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:

DEPARTMENTS OF UROLOGY
NU HOSPITAL
C. A. 6, 15th MAIN, 11th CROSS, PADMANABHANAGAR
BANGALORE – 560 070
Phone: +91-80-42489999
Fax: +91-80-26392693
E-mail: info@nuhospitals.com