all soap residues
    • Make sure that the catheter does not come in contact with any other areas

     

  • 7.Position and procedure

    • Take the most comfortable position (sitting / squatting / standing / supine if done by others)
    • Hold the tip of the catheter in your dominant hand like a pen. Catheter can be cut short to 15cm as the urethra is shorter
    • Apply jelly with non dominant hand over a length of 2 cm from the insertion end of catheter and wash the hands
    • Separate the labia with non dominant hand
    • Insert lubricated catheter into themeatal opening and advance it till urine drains. If unable to identify the urethral meatus, feel with finger and insert the catheter
    • Retain catheter in the bladder till urine empties
    • Remove the catheter intermittently till urine stops draining. Then remove gently

  • 8.Care of catheter

    • Wash the catheter with soap and rinse in water
    • Hang in a clean ventilated room to dry
    • After drying, keep in a plastic pencil box
    • Wash the pencil box once in three days and dry
    • A catheter can be used for continuous 15 days, unless any breakage or discoloration found

  • 9.Additional instructions;

    • Out of home: Carry dry/new catheter in different labeled boxes depends on the interval of CIC and period you are out of the home. After each procedure, put it in a plastic cover and later after reaching destination/home wash, dry the catheter
    • If performed by the care taker: One of the attendants, to whom the procedure is taught, should always be present with the patient to perform CIC
    • soap and water

  • 10.Don’ts

    • Do not wipe your catheter with cloth/tissue to dry it
    • Do not apply hand sanitizer to clean the genital area
    • Do not postpone/ give up your CIC
    • Do not keep wet catheter in the plastic box

  • 11.Contact

    your doctor in case of following reasons;

    • Unable to pass catheter
    • Blood/pus in urine
    • High grade fever