CIC
(CLEAN INTERMITTENT
CATHETERISATION)
• Definition:
Technique used to
empty the bladder at
regular intervals.
Involves passing a
catheter (small tube)
into the bladder
through the urethra.
Not a sterile technique
but must be clean with
good hygiene.
Types of Catheters
Self-lubricated: soaked in water
to ease insertion.
Others: need lubricating jelly.
Mostly single-use.
Reusable catheters: must be
rinsed, dried, stored in clean
paper bag, changed weekly.
Available on prescription from
doctor.
Frequency of use
Depends on individual.
May vary from once daily to 4–6 times per day.
Advised by doctor or continence nurse
Equipment
Catheter
Mirror (for females)
Lubricating/anaesthetic jelly (for males)
Disposable tissues/baby wipes
Unperfumed soap
Towel
Container for urine (if not draining directly in toilet)
Procedure –
Females
Wash hands.
Gently wash genital area front to back (with
soap/tissues).
Part labia, insert catheter gently into urethra.
Do not touch bladder end of catheter.
Allow urine to drain → remove catheter slowly.
If urine flows again → pause removal, wait for flow to
stop.
Dispose catheter (or rinse, dry, and store if reusable).
Procedure –
Males
Wash hands, wash penis (including under
foreskin).
Dry with disposable paper.
Apply lubricating jelly to catheter tip.
Retract foreskin, insert catheter while holding
penis upright.
Do not touch bladder end.
Allow urine to drain → remove catheter slowly.
Pause if urine flows during removal.
Dispose or clean catheter as advised.
Tips for Prevention
Avoid constipation → empty bowel helps bladder drain
better.
Eat high-fibre diet.
Drink at least 8 glasses of fluid daily to prevent
constipation & UTIs.
Cranberry juice may help prevent UTIs (avoid if on blood
thinners).
When travelling abroad: Carry enough catheter supplies.
Use bottled water.
Carry a doctor’s note for customs.
Keep catheters in hand luggage.
Potential Problems
1. Urinary Tract Infections (UTIs)
Symptoms: cloudy urine, strong smell, fever,
headaches, feeling unwell.
Sometimes leakage between catheterisations.
Management: urine test, antibiotics,
fluids (1 full glass/hour).
2. Pain on Catheterisation: Mild pain common,
usually stops. Persistent pain or blood on catheter
→ seek medical advice.
3. Blood in Urine: Usually mild, due to
irritation/infection. Should clear in a few days.
If persistent →
consult doctor.
Hygiene & Travel advice
Wash hands thoroughly before and
after.
Use disposable wipes/tissues.
Avoid perfumed soap (may irritate).
Keep reusable catheters clean and dry.
Change storage bags weekly.
