Understanding self-catheterization

Self-catheterization, also known as intermittent catheterization or IC, is a technique that allows people who are unable to void naturally to empty their bladder. Self-catheterization is often necessary for people with medical conditions that affect the bladder function, for example, multiple sclerosis (MS) or spinal cord injury (SCI). By establishing a self-catheterization routine, catheter users can control when and how often they empty their bladder and as a result may achieve greater independence and may improve their daily life.

What is self-catheterization

Self-catheterization is the process of inserting a catheter into the bladder through the urethra with the purpose of disposing of urine. A catheter is a medical device that consists of a thin, flexible tube. It allows the user to drain urine into the toilet or a collection bag. The process of self-catheterization mimics the natural bladder emptying process.

When is self-catheterization necessary

Self-catheterization can be prescribed in one of the following cases:

1. Urinary retention:
   When the bladder cannot be emptied completely, it can lead to increased risk for urinary tract infections (UTIs) and general discomfort.
   
   

2. Neurogenic bladder:
   Neurological disorders can disrupt the communication between the brain and the bladder and result in urinary dysfunction. Causes of neurogenic bladder include stroke, spinal cord injury, Parkinson’s disease, multiple sclerosis, and other conditions.
   
   

3. Bladder dysfunction:
   Enlarged prostate, bladder obstruction and some other conditions can affect bladder function.

How to self-catheterize

Establishing a safe and comfortable self-catheterization routine is essential. Your healthcare provider will provide instructions appropriate for your unique situation and guide you through the process. You should follow their instructions since they are familiar with your diagnosis and lifestyle.

However, the general steps usually include the following:

1. Preparation

   • Gather all the necessary supplies.

   • Inspect the catheter before use. Don’t use the catheter if the packaging or catheter look damaged. Don’t touch any part of the catheter.

   • Make sure you’re in a comfortable, clean space.

   • Wash your hands with soap and water or use an alcohol-based sanitizer.

2. Positioning

   • Assume the position that you’re most comfortable inserting the catheter in. The position should allow for easy access to the urethra. Many people find sitting on the toilet to be the most comfortable; others catheterize standing or even lying down.

3. Cleaning of the genital area

   • Clean the area around the urethra using a cleansing wipe or soap and water, moving away from the urethral opening.

4. Catheter insertion

   • If using a hydrophilic-coated catheter, no additional lubricant is needed. If you are using an uncoated catheter, start by applying it to the catheter. A water-soluble lubricant is recommended.

   • Carefully insert the catheter into the urethra.

   • Advance the catheter until urine begins to flow. Do not force the catheter into the bladder if you feel resistance. If using a 2 eyelet catheter, repositioning will be necessary to aid with complete emptying. If using a catheter with Micro-hole Zone Technology like Luja^™ Coudé, repositioning is not necessary.

   • Wait for all the urine to drain completely.

Self-catheterization kit

Depending on your daily routine and the activities you regularly engage in, you will develop an understanding of what items you should always have on hand.

You may find these items useful:

• Anticeptic wipes

• An extra catheter in case the first one is damaged or gets dropped/contaminated

• Sterile gloves

• Lubricating jelly – if the catheter is not a hydrophilic or pre-lubricated catheter

• Extra pair of underwear / pants

• Waterproof pad or a bath towel

Safety tips for people who self-catheterize

To ensure a safe self-catheterization procedure and to keep your bladder healthy, consider following these simple tips:

1. Never reuse intermittent catheters

2. Avoid touching the catheter tube prior to insertion

3. Always insert the catheter gently; avoid forcing it

4. When packing catheter supplies, always take extras

5. Check in regularly with your healthcare provider. Always notify your doctor if you notice any changes or symptoms that could indicate a UTI

When to contact your doctor

If you experience a fever or pain during urination or notice blood or sediment in urine, contact your healthcare provider for further guidance.

Prior to use, refer to product labeling for complete product instructions for use, contraindications, warnings and precautions.

Luja^™ Coudé is indicated for use by patients with urine retention and patients with post void residual volume (PVR) due to neurogenic and non-neurogenic voiding dysfunction. The catheter is inserted into the urethra to reach the bladder allowing urine to drain. The product is for adult male patients only. Available by prescription only. Patients performing self-catheterization should follow the advice of, and direct questions about use of the product to, their medical professional. Before using the device, carefully read the product labels and information accompanying the device including the instructions for use which contain additional safety information. For single-use only; discard it after use. If you experience symptoms of a urinary tract infection, or are unable to pass the catheter into the bladder, contact your healthcare professional. The risk information provided here is not comprehensive. To learn more, talk to your healthcare provider. For further information, call Coloplast Corp. at 1-866-226-6362 and/or consult the company website at www.coloplast.us.