Tatiana J.

Catheterization

Clean Intermittent Catheterization (CIC): A Guide for Parents and Caregivers

When a child’s body cannot completely empty the bladder on its own, the medical team may recommend a procedure called Clean Intermittent Catheterization (CIC). Although it may seem intimidating at first, with practice it becomes just another part of the daily routine.

CIC can be performed at home, at school, or even during outings. And yes — you can learn to do it with confidence!

Why Does My Child Need Catheterization?

If the bladder does not empty completely, the urine left behind can become a breeding ground for bacteria that cause urinary tract infections. Catheterization helps to:

Prevent infections
Keep the skin dry
Prevent damage to the urinary tract and kidneys

What Exactly Is CIC?

CIC involves carefully inserting a thin tube (called a catheter) through the urethra into the bladder. This tube allows urine to flow out of the body. It is a quick and clean procedure that helps keep the bladder empty and healthy.

How Often Is It Done?

The medical team will indicate how often catheterization should be performed. Ideally, it should follow a fixed schedule during the day to create a comfortable routine for your child and help prevent infections. In some cases, it may also be done at night.

Basic Instructions: How Is It Done?

For Girls:

Wash your hands thoroughly.
Prepare the materials: clean catheter, water-based lubricant.
Help your daughter lie down with her knees apart or sit with her legs separated.
Gently separate the genital lips and lubricate the catheter.
Carefully insert the catheter into the urethra until urine begins to flow. Once the flow stops, slowly remove the catheter.

For Boys:

Wash your hands thoroughly.
Prepare the necessary materials.
Your son can stand, sit on the toilet, or sit in his chair.
Lubricate the catheter well.
Hold the penis upright and, if uncircumcised, gently retract the foreskin.
Insert the catheter slowly. You may feel some pressure before it enters the bladder. Taking deep breaths can help.
When urine begins to flow, hold the catheter in place until the bladder is empty. Then carefully remove the catheter.

Warning Signs:

Call the medical team if you notice:

Blood in the urine (more than just a few small streaks)
Fever higher than 101.5°F (38.6°C)
Very dark, cloudy, or foul-smelling urine
Pain in the lower back or abdomen
Difficulty inserting the catheter
Decreased amount of urine

Remember: You are not alone in this. Many parents have learned to do it, and you can too. The most important thing is your child’s well-being and helping their body function as best as possible.