Page 2 - Clean Intermittent Self-Catheterization for Men
P. 2

Clean intermittent


              self-catheterization for men





                                                                  When you drain less than 200 ml (7 oz.) at a time,
                View of left hand holding penis with              you may catheterize less often if you are voiding as
                  right hand inserting a catheter                 well. If you are not sure whether the bladder is full,
                                                                  catheterize. Soon, you will learn to recognize a full
                                                                  bladder reliably. In time, you will develop a regular
                                                                  schedule. A record of the times and volumes obtained
                                                                  will help your doctor fine tune your schedule.

                                                                  You need not restrict any of your usual activities,
                                                                  including sexual activity. It may be best to empty
                                                                  the bladder. before engaging in sex. Bowel function
                                                                  should not be affected and you should be able to
                                                                  take all of your usual medication.

                                                                  Sample record:
                  Roula Drossis





        There may be slight resistance at the level of the
        sphincter and prostate. It is important to breathe
        slowly and relax your muscles. Advance the catheter
        another 3 cm (about one inch) to ensure that the tip is
        well into the bladder.
        9.   Drain urine into a container or directly into the
            toilet. Gentle straining may help bladder
            emptying. Take note of the amount of urine            Catheter care
            obtained.                                             Generally, a catheter can be reused and cleaned
        10.  When urine stops flowing, withdraw the catheter      for about a week unless it becomes rough, cracked
            slowly. Urine may flow irregularly as additional      or damaged. Inexpensive replacement catheters
            pockets are drained.                                  may be purchased from your medical supply store or
        11.  You may wish to wipe the penis opening with          pharmacy. Keep two or three catheters on hand at all
            tissue paper and then replace the foreskin in its     times.
            usual position.
        12.  Clean and store your catheter before washing         Immediately after using a catheter, wash it with warm,
            your hands again.                                     soapy water and rinse it thoroughly, inside and out.
                                                                  Liquid hand or dish soap is effective and safe. Allow
        Your doctor or nurse will tell you how often you need     the catheter to air dry on a clean surface or towel.
        to catheterize. The frequency of bladder emptying         Store it in a dry, paper towel or clean plastic bag.
        depends on the volume and type of fluid consumed
        and the bladder storage capacity. Restricting your
        evening fluid consumption may prevent the need to
        empty during the night.

        Often, a sensation of bladder fullness will tell you when                            Continued on next page
        you need to catheterize.  Most men who empty only
        with a catheter will self-catheterize four or five times
        daily, about every four to six hours when the bladder
        contains 400 to 500 ml  (13-17 oz) of urine.

        If you obtain volumes greater than 600 ml (20 oz.), you
        will need to increase the frequency of catheterization.
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