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Intermittent Catheterization
(Clean Intermittent Self-Catheterization)

List of Necessary Equipment for Intermittent Catheterization:

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  • Disposable Gloves:
    1. Wearing disposable gloves helps maintain proper hygiene and minimize the risk of infection. Gloves should be worn during the preparation and insertion of the catheter.
  • Catheters:
    1. Catheters are flexible tubes used to drain urine from the bladder. They come in various sizes and types, including straight catheters or hydrophilic catheters. The specific type and size of catheter required will depend on individual needs and preferences.
  • Lubricant:
    1. A water-based lubricant is essential for easy insertion of the catheter. It helps reduce discomfort and potential trauma to the urethra during the catheterization process.
  • Clean Water or Sterile Saline Solution:
    1. Before starting CISC, it is crucial to have access to clean water or a sterile saline solution for cleaning the hands, genital area, and catheter.
  • Antiseptic Wipes or Solution:
    1. Antiseptic wipes or a solution, such as chlorhexidine or povidone-iodine, are used to clean the urethral meatus (opening) before catheterization. This helps reduce the risk of introducing bacteria into the urinary tract.
  • Disposable Towels or Paper Towels:
    1. Disposable towels or paper towels are useful for drying the genital area after cleaning and for maintaining cleanliness during the catheterization process.
  • Disposal Bag:
    1. A disposable bag or container for disposing of used catheters and other medical waste is necessary to ensure proper disposal and prevent the spread of infection.
  • Personal Hygiene Products:
    1. It is recommended to have personal hygiene products, such as mild soap or cleansing wipes, for general cleanliness before and after the procedure.
  • Mirror (optional):
    1. A small handheld mirror can be helpful for individuals who require visual assistance during catheterization, particularly for locating the urethral opening.
  • Container for Urine Collection (optional):
    1. A sterile container or urine collection bag is necessary to collect the urine that is drained during catheterization. It should be clean and preferably sterile to avoid contamination.

It is important to consult with a healthcare professional for specific recommendations on equipment, as individual needs and preferences may vary. They can provide guidance on the appropriate type and size of catheter, as well as any additional equipment that may be necessary based on the individual's condition and circumstances.

Intermittent Catheter Size Color Guide:

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ColorWidth
Light Green6 Fr2.0 mm
Light Blue8 Fr 2.7 mm
Black10 Fr 3.3 mm
White12 Fr4.0 mm
Dark Green14 Fr4.7 mm
Orange16 Fr5.3 mm
Most commonly used in adults
Red18 Fr6.0 mm
Yellow20 Fr6.7 mm
Purple22 Fr7.3 mm
Dark Blue24 Fr8.0 mm
Pink26 Fr8.7 mm

Foley's Catheter Insertion: Video

Male Patient:

Female Patient:

Intermittent Catheterization (IC) is a medical procedure recommended by the National Institute for Health and Care Excellence (NICE) for individuals with specific bladder conditions.

Here is some information about Intermittent Catheterization based on NICE guidelines:

  • Definition:
    1. Intermittent Catheterization, also known as clean intermittent self-catheterization (CISC), is a technique that involves inserting a catheter into the bladder to empty it, followed by removal of the catheter.
  • Indications:
    1. NICE guidelines recommend Intermittent Catheterization for individuals with various conditions, including neurogenic bladder dysfunction, urinary retention, and incomplete bladder emptying. It may also be suitable for those with certain types of urinary incontinence.
  • Assessment:
    1. Before initiating Intermittent Catheterization, a thorough assessment should be conducted, taking into account the individual's medical history, bladder function, and their ability to perform the procedure independently or with assistance.
  • Training:
    1. Proper training and education should be provided to the individual and, if necessary, their caregivers, to ensure they understand the technique, maintain hygiene, and minimize the risk of complications.
  • Catheter Selection:
    1. The choice of catheter should be based on the individual's needs, preferences, and clinical requirements. Factors to consider include catheter size, material, and appropriate lubrication to minimize discomfort during insertion.
  • Frequency:
    1. NICE guidelines suggest that the frequency of Intermittent Catheterization should be tailored to the individual's needs and bladder function. A healthcare professional should assess and determine the appropriate interval between catheterizations.
  • Hygiene:
    1. Maintaining good hygiene during Intermittent Catheterization is crucial to prevent urinary tract infections (UTIs). Individuals should be advised on proper handwashing, catheter sterilization, and cleaning techniques.
  • Monitoring and Support:
    1. Regular follow-up and ongoing support are important to monitor the individual's response to Intermittent Catheterization, assess any complications, and provide guidance or modifications to the procedure as needed.
  • Complications and Troubleshooting
    1. NICE guidelines emphasize the importance of promptly identifying and managing any complications related to Intermittent Catheterization, such as UTIs, urethral trauma, or catheter blockage. Individuals should be educated on recognizing warning signs and seeking medical advice.
  • Quality of Life:
    1. The NICE guidelines recognize that Intermittent Catheterization can significantly improve the quality of life for individuals with bladder conditions, enabling them to maintain bladder function, minimize urinary symptoms, and reduce the risk of complications.
Note:

It is essential to consult the most up-to-date NICE guidelines or seek medical advice to ensure accurate and appropriate information regarding Intermittent Catheterization and its implementation for specific individuals.

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