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.
5. The Ten Steps for CIC - Girl
5.1 Prepare all the equipment and place them together, keeping them within reach.
5.2 Encourage the child to urinate as much as possible, but not too forcefully.
5.3 Have the child wash his hands with soap and water and dry them, keeping his nails short and clean.
5.4 Ensure a comfortable position for her. She can sit on the toilet or sit on a chair that crosses over the toilet, or lie down or stand on the edge of the chair or toilet with one leg.
5.5 Have her use one hand to spread the labia apart and clean the tip of the catheter from front to back with soap and water, then rinse and dry.
5.6 Have the child apply lubricant to the tip of the catheter to lubricate it. Cover 5-8 cm (about 2 - 3 inches) of the catheter tip. She should use one finger to feel her clitoris to help her locate the correct urethral opening. During the learning of CIC steps, it is normal to occasionally insert the catheter into the vagina.
5.7 Keep the labia spread apart and have the child slowly insert the lubricated catheter into her urethra until urine starts to flow. Then gently move the catheter away 3 cm (about 1 inch). The sphincter may cause some resistance, allowing the child to slow down her breathing and relax the muscles.
5.8 Allow all the urine to flow into the toilet or container.
5.9 When urination stops, slowly remove the catheter. Urine will continue to flow and be expelled until no more urine flows.
5.10 Have the child clean the area around the genitalia and wash hands.
6. Other Important Notes:
Check the color, odor and clarity of the urine. These can serve as indicators for diagnosing infections and other diseases. If there is any change in the urine, you must inform the doctor or nurse about it.
Record the amount of urine your child produces. This information can assist the doctor and nurse in working with you to create an appropriate regular schedule for your child.
7. Possible problems
7.1 The catheter does not work properly. During the catheterization process, if the child does not relax the urethral sphincter, the channel will close. If the child cannot insert the catheter, then even if he is relaxed, you need to contact the doctor or nurse.
7.2 The catheter causes bleeding. During the catheterization process, small blood drops may occasionally appear around the catheter. If the frequency is not high and the problem is not serious, you should inform the doctor or nurse.
7.3 If the urine looks infected and the child has a fever. If the child has a fever and the urine starts to become cloudy and has a foul smell, you must contact the doctor immediately.
7.4 If the urine looks infected, but the child does not have a fever. If the urine starts to become cloudy and has a foul smell but the child does not have a fever, the child should drink more water. Ensure that the child is catheterized correctly. If the child shows symptoms of a fever, please contact the doctor.
8. Perform CIC 4 - 6 times per day
Most doctors recommend performing CIC 4 - 6 times daily, with the exact number depending on the child's needs. The gap without performing CIC at night should not exceed 8 hours.
9. Selecting the appropriate size of the catheter for the child
9.1The doctor will prepare a catheter size that is exactly suitable for the child.
9.2The thickness of the catheter is measured in units called French (FR). The specifications of the catheters used for intermittent clean catheterization range from 5 to 16 FR. The smaller the model, the thinner the catheter.
9.3If necessary, the doctor will recommend changing the catheter size. For example, if it takes too long to empty the bladder, it indicates that the catheter being used by the child is too thin.
10. Other Important Matters
10.1It is very important to ensure that the child has their catheter inserted on time without missing any steps. Establish a regular daily schedule.
10.2If the catheter falls to the ground, replace it with another one.
10.2Have the child drink a large amount of water to help the urine flow out of the kidneys.
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