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A catheter may be used if you are having difficulties urinating on your own due to an illness, a disease, an injury, or an infection. [1]
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You should only insert a catheter at the recommendation of your doctor, and if possible, have the catheter inserted by a trained medical professional. If you need to insert a catheter at home, you will need to gather the necessary supplies and insert the catheter properly, being extremely careful to follow sterile guidelines. Only insert a catheter yourself after instruction from a trained nurse or physician. [2]
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Expert Source
Robert Dhir, MD
Board Certified Urologist & Urological Surgeon
Expert Interview. 23 September 2020.
You can then address common issues that may arise with the catheter so it functions correctly.
Steps
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Purchase a catheter. Most people will need to use a 14–16 French size catheter . [3] X Research source You can find Foley catheters at medical supplies stores, online, or through your doctor.
- Pediatric patients and adult males with congenitally small urethras will not tolerate catheters this large. They may need a 10 French size or smaller. [4] X Research source
- If you have an obstruction, call a professional. You will be using a three-way irrigation large catheter to deal with the obstruction, and it's important to know how to insert it without pushing against the obstruction, which is difficult for someone who isn't properly trained. This process isn't recommended for self-catheterization.
- Some catheters come in a kit with the catheter and an antiseptic solution that you pour on the catheter to sterilize it. Follow the procedures on the kit to make sure the catheter is sterile before you use it. Check the expiration date of kits when they arrive to make sure they are still usable.
- While using your catheter will be difficult at first, it will get easier and more routine over time.
- If you have any questions, consult a nurse who is trained to deal with incontinence.
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Purchase enough single-use catheters to use each one only once. Most catheters are single use because they need to be sterile. They will come in individual packages, making it easy for you to use them and then throw them away. [5] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source
- Some catheters can be cleaned with soap and water. Discuss this with your doctor before trying to wash your catheters.
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Get water-based lubricating jelly. You will need the lubricating jelly to make the top of the catheter slick. This will make it easier to insert the catheter into your penis. [6] X Research source The lubricant for catheters should be sterile. It should not come in multi-dose packaging (such as a bottle), as once opened it must be thrown away and not used again in the future. Use single-dose packets only. [7] X Trustworthy Source MedlinePlus Collection of medical information sourced from the US National Library of Medicine Go to source
- Make sure the lubricating jelly is water-based, as this will be less irritating to your urinary tract.
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Use a bath towel or a waterproof pad. You will also need a thick bath towel to place underneath you to catch any urine or water during the insertion. If you have access to a waterproof pad that you can sit on, this will work as well. [9] X Research source
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Get medical gloves. Always use medical gloves whether this is an in-and-out cath or an indwelling catheter. Your hands must be clean and protected during the insertion process. You can find medical gloves at a medical supply store or online. [10] X Trustworthy Source MedlinePlus Collection of medical information sourced from the US National Library of Medicine Go to source
- Urinary retention already places individuals at risk for a urinary tract infection (UTI). Shoving a non-sterile instrument up the urethra practically ensures a UTI will occur. Sterile gloves and technique are preferred.
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Wash your hands with soap and water. Start by washing your hands well with warm water and soap. Then put on your gloves before you unwrap the catheter. [11] X Trustworthy Source MedlinePlus Collection of medical information sourced from the US National Library of Medicine Go to source
- Make sure your hands are clean and the area around you is clean before you take the catheter out of the package. Choose an area in your home that is open and free of obstructions, like the floor of your bathroom. Make sure the floor is clean.
- It is important to have clean hands before you put your gloves on, as handling the gloves with dirty hands will result in unsterile gloves.
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Get into a seated position. You will need to sit down with your legs bent. Place the bath towel or the waterproof pad underneath your penis once you are seated. You should have easy access to your penis with your hands. [12] X Research source
- You may also decide to stand in front of the toilet if it is comfortable for you to reach down and hold your penis. You could then point the end of the catheter into the toilet so it drains into the toilet directly.
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Clean the area around your penis. Wash your penis with warm water, soap, and a washcloth. Clean the area in circular motions. If you are not circumcised, pull back the foreskin and wash your penis well. [13] X Research source
- Make sure you wash the head of your penis and the urinary meatus, which is the small opening where your urine comes out.
- Once you are done, rinse and dry your penis well. Then, place the container you are using to collect the urine next to your thigh so it is easy to access.
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Put lubricating jelly on the end of the catheter. Hold the top section of the catheter and put lubricating jelly on the catheter. Cover the first 7 to 10 inches (18 to 25 cm) of the catheter with the jelly. [14] X Research source This will make the insertion less uncomfortable. [15] X Trustworthy Source MedlinePlus Collection of medical information sourced from the US National Library of Medicine Go to source
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Insert the catheter slowly. Use your non-dominant hand to hold your penis so it is straight out in front of your body. Your penis should be at an angle of 60 to 90 degrees. Hold the catheter in your dominant hand and slowly insert it into the urinary meatus, or the small opening on the top of your penis. [16] X Trustworthy Source MedlinePlus Collection of medical information sourced from the US National Library of Medicine Go to source
- Put the catheter around 7 to 10 inches (18 to 25 cm) into your penis using a gentle, pushing motion. Once urine starts to flow through the catheter, push the catheter up 1 inch (2.5 cm) more and keep it in place until you are done urinating.
- Make sure the other end of the catheter is positioned in a container or in the toilet so the urine can be collected and disposed of properly.
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Inflate the collection bag on the catheter, if there is one. Some catheters have a collection bag that you need to inflate with a sterile needle once the catheter has been inserted. Use a sterile syringe to inflate the collection bag with 10 mL of sterile water. The volume of water needed to fill the bag may vary depending on the size of the catheter you are using, so always check the packaging on the catheter for the exact volume. [17] X Research source
- Then, attach the collection bag to the catheter so it can hold the urine as you urinate. The inflated balloon should rest on the urethral opening of your bladder so the urine can be collected properly.
- Always make sure urine is flowing through the catheter before inflating the balloon.
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Remove the catheter as soon as you have finished urinating. Always remove the catheter as soon as you are done urinating, as leaving the catheter in can cause urinary tract issues. To remove the catheter, pinch the top closed with your dominant hand and slowly pull out the catheter. Keep the end of the catheter facing upward so no urine drips or dribbles out. [18] X Research source
- If there is a collection bag, remove the bag and dispose of it properly in the garbage.
- Pull your foreskin down if you are not circumcised to protect your penis.
- Remove and throw away your medical gloves. Wash your hands well.
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Clean the catheter. If the catheter is reusable according to the manufacturer's instructions, wash it with soap and warm water after every use. Sterilize it in a pan of boiling water for 20 minutes to prevent infection and let it dry on a paper towel. Store the catheter in a clean plastic bag. [19] X Research source
- If the catheter is single-use only, throw it away and use a new one next time. Throw away any catheters that appear torn, hardened, or cracked.
- Depending on your doctor’s recommendations, you may need to use the catheter at least four times a day to ensure you are urinating regularly.
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Rotate the catheter if no urine comes out. You may find that no urine comes out of the catheter when you insert it. Try rotating the catheter slowly to remove any blockage. You may also try pushing it 1 inch (2.5 cm) further into your penis or pull it back slightly. [20] X Research source
- Make sure the catheter opening is not blocked by the lubricant or mucus. You may need to remove it to determine this.
- If no urine comes out even after you rotate it, try coughing to encourage urine to flow.
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Apply more lubricant if you find it difficult to insert the catheter. You may find it painful or uncomfortable to insert the catheter, especially when you are trying to push it past your prostate. You may need to put more lubricant on the catheter to make it easier to insert. [21] X Research source
- Take a deep breath in and try to relax as you push the catheter in to make it easier to insert. If it is still difficult, do not force it. [22]
X
Expert Source
Robert Dhir, MD
Board Certified Urologist & Urological Surgeon Expert Interview. 23 September 2020. You may want to wait an hour and try again, focusing on staying relaxed and calm as you insert it.
- Take a deep breath in and try to relax as you push the catheter in to make it easier to insert. If it is still difficult, do not force it. [22]
X
Expert Source
Robert Dhir, MD
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See a doctor if you cannot seem to urinate or you have other urination issues. [23] X Expert Source Robert Dhir, MD
Board Certified Urologist & Urological Surgeon Expert Interview. 23 September 2020. If you cannot urinate with the assistance of the catheter or you are experiencing other urination issues, like blood or mucus in your urine, see your doctor. [24] X Research source- Also see your doctor if you develop stomach cramps, your urine appears cloudy, smelly, or discolored, or you feel feverish. You may have a urinary issue that needs to be addressed before you can try using the catheter again.
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Catheterize before sex if necessary. You can still have sex if you need to use a catheter. [25] X Trustworthy Source National Health Service (UK) Public healthcare system of the UK Go to source If you plan to engage in sexual intercourse, it's a good idea to catheterize beforehand to remove any urine that is present in your bladder. Always remove the catheter before having intercourse. If the urine is strong or offensive, don't have sex until you can get treatment for a possible infection.
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Expert Q&A
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QuestionCan I insert a catheter myself?Dr. Robert Dhir is a board certified Urologist, Urological Surgeon, and the Founder of HTX Urology in Houston, Texas. With over 10 years of experience, Dr. Dhir’s expertise includes minimally-invasive treatments for enlarged prostate (UroLift), kidney stone disease, surgical management of urological cancers, and men’s health (erectile dysfunction, low testosterone, and infertility). His practice has been named a Center of Excellence for the UroLift procedure, and is a pioneer in non-surgical procedures for ED using his patented Wave Therapy. He earned his undergraduate and medical degrees from Georgetown University and was awarded honors in pre-medical studies, urology, orthopedics, and ophthalmology. Dr. Dhir served as chief resident during his urological surgical residency at University of Texas at Houston / MD Anderson Cancer Center in addition to completing his internship in general surgery. Dr. Dhir was voted Top Doctor in Urology for 2018 to 2019, one of the top three Best Rated Urologists in 2019 & 2020 for Houston Texas, and Texas Monthly has named him to the 2019 & 2020 Texas Super Doctors Rising Stars list.Yes, but you should have a nurse or doctor instruct you beforehand so you can do it safely.
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References
- ↑ https://medlineplus.gov/ency/article/003981.htm
- ↑ Robert Dhir, MD. Board Certified Urologist & Urological Surgeon. Expert Interview. 23 September 2020.
- ↑ https://aci.health.nsw.gov.au/__data/assets/pdf_file/0020/256133/ACI_Male_IUCv3.pdf
- ↑ https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Indwelling_urinary_catheter_insertion_and_ongoing_care/
- ↑ https://my.clevelandclinic.org/health/treatments/15434-clean-intermittent-catheterization
- ↑ https://www.drugs.com/cg/how-to-catheterize-yourself-man.html
- ↑ https://medlineplus.gov/ency/patientinstructions/000143.htm
- ↑ https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zc1161
- ↑ https://www.drugs.com/cg/how-to-catheterize-yourself-man.html
- ↑ https://medlineplus.gov/ency/patientinstructions/000143.htm
- ↑ https://medlineplus.gov/ency/patientinstructions/000143.htm
- ↑ https://www.drugs.com/cg/how-to-catheterize-yourself-man.html
- ↑ https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zc1161
- ↑ https://www.drugs.com/cg/how-to-catheterize-yourself-man.html
- ↑ https://medlineplus.gov/ency/patientinstructions/000143.htm
- ↑ https://medlineplus.gov/ency/patientinstructions/000143.htm
- ↑ https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Indwelling_urinary_catheter_insertion_and_ongoing_care/
- ↑ https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zc1161
- ↑ https://www.drugs.com/cg/how-to-catheterize-yourself-man.html
- ↑ https://www.drugs.com/cg/how-to-catheterize-yourself-man.html
- ↑ https://www.drugs.com/cg/how-to-catheterize-yourself-man.html
- ↑ Robert Dhir, MD. Board Certified Urologist & Urological Surgeon. Expert Interview. 23 September 2020.
- ↑ Robert Dhir, MD. Board Certified Urologist & Urological Surgeon. Expert Interview. 23 September 2020.
- ↑ http://healthywa.wa.gov.au/Articles/S_T/Troubleshooting-for-your-catheter
- ↑ https://www.nhs.uk/conditions/urinary-catheters/living-with/
About This Article
Article Summary
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To insert a male catheter, start by washing your hands and the area around your penis with warm water and soap. Put lubricating jelly on the first 10 inches of the catheter and get into a seated position with your legs bent. Use your non-dominant hand to hold your penis straight out in front of your body and slowly insert the end of the catheter into the opening at the top of your penis. Push the catheter in about 7 to 10 inches or until urine starts to flow through it. As soon as you are done urinating, pinch the top of the catheter closed with your dominant hand and slowly pull it out. Keep the end facing upward so no urine spills out. For tips about how to clean the catheter from our Medical co-author, keep reading!
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