If you are interested in getting more background information, the following page may help you to better understand the intermittent catheterisation:
Clean intermittent self catheterisation (CISCI) enables you or your carer (once taught) to empty the urine from your bladder using a specifically designed hollow tube called an intermittent catheter.
Intermittent self catheterisation (ISC) is when an individual intermittently passes a catheter into their bladderto assist with the drainage of urine where normal voiding is not possible. This is a clinically clean technique undertaken by an individual to him or herself.
It is essential that the highest standards of hygiene are maintained at all times. You should always wash your hands thoroughly prior to using your catheter. Your Healthcare Professional will have already discussed with you a regime personal to you, that is appropriate for your bladder condition. The entrance to the urethra should be cleaned (as already advised when being taught the procedure), prior to the intermittent insertion of the catheter which drains the bladder.
There is not one ideal catheter for all. The ideal catheter for a user is the result of the perfect combination of adequate catheter tip, catheter eyes, diameter and hydrophilic coating or lubricating gel. But what ultimately counts is having maximum safety and maximum comfort.
Intermittent catheterisation is a simple method of draining the bladder gently whilst protecting the kidneys from potential reflux damage, in certain situations.. Intermittent self catheterisation is recognised asas effective way of managing bladders for those who suffer with urinary retention or those who suffer incontinence due to a neuropathic or hypotonic bladder. It has the potential to transform the lives of people who may be house bound due to debilitating bladder issues. Practicing ICS has been recognised to have the potential to preserve the kidneys of children with spina bifida and those of adults with spinal cord injury. ISC could be recommended for those who have temporarily or permanently lost ability to drain the bladder fully.
This depends on the daily liquid intake, or more precisely on the daily quantity of urine excreted. When using intermittent catheterisation, the bladder is generally emptied 4-6 times a day. Intermittent catheterisation can be carried out at specific times to begin with, but the feeling of a full bladder should not be suppressed for too long. Users get experienced in the right time to empty his or her bladder. However, the quantity of urine excreted should not exceed 500 ml at any one time.
Experience with a large number of patients has shown intermittent catheterisation is the safest and most effective way to empty the bladder if normal drainage is not possible. It does not damage the kidneys or lead to an increase in urinary tract infections. This is why intermittent catheterisation is often recommended for the treatment of existing kidney damage or in cases of repeated bladder infections. When carried out correctly, there is no risk of injury to the urethra. Furthermore, when intermittent catheterisation is done under aseptic conditions and using a disinfectant lubricant, there is no significant increase in the risk of bladder infections.