Self-Catheterization for Males – A Step-By-Step Guide

1. Wash Hands

Self-Catheterization for Females

Wash your hands thoroughly with soap and water. Remember to wash your thumbs too. This will ensure a clean and hygienic intermittent self-catheterization.
 

 

2. Collect Supplies

Self-Catheterization for Females

Make sure that you have everything required for a successful catheterization. You will need a right-sized catheter, mild soap and some cotton swabs. If you will perform catheterization while sitting in a wheelchair, you will need a urine bag as well.

3. Prepare the Intermittent Catheter

Self-Catheterization for Females

Remove the intermittent catheter from the package and arrange it in such a way that it is easy to reach when you are ready to use it. If you are using Speedicath Standard Catheter, hang the packet vertically as shown in the image. If you are performing self-catheterization while sitting in a wheelchair, attach a urine bag to the catheter.

 

4. Take a Proper Position

Self-Catheterization for Females

Stand in front of the toilet and pull down your clothes so that you can easily reach your urethra. If you can, always try to urinate on your own before using an intermittent catheter. If you are sitting on a wheelchair, tug your clothes in a pantler so that they do not interfere during intermittent catheterization.
 

5. Clean the Urethra

Self-Catheterization for Females

You must clean your penis properly to prevent bacteria from getting into your urethra and bladder when you use the catheter. Gently pull your foreskin back and clean the head of the penis in a circular motion, starting in the middle and working your way outwards. Use each moist cotton swab only once. From this point, keep holding your foreskin back and do not let your clothes touch the head of your penis.

 

6. Hold the Penis in Proper Position

Self-Catheterization for Females

Hold the penis pointing upwards and keep it close to your stomach. This will ease the insertion of the intermittent catheter as the natural 'S' shape of the urethra is changed into a 'U' shape. Provide a gentle pressure to the head of the penis in order to open up the urethra. But be careful not to squeeze your penis as this may obstruct the passage of the catheter during insertion into the urethra.
 

7. Insert the Catheter

Self-Catheterization for Females

Relax and slowly insert the catheter into your urethra. If it does not go in, take a deep breath and put some downward pressure as if trying to urinate. Remove the catheter and try again if you feel a sharp pain. You may feel some resistance from your sphincter muscle, so be gentle. Continue to insert the catheter until it reaches your bladder, and the urine starts to flow. If you bend the funnel end of the catheter before the urine flow starts, it will prevent spillage. Then continue for a few centimeters further.

 

8. Drain Urine

Self-Catheterization for Females

Let the urine drain completely from the bladder. When the flow of the urine stops, move a little and straighten yourself up to make sure that the bladder is completely empty. Withdraw the intermittent catheter slowly to ensure that you drain any remaining urine present at the base of your bladder. If you are using a straight tip intermittent catheter, turn it slowly while pulling it out and stop each time more urine comes out. In this way, you can completely drain urine from the bladder.

9. Dispose the Catheter

Self-Catheterization for Females

When you have finished, throw the catheter and packaging in a trash container. Do not flush it down the toilet.

 

10. Wash Hands Again

Self-Catheterization for Females

Wash your hands thoroughly with soap and water to prevent cross-contamination.

When to Seek Medical Help?

Immediately seek medical help if you notice any of the following during self-catheterization:

  • Burning sensation in the pubic area or urinary tract
  • Vomiting and nausea
  • Chills or fever of 100.4 degrees F or higher
  • Mucus or sediment in the urine
  • Cloudy or foul-smelling urine
  • Bloody urine
  • Lower backache


This is just a guide, we recommend you to consult with your healthcare provider before performing intermittent self-catheterization.

 

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