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Urology

  • Discharge Instructions: Self-Catheterization for Women

    Your doctor has prescribed self-catheterization for you because you are having trouble urinating naturally. This problem can be caused by injury, disease, infection, or other conditions.

    Many people urinate by self-catheterization (also called intermittent catheterization). Self-catheterization simply means inserting a clean catheter (a thin, flexible tube) into the bladder to empty urine. Self-catheterization helps you empty your bladder when it won’t empty by itself or empty all the way. You were shown in the hospital how to perform self-catheterization. The steps below should help you remember how to do it properly.

    Lubricate catheter

    Insert catheter

    Empty urine

    Gather Your Supplies

    You will need the following:

    • Soap and warm water or a moist towelette

    • Clean catheter

    • Water-soluble lubricating jelly (not Vaseline or other petroleum jelly)

    • Mirror

    • Toilet or basin

    Get Ready

    • Wash your hands and your genital area. Use warm soapy water. You can also use a moist towelette. As always, wash from front to back.

    • Lubricate the catheter with the water-soluble lubricating jelly.

      • Lubricate 2 to 4 inches of the catheter tip.

      • Place the other end of the catheter over the toilet or basin.

    Empty Your Bladder

    • Spread the labia (the lips or folds at the opening of your vagina). Use a mirror or your index finger to find the urethra (urinary tract opening).

    • Slowly insert the catheter into your urethra. If it doesn’t go in, take a deep breath and bear down as if to trying to urinate.

    • If you feel a sharp pain, remove the catheter and try again.

    • Empty your bladder.

      • When the urine starts to flow, stop inserting the catheter.

      • When the urine stops flowing, slowly remove the catheter.

    Clean Up

    • Wash the catheter in mild soap and water.

    • Rinse the catheter well.

    • Run water through the catheter. Then let it air-dry.

    • Wash your hands. If you used a basin, wash it out.

    Follow-Up

    Make a follow-up appointment as directed by our staff.

    When to Call Your Doctor

    Call your doctor right away if you have any of the following:

    • Fever of 100.4°F or higher, or chills

    • Burning in the urinary tract or pubic area

    • Nausea and vomiting

    • Aching in the lower back

    • Sediment or mucus in the urine

    • Cloudy urine

    • Bloody (pink or red) or foul-smelling urine