Clean Intermittent Catheterization (CIC): Detailed Step-by-Step Instructions for Girls(1)

2026-04-20

Clean Intermittent Catheterization (CIC): Detailed Step-by-Step Instructions for Girls
For children who need to use a catheter to empty their bladder, they can be taught to do it themselves.
 
1. Explanation of CIC
CIC (Clean Intermittent Catheterization) (Clean Intermittent Urination): This is a technique that helps children empty the urine in their bladders. It needs to be performed several times a day for the child.
Clean: Try to clean as thoroughly as possible without any bacteria
Intermittent: Conduct multiple times at regular intervals throughout the day
Catheterization: Use a catheter (a thin tube) to drain the urine from the bladder 
 
 
2. CIC can help solve bladder problems
When a child is unable to empty the urine in their bladder by themselves, has bladder leakage, or has excessive pressure in the bladder, CIC technology must be applied to the child. If the bladder fails to be emptied properly, infections or other diseases may occur. If the child follows the nurse's instructions, his bladder will not be damaged. After practice, almost everyone, including 5-year-old children, can learn this technique. 
 
 
3. Working mode of the urinary system
3.1 Urine is produced by the kidneys. It flows out of the kidneys and enters the bladder through the ureters. The urine is stored in the bladder. The bladder is a muscular sac that stores the urine of the human body.
 
3.2 At the bottom of the bladder, there is a strong muscle called the sphincter, which can prevent urine from flowing out until you are ready to urinate.
 
3.3 When the brain sends the signal to relax the sphincter, the urine will be released and flow out through the urethra and be expelled from the body. When the bladder is full, it will send a signal to the brain that the bladder is full, approximately every 2 hours. Then the brain decides whether it is the appropriate time to defecate. If you do not empty the urine in the bladder when you receive the first signal, the signal will come faster and stronger. Eventually, when the bladder is overfull, it will empty itself.
 
3.4 If the bladder is not emptied, infections or other diseases will occur. If the bladder does not empty in time, urine will flow back into the ureters and kidneys. This phenomenon is called reflux, and reflux can cause kidney infections, scar tissue and persistent kidney damage. For many children, through the CIC method, it is possible to completely empty the bladder, stop reflux, avoid urinary tract infections and bedwetting. 
 
 
4. Equipment required for CIC operation Catheter
Lubricants: It is recommended to use water-soluble lubricants. Do not use vaseline or mineral oil.
Soap and water
Bath towel or washcloth
Clean and dry towel
Urinal collection container (if necessary)
Hand mirror (if necessary)
Tube storage container or bag
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