If you will be doing at home catheterization for a relative or friend, make sure that you are allowed in the room for the demonstration as well as step by step instructions with guidance while doing it for the first time.
Some medical supply companies include DVDs that you can watch to demonstrate how to insert a catheter. Try looking for one of these options if you are worried you might forget your doctor’s technique. When in doubt call doctor’s office or home health nurse for help. Ask your doctor about home health, and whether this is an option. Your doctor/provider may be able to arrange for someone to come to your home and assist in this process until you are comfortable in doing it independently. Check with your insurance carrier to see if they will pay for the necessary supplies.
Be aware that petroleum jelly (or Vaseline) is not water soluble, and therefore should not be used. Many healthcare professionals recommend that you squat while inserting the catheter, so you may want to gather your supplies in your bathroom. Having the toilet there is a good idea. Use the lubricant to coat the tip of the catheter. This will make it easier to insert.
For this step, you can also use sanitizing wipes. Always wipe from front of vagina to back to avoid introducing bacteria from anus into vagina or urethra. You’ll just want to make sure that they are gentle enough for your genital area.
It may be tricky to find the right insertion spot your first time. Health care professionals recommend using a mirror to help you. Try placing a small hand mirror on a low shelf or stand, and squat over that instead of the toilet. This will help visualization. You can also ask a close friend or relative to help you. If you feel a sharp pain, stop inserting the catheter. If you feel pressure or mild discomfort, try to breathe through the feeling and keep inserting the catheter. Self-catheterization in the female patient can be very difficult as the urethra can be difficult it locate in specific individuals. If this is too difficult, an indwelling catheter may be of utility and may less distress.
When rinsing the catheter, make sure to hold it gently against your body. This will ensure you don’t put unnecessary tension on the catheter.
This procedure in general increases the risk for infection. It is always best to urinate naturally whenever possible. Signs of infection can include foul odor from urine, fever, discharge or confusion. Most often a change in mental status (confusion) is noted in the older population and is a common sign of possible infection.
Neuromuscular conditions such as multiple sclerosis, spinal cord paralysis, or functional incontinence can make catheterization necessary. Ensure that you know the specific reason for the inability to urinate independently.
If your catheter fails to drain urine, or if it falls out, contact your doctor immediately.
