Clean Intermittent Catheterization (CIC), also known as intermittent self-catheterization, is a medical procedure used to empty the bladder when a person is unable to do so naturally. It involves inserting a thin, flexible tube (catheter) into the bladder through the urethra to drain urine, and then removing the catheter once the bladder is empty. CIC is typically performed several times a day to manage bladder dysfunction.
CIC is used to:
Empty the bladder: For individuals who cannot urinate on their own due to nerve damage, muscle weakness, or obstruction.
Prevent complications: Such as urinary retention, kidney damage, or urinary tract infections (UTIs).
Improve quality of life: By managing symptoms like incontinence or frequent urination.
CIC is commonly recommended for individuals with conditions such as:
Spinal cord injury: Disrupts nerve signals between the bladder and brain.
Multiple sclerosis (MS): Affects nerve function and bladder control.
Spina bifida: A congenital condition that can impair bladder function.
Neurogenic bladder: Bladder dysfunction caused by nerve damage.
Prostate enlargement: Can block urine flow in men.
Post-surgical recovery: After procedures affecting the bladder or urethra.
Catheter insertion:
A clean catheter is gently inserted into the urethra until it reaches the bladder.
Urine drainage:
Urine flows through the catheter into a toilet or collection bag.
Catheter removal:
Once the bladder is empty, the catheter is removed.
Straight catheters: Single-use, uncoated catheters.
Hydrophilic-coated catheters: Pre-lubricated for easier insertion.
Closed-system catheters: Sterile, pre-lubricated catheters with a collection bag.
Gather supplies: Catheter, lubricant (if needed), cleaning supplies, and a container for urine.
Wash hands: Use soap and water to prevent infection.
Clean the urethral area: Use a clean cloth or wipe.
Lubricate the catheter: If not pre-lubricated.
Insert the catheter: Gently guide it into the urethra until urine flows.
Drain the bladder: Allow urine to flow until it stops.
Remove the catheter: Slowly pull it out once the bladder is empty.
Clean and store supplies: Dispose of single-use catheters or clean reusable ones.
Reduces urinary retention: Prevents bladder overfilling.
Lowers infection risk: Compared to indwelling catheters.
Improves independence: Allows individuals to manage their bladder function.
Preserves kidney function: Prevents long-term damage from backed-up urine.
While CIC is generally safe, potential risks include:
Urinary tract infections (UTIs): Due to bacteria introduced during catheterization.
Urethral trauma: Irritation or injury from improper catheter insertion.
Bladder spasms: Discomfort or cramping during or after catheterization.
Blockage: If the catheter is not inserted correctly.
Stay hydrated: Drink plenty of water to reduce the risk of infection.
Follow a schedule: Catheterize at regular intervals to prevent overfilling.
Maintain hygiene: Always wash hands and clean the urethral area before catheterization.
Use proper technique: Follow your healthcare provider’s instructions to avoid complications.
Contact your healthcare provider if you experience:
Pain or bleeding during catheterization.
Signs of infection: Fever, cloudy urine, or foul-smelling urine.
Difficulty inserting the catheter.
No urine output despite catheterization.
