Intermittent Self-Catheterization(CISC) for Men and Women
Intermittent catheterization involves the temporary placement of a catheter (tube) to remove urine from the body. This is usually done by placing the catheter through the urethra to empty the bladder.Some people may require catheterization for a short period of time or on an occasional basis. Intermittent (short-term) catheterization may be necessary for people with neurological disorders, women who have undergone certain gynecological surgeries, and anyone who is unable to properly empty the bladder.
The goal of intermittent catheterization is to prevent urinary tract infections, or to completely empty the bladder. Most people are able to learn how to perform this procedure.
To perform clean intermittent self-catheterization (CISC), the person must learn the basic location of the important urological landmarks.
Additionally, the person must have the physical ability to reach the urethra and must be able to manipulate the equipment. People who are unable to visualize the urethra may be taught how to feel for the proper location of the urethral meatus (opening).
Catheters that are used for CISC are slightly different from the catheters used for indwelling (long-term) catheterization. An indwelling catheter is held in place by a balloon -- CISC catheters do not have this balloon or the side balloon inflation.
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 intended to be disposable, some CISC catheters may be reused. A CISC catheter may be reused for 2 to 4 weeks. It may be helpful to soak the catheter in a white vinegar solution once a week to control odor and remove thick mucus deposits. Other cleaning or sterilization techniques may be recommended by your health care provider if infection occurs frequently.
Adapted from the National Library of Medicine (http://medlineplus.gov).