Self-catheterisation in female patients: Frequently asked questions

What is self-catheterisation?

Self-catheterisation means that you insert a small, single-use flexible plastic tube, called a catheter, into the bladder. The urine flows out through this tube which is then removed. By emptying the bladder regularly in this way, you will prevent a buildup of stagnant urine and should feel more comfortable. You will also be keeping the kidneys and bladder healthy by preventing urinary infections. Some people find that they have less difficulty preventing themselves becoming wet using this technique.

What equipment do I need?

• A catheter – supplied at first by the outpatient clinic and then available to order on prescription from your GP.
• Baby wipes.
• Shaving mirror and a good light are helpful, particularly at first.
• A bottle, dish or plastic box to catch the urine.

How do I do it?

• Sit on a towel with a plastic sheet just underneath or lie on the bed if you prefer.
• Remove your pants and tuck other clothing out of the way.
• Wash your hands thoroughly.
• Lie on your back, comfortably propped up with your knees wide apart. Using the light and mirror to help you, find the opening of the urethra which is in front of the vagina and behind the clitoris.
• If it is difficult to see the hole, draw the labia forwards and upwards whilst separating them with your fingers. It is also possible to feel the urethra which is like a small pit on a sensitive mound.
• Clean inside the labia from front to back using baby wipes.
• Hold the catheter two inches from its tip and insert it until urine flows (usually needs insertion for two to three inches).
• If no urine comes out, the catheter is probably in the vagina. This will do no harm and simply means taking it out and looking again for the urethra, just further forwards.
• When urine stops flowing, insert the catheter a little further and turn it gently to obtain any remaining urine.
• Withdraw the catheter slowly.
• Dispose of the catheter in a normal waste bin.

Personal information

Use the catheter ……… times a day

Use a new plastic bag every day. Discard the catheter and use a new catheter for each catheterisation (catheters are single-use and are not re-usable).

Catheter information

Catheter recommended…………………………… (female)

Size ……..FG

Other information

This patient information leaflet provides input from specialists, the British Association of Urological Surgeons, the Department of Health and evidence based sources as a supplement to any advice you may already have been given by your GP. Alternative treatments can be discussed in more detail with your urologist or specialist nurse.

Who can I contact for more help or information?

Oncology nurses

Uro-oncology nurse specialist 01223 586748
Bladder cancer nurse practitioner (haematuria, chemotherapy and BCG) 01223 274608
Prostate cancer nurse practitioner 01223 274608 or 01223 216897
Surgical care practitioner 01223 348590 or 01223 256157

Non-oncology nurses

Urology nurse practitioner (incontinence, urodynamics, catheter patients) 01223 274608
Urology nurse practitioner (stoma care) 01223 349800
Urology nurse practitioner (stone disease) 07860 781828

Patient advice and liaison service (PALS)

Telephone: 01223 216756
PatientLine: *801 (from patient bedside telephones only)
Email PALS

Mail: PALS, Box No 53
Addenbrooke's Hospital
Hills Road, Cambridge, CB2 2QQ

Chaplaincy and multi faith community

Telephone: 01223 217769
Email the Chaplaincy

Mail: The Chaplaincy, Box No 105
Addenbrooke's Hospital
Hills Road, Cambridge, CB2 2QQ

MINICOM System ('type' system for the hard of hearing)

Telephone: 01223 217589

Access office (travel, parking and security information)

Telephone: 01223 596060