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Living with Intermittent Self Catheterization (ISC): Practical Advice for Daily Life
Adjusting to life with intermittent self-catheterization can be challenging, but with the right knowledge and tools, you can maintain an active, fulfilling lifestyle. This guide offers practical advice for managing urinary health issues and overcoming common obstacles associated with catheter use
Intermittent Self-catheterization is often necessary for individuals dealing with various health conditions:
1. Urinary retention
2. Neurogenic bladder
3. Spinal cord injuries
4. Multiple sclerosis
5. Enlarged prostrate
6. Post-surgical complications
7. Spina Bifida
8. And more!
These conditions can lead to difficulties in bladder emptying, increasing the risk of urinary tract infections (UTIs) and other complications. Intermittent Self-catheterization helps manage these issues effectively.
Establishing a Routine
Developing a consistent catheterization schedule is crucial. Most people need to catheterize every 4-6 hours. Set reminders on your phone to help you stick to your schedule, even when you’re busy or traveling. Initially, you may want to monitor your volume output to determine your optimal schedule.
Maintaining Proper Hygiene
Cleanliness is paramount in preventing UTIs. The most widely used method for independent bladder management is clean technique for intermittent self-catheterization. This technique involves washing the hands, cleansing the urethral meatus, inserting the catheter to drain the bladder, then removing it and disposing of supplies.
Clean technique for ISC is the preferred method of bladder management and will manage infection risk as long as ISC is completed correctly and consistently throughout the day.
Always wash your hands thoroughly with soap and water or use an antibacterial cleanser before catheterization. Use soap and water, personal wipes, or antiseptic wipes to clean the genital area before inserting the catheter. Consider using no-touch catheter systems for added sterility, especially when away from home. Not all users will qualify for no-touch based on insurance and/or medical qualifications. Consult your physician on what’s best for you.
Choosing the Right Catheter
Selecting the appropriate catheter can significantly impact your comfort and ease of use. Options include:
– Straight catheters
– Coude tip catheters
– Hydrophilic catheters
– Pre-lubricated gel catheters
– Catheters with various features and benefits: length, French, tip, coating, grippers, rigidity, and more.
Consult your healthcare provider to find the best option for your specific needs.
Traveling with Catheters
Don’t let catheterization limit your travel plans. Here are some tips:
1. Pack extra supplies in case of delays or lost luggage.
2. Carry a travel-sized catheter kit for convenience.
3. Research accessible restrooms at your destination.
4. Consider compact catheter options for easier storage and discreet use
Managing Work and Social Life
Self-catheterization doesn’t have to interfere with your professional or social activities:
1. Plan your catheterization schedule around work meetings or social events. Be sure you are consistent with your needed schedule (4-6 hours) for longer events, and be mindful of liquid intake. Caffeine and alcohol may cause an increase in volume and the need for ISC.
2. Identify accessible restrooms in your workplace and frequently visited locations.
3. Consider using intermittent catheters that are more discreet and may be easier to use in public settings.
Staying Active
Physical activity is important for overall health. Here’s how to manage catheterization while staying active:
1. Catheterize before starting exercise to reduce the risk of leakage.
2. Choose breathable, comfortable clothing that is manageable and allows easy access for catheterization.
3. Stay hydrated, but be mindful of your fluid intake before and during activities
Urinary tract infections are a common concern for catheter users. To reduce your risk:
1. Stay well-hydrated to flush out bacteria.
2. Ensure proper hand and genital hygiene.
3. Always use sterile or clean catheters as prescribed.
4. Catheterize regularly and consistently to avoid urine stagnation in the bladder
5. Ensure you empty your bladder and bowel prior to sexual intimacy, and perform ISC after.
If you suspect a UTI (symptoms include fever, cloudy urine, or burning sensation), contact your healthcare provider promptly.
Addressing Discomfort or Difficulty
If you experience pain or difficulty during catheterization:
1. Take a deep breath! BREATHE!!! This will help to alleviate stress/anxiety, and allows prevent pelvic muscles from contracting, resulting in resistance/difficulty with catheter insertion.
2. Ensure you’re using adequate lubrication.
3. Never force the catheter – if you meet resistance, stop and seek medical advice.
4. Consider trying a different catheter type, lubrication, or size.
*Please note: ISC should not be painful, and solutions exist!
The Role of Proper Catheter Supplies
Having the right catheter supplies can make a significant difference in your daily life:
Variety of catheter types: Different situations may require different catheter styles. Having options ensures you’re prepared for various scenarios.
Lubrication: Proper lubrication reduces discomfort and friction, which can lead to urethral trauma/tearing and UTIs. Pre-lubricated catheters can be especially convenient, since they are ready to use directly from the package.
Hygiene supplies: Antiseptic wipes, personal wipes, no-touch systems (with correct insurance and necessity driven) and hand sanitizers help maintain cleanliness on-the-go.
Discreet carrying options: Compact catheter kits and discreet carrying cases allow for more privacy and convenience.
Extension tubing: These can be useful to attach to the funnel of the catheter prior to ISC, then inserting the opposite end into the commode for efficient bladder drainage when access to a restroom is limited.
Drainage bags/urinal/container (if needed): Allows for catheterization from the wheelchair or bed, as well as urine monitoring (output volume, signs/symptoms of UTI, and more).
Adaptive equipment: Options exist to make the process of ISC more efficient. Be sure you have any devices that help promote your independence.
Living with intermittent self-catheterization requires some adjustment, but it doesn’t have to limit your lifestyle. By following these practical tips and ensuring you have the right catheter supplies, you can manage your urinary health effectively and confidently navigate daily life. Remember, your healthcare provider is your best resource for personalized advice. Don’t hesitate to discuss any concerns or challenges you’re facing with them. With the right approach and support, intermittent self-catheterization can become a manageable part of your routine, allowing you to live life to the fullest.