Female Self - Catheterization

Catheterization is a way to empty all the urine from your bladder. This keeps urine from sitting in your bladder. If urine sits in your bladder to long, it can cause a bladder or kidney infection. This is also called self cath.

 

Instructions:

Drink medium size cup of water every  2 hours during the day and limit for 2 hours bedtime.

Catherterize yourself according to your doctors instructions.

 

Supplies:

  • Catheter clear or red rubber tube. Use a short female catheter if you do this procedure on a toilet.
  • Use a long catheter with an extension tube if you do seld-cath a wheelchair.
  • Water-Soluble lubricant such K-Y jelly or Surgilube.
  • Do not use Vasiline.
  • Urine container if needed. Use any jug, bottle or urinal which can attach to side of a bed, chair, or wheelchair, or which can be held your knees.

Steps to Follow-this is a "clean" not "sterile" procedure

  1. You may catheterize yourself while sitting on the toilet, in a wheelchair, in bed or while standing.
  2. Wash your hands well with soap and water or use an alcohol based hand sanitizer.
  3. Take the catheter out of the plastic bag. Put a small amount of lubricant on the tip of the catheter. Cover the tip about 2 inches up the catheter.
  4. Separate the folds of the labia with your 2nd and 4th fingers. Wash the urinary opening (urethra) with soap and water.
  5. Continue to separate the folds with your fingers. Find the urinary opening just above your vagina with your middle finger from the same hand.
  6. Use your hand that is not holding the labia to pick up the catheter.
  1. Put the catheter straight into the urinary opening next to your finger.
  2. Push the catheter in about 2 to 3 inches until urine flows freely.
  3. Let the urine flow into the container or the toilet. An extension tube attached to the end of your catheter will give you the extra tubing needed to reach the toilet from your wheelchair.
  4. When urine stops flowing, take some deep breaths or press on your lower abdomen.
  5. Slowly pull the catheter out. Continue to take deep breaths or press on your abdomen. Stop pulling the catheter out when  urine starts flowing. Repeat this step until the urine completely stops.
  6. Pinch the end of the catheter to keep urine from spilling on your clothes. Slowly take the catheter out.
  7. Wash your hands.
  8. Keep a diary, initially for each time you void. This should include the day and date, time, voided volume and catheterized volume.
  9. Also note if any presence of any bleeding or leakage in between each catheterization.

Catheter Care-This is a "clean" not "sterile" procedure

  1. Lather up your hands and wash the catheter by rubbing it between your soapy hands.
  2. Rinse well with water inside and out.
  3. Dry with a clean towel or tissue.
  4. Lay catheter on a clean towel so the inside can air dry.
  5. Store the catheter in a clean plastic bag or other clean container such as a cosmetic bag or paper towel.
  6. Catheters may be reused until they become brittle, show wear, crack, or do not drain well.

When to call your doctor 407-330-1100

Call your doctor if you have any of these signs of infection:

Cloudy or foul smelling urine Chills and / or fever Leaking urine in between catheterization (if this is not normal for you) Not feeling well, tired, weak Pain or tenderness across the lower back Increased muscle or bladder spasms (pain) Red or swollen urinary opening Talk to your doctor or others on your health care team if you have questions.

ASSOCIATES IN UROLOGY OF CENTRAL FLORIDA ,   RAVI JAHAGIRDAR, M.D., P.A.

Vivos Professional Center 101 8th  street  lake Mary, Fl 32746  Phone :  407-330-1100

Florida Medical Plaza 2501 N. Orange Ave. #501  Orlando, Fl 32804    Phone:  407-896-4717

Fax Number for both offices- 1-855-850-8023

Associates in Urology of Central Florida

a division of Orlando Physician Specialists, LLC