Clean Intermittent Self

Catheterization (CISC)

Dr. Md. Saiful Islam

Dept. of Urology
BSMMU

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 Introduction
• Although intermittent self-catheterization may be
more intimidating than a Foley (indwelling) catheter,
there are some definite advantages of intermittent
catheterization if it is an option for patients.
• The biggest advantage of self-catheterization is
having the freedom to choose when and where to
empty bladder, giving more control over life.
• Using a single-use intermittent catheter also reduces
the risk of urinary tract infections (UTIs) compared to
an indwelling catheter.

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 Indications
• Stroke
• Parkinson's disease
• Multiple sclerosis
• Spinal cord injuries
• Spinal surgeries
• Erectile dysfunction
• Trauma/accidents
• Central nervous system tumors
• Cerebral palsy
• Decompenseted High volume low pressure UB
• Heavy metal poisoning

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 Materials
• A catheter
• Soap and towels
• A water-based lubricant
• Plastic bags

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 Procedure - women
Inserting the catheter
1. Wash hands with soap and water.
2. Wash genital area thoroughly with soap and water to reduce the chance of
infection.
3. Take the catheter out of the package.
4. Put a large amount of lubricant over the end of the catheter. This will help it slide
in more easily. Be sure to use a water-based lubricant; do NOT use a
petroleum-based lubricant.
5. Position- sit or stand, whichever is more comfortable for you. Spread your legs.
With one hand, spread the labia, or lips, of your vagina. Locate the urethral
opening, the area where urine comes out. May need to use a mirror to find it.
6. Once found the urethral opening, take the catheter in other hand and gently
insert it into urethra. Keep pushing the catheter until it reaches the bladder and
urine starts to flow through the catheter. Insert the catheter another inch or so
and hold it there.
7. When the urine stops flowing, gently remove the catheter.
8. Wash the catheter with soap and warm water and place it in a plastic bag until
the next time.
9. Wash hands with soap and water.

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 Procedure - men
Inserting the catheter
1. Wash your hands with soap and water.
2. Wash your genital area thoroughly with soap and water to reduce the chance of
infection.
3. Take the catheter out of the package.
4. Put a large amount of lubricant over the end of the catheter. This will help it slide
in more easily. Do NOT use a petroleum-based lubricant.
5. Sit on a toilet and spread your legs. Hold your penis out from your body in a
horizontal position.
6. Take the catheter in the other hand and gently insert it into your urethra. Hold
the other end of the catheter over the toilet bowl.
7. Keep pushing the catheter until it reaches the bladder and urine starts to flow
through the catheter. Insert the catheter another inch or so and hold it there.
8. When the urine stops flowing, gently remove the catheter.
9. Wash the catheter with soap and warm water and place it in a plastic bag until
the next time.
10. Wash your hands with soap and water.

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 Steps

• Follow these 10 steps for safe, simple self-

catheterization:

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1. Wash your hands thoroughly.

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Set out all necessary supplies – these can
include a mirror, the catheter, water, soap
and/or a sterile wipe

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Position yourself in front of the toilet or in
front of a collection container.

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 How Frequently Should I Self-
Catheterize?
• In most cases, should self-catheterize about every
4-6 hours in a clean environment.
• It is also recommended to catheterize before
going to sleep and directly after waking up.
• This will help to prevent distention of the bladder.
• Self-catheterizing on a regular schedule 4-6 times
a day will also reduce risk of UTIs and bladder
infections from urine sitting in the bladder for
extended periods of time.
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 Complications
• Injuries
• Infection
• Stricture

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Thanks

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