Selfcatheterization

Selfcatheterization is a medical procedure where an individual inserts a thin, flexible tube called a catheter into their bladder to drain urine. This is often done when a person is unable to empty their bladder completely on their own, a condition known as urinary retention. It can be prescribed for various reasons, including neurological conditions like spinal cord injuries or multiple sclerosis, prostate enlargement, or after certain surgeries.

There are two main types of selfcatheterization: intermittent catheterization and indwelling catheterization. Intermittent catheterization involves inserting a catheter periodically throughout the day to empty the bladder. Once the bladder is empty, the catheter is removed. This is the more common method for selfcatheterization as it offers greater independence and reduces the risk of infection. Indwelling catheterization uses a catheter that remains in the bladder, typically held in place by a balloon, and drains continuously into a collection bag. While sometimes managed by the individual, it is more often performed by a healthcare professional.

Proper technique is crucial to prevent complications such as urinary tract infections, bladder damage, or trauma to the urethra. Individuals are typically taught how to perform selfcatheterization by a healthcare provider, who will explain the steps involved, hygiene practices, and potential signs of infection. The frequency of catheterization depends on the individual's bladder capacity and voiding patterns. Cleanliness and sterile technique, even for intermittent catheterization, are emphasized to minimize bacterial introduction into the urinary tract.