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What are the steps when performing CISC for boys?

Clean intermittent self-catheterization (CISC) for boys is done as follows:

  • Gather everything needed. CISC can be done sitting or standing, whichever is easiest.
  • Wash hands with soap and water before starting. Otherwise germs can get in and cause an infection.
  • With one hand, hold the penis up toward the abdomen and wash (or clean) the head of the penis well. If uncircumcised, gently retract foreskin to wash the head of the penis. With the foreskin back, it’s easier to see the hole or meatus at the tip of the penis where the catheter needs to go.
  • With the other hand, gently slide the rounded tip of the catheter into the hole. The hole is at the beginning of the urethra and leads to the bladder. If the catheter doesn’t go in easily, don’t force it. Just stop, relax and wait a little while. Taking slow, deep breaths and coughing may make it easier to slide the catheter in.
  • Keep sliding the catheter in until urine appears. This means the catheter is in the bladder.
  • When urine stops coming out, pull back the catheter a little to see if any more comes. When it stops completely, slowly and gently pull the catheter all the way out. Once it’s out, throw it away and wash your hands again.

Doing CISC regularly and washing hands every time helps keep infections away. Infections can make you sick, as well as making you wet between catheterizations. Drinking plenty of water is also important.
Setting an alarm on a watch, phone or computer can be a useful way of reminding you to do CISC regularly.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.