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Self-catheterization of the bladder

self-catheterization · urinary catheter · how to empty the bladder yourself · intermittent catheterization · bladder catheter

Several times a day you gently insert a thin tube into the urinary channel to let the urine out, and then remove it right away.

When the bladder does not empty fully by itself: after spinal injuries, with nerve diseases, after some operations.

⏱ Duration: one catheterization usually takes 5 to 10 minutes, several times a day

Be sure to tell your doctor

How to prepare

  • Training. The first time it is done together with a nurse or urologist. The doctor will say how many times a day.
  • Catheters. Usually single-use catheters with gel are used. Keep a supply at home and when traveling.
  • Cleanliness. Wash your hands and the area around the opening before each catheterization.
  • Fluids. Drink as much as the doctor advises. It affects how often you need the catheter.

What to bring

  • A supply of catheters
  • Wet wipes and soap
  • A diary: time and amount of urine
  • A mirror, for women at first

How it goes

  1. Wash your hands with soap
  2. Wash the area around the urinary opening
  3. Open the catheter without touching the tip
  4. Sit on the toilet or stand in front of it, whichever is comfortable
  5. Slowly insert the catheter until urine starts to flow
  6. Wait until the urine stops flowing
  7. Slowly remove the catheter and throw it away
  8. Wash your hands again

What you'll feel

  • The first times it feels strange and can be unpleasant
  • There is usually no pain. If it hurts, tell your doctor

Afterwards

  • Catheterize on schedule, even if you do not feel the need to go
  • Write down the amount of urine if the doctor asked
  • The catheter is single-use. Do not reuse it

Contact a doctor straight away if

  • Fever, chills, pain in the lower belly or lower back: see a doctor
  • Blood in the urine that does not clear
  • You cannot insert the catheter and the bladder is full: see a doctor urgently or call your local emergency number

Common questions

Will regular catheters cause an infection?

There is a risk, but clean hands and single-use catheters greatly lower it. Emptying the bladder regularly also protects you.

Can I travel?

Yes. Take a supply of catheters and wet wipes with you.