{"id":10457,"date":"2026-07-15T20:00:00","date_gmt":"2026-07-15T13:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=10457"},"modified":"2026-08-16T02:57:36","modified_gmt":"2026-08-15T19:57:36","slug":"saubere-intermittierende-katheterisierung-sik-patientenratgeber","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/de\/2026\/07\/15\/clean-intermittent-catheterization-cic-patient-guide\/","title":{"rendered":"Saubere intermittierende Selbstkatheterisierung (SIK): Ein Schritt-f\u00fcr-Schritt-Patientenleitfaden"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-e269d6e6 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=600%2C600&amp;ssl=1 600w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/drsoaraweeurology.com\/\">Soarawee Weerasopone, Urologist<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok hospital Headquarter, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\">Samitivej Sriracha hospital, Chonburi \u2014 088-022-1445<\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default coblocks-animate is-content-justification-center is-layout-flex wp-container-core-social-links-is-layout-3e41869c wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-wordpress wp-block-social-link\"><a href=\"https:\/\/drsoaraweeurology.com\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12.158,12.786L9.46,20.625c0.806,0.237,1.657,0.366,2.54,0.366c1.047,0,2.051-0.181,2.986-0.51 c-0.024-0.038-0.046-0.079-0.065-0.124L12.158,12.786z M3.009,12c0,3.559,2.068,6.634,5.067,8.092L3.788,8.341 C3.289,9.459,3.009,10.696,3.009,12z M18.069,11.546c0-1.112-0.399-1.881-0.741-2.48c-0.456-0.741-0.883-1.368-0.883-2.109 c0-0.826,0.627-1.596,1.51-1.596c0.04,0,0.078,0.005,0.116,0.007C16.472,3.904,14.34,3.009,12,3.009 c-3.141,0-5.904,1.612-7.512,4.052c0.211,0.007,0.41,0.011,0.579,0.011c0.94,0,2.396-0.114,2.396-0.114 C7.947,6.93,8.004,7.642,7.52,7.699c0,0-0.487,0.057-1.029,0.085l3.274,9.739l1.968-5.901l-1.401-3.838 C9.848,7.756,9.389,7.699,9.389,7.699C8.904,7.67,8.961,6.93,9.446,6.958c0,0,1.484,0.114,2.368,0.114 c0.94,0,2.397-0.114,2.397-0.114c0.485-0.028,0.542,0.684,0.057,0.741c0,0-0.488,0.057-1.029,0.085l3.249,9.665l0.897-2.996 C17.841,13.284,18.069,12.316,18.069,11.546z M19.889,7.686c0.039,0.286,0.06,0.593,0.06,0.924c0,0.912-0.171,1.938-0.684,3.22 l-2.746,7.94c2.673-1.558,4.47-4.454,4.47-7.771C20.991,10.436,20.591,8.967,19.889,7.686z M12,22C6.486,22,2,17.514,2,12 C2,6.486,6.486,2,12,2c5.514,0,10,4.486,10,10C22,17.514,17.514,22,12,22z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">WordPress<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-linkedin wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\/in\/soarawee-weerasopone\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19.7,3H4.3C3.582,3,3,3.582,3,4.3v15.4C3,20.418,3.582,21,4.3,21h15.4c0.718,0,1.3-0.582,1.3-1.3V4.3 C21,3.582,20.418,3,19.7,3z M8.339,18.338H5.667v-8.59h2.672V18.338z M7.004,8.574c-0.857,0-1.549-0.694-1.549-1.548 c0-0.855,0.691-1.548,1.549-1.548c0.854,0,1.547,0.694,1.547,1.548C8.551,7.881,7.858,8.574,7.004,8.574z M18.339,18.338h-2.669 v-4.177c0-0.996-0.017-2.278-1.387-2.278c-1.389,0-1.601,1.086-1.601,2.206v4.249h-2.667v-8.59h2.559v1.174h0.037 c0.356-0.675,1.227-1.387,2.526-1.387c2.703,0,3.203,1.779,3.203,4.092V18.338z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">LinkedIn<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-mail wp-block-social-link\"><a href=\"mailto:bhquro@bdms.co.th\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19,5H5c-1.1,0-2,.9-2,2v10c0,1.1.9,2,2,2h14c1.1,0,2-.9,2-2V7c0-1.1-.9-2-2-2zm.5,12c0,.3-.2.5-.5.5H5c-.3,0-.5-.2-.5-.5V9.8l7.5,5.6,7.5-5.6V17zm0-9.1L12,13.6,4.5,7.9V7c0-.3.2-.5.5-.5h14c.3,0,.5.2.5.5v.9z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">E-Mail<\/span><\/a><\/li><\/ul>\n\n\n\n<style>\n\/* Hover effect for Social Dr Pom Block - Social Icons *\/\n.wp-block-social-links .wp-social-link {\n  transition: transform 0.2s ease, opacity 0.2s ease !important;\n}\n.wp-block-social-links .wp-social-link:hover {\n  transform: scale(1.15);\n  opacity: 0.9;\n}\n<\/style>\n\n<div class=\"dr-pom-academic-icons\" style=\"display: flex; gap: 16px; margin-top: 12px; align-items: center; justify-content: center;\">\n  \n  <a href=\"https:\/\/www.researchgate.net\/profile\/Soarawee-Weerasopone\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ResearchGate Profile\"\n     aria-label=\"View ResearchGate Profile\"\n     style=\"text-decoration: none; color: #00CCBB; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M19.586 0c-.818 0-1.508.19-2.073.565-.563.377-.97.936-1.213 1.68a3.193 3.193 0 0 0-.112.437 8.365 8.365 0 0 0-.078.53 9 9 0 0 0-.05.727c-.01.282-.013.621-.013 1.016a31.121 31.121 0 0 0 .014 1.017 9 9 0 0 0 .05.727 7.946 7.946 0 0 0 .077.53h.001c.024.115.06.262.112.438.243.743.65 1.303 1.213 1.68.565.376 1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"600\" data-attachment-id=\"10616\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/clean-intermittent-catheterization_-a-simple-guide\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Clean-Intermittent-Catheterization_-A-Simple-Guide.jpg?fit=800%2C600&amp;ssl=1\" data-orig-size=\"800,600\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;,&quot;alt&quot;:&quot;&quot;}\" data-image-title=\"Clean Intermittent Catheterization_ A Simple Guide\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Clean-Intermittent-Catheterization_-A-Simple-Guide.jpg?fit=800%2C600&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Clean-Intermittent-Catheterization_-A-Simple-Guide.jpg?resize=800%2C600&#038;ssl=1\" alt=\"Infographic on clean intermittent catheterization (CIC) \u2014 a step-by-step patient guide to safely emptying the bladder with a catheter\" class=\"wp-image-10616\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Clean-Intermittent-Catheterization_-A-Simple-Guide.jpg?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Clean-Intermittent-Catheterization_-A-Simple-Guide.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Clean-Intermittent-Catheterization_-A-Simple-Guide.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/06\/Clean-Intermittent-Catheterization_-A-Simple-Guide.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Clean intermittent catheterisation (CIC): a simple, step-by-step guide to emptying your bladder safely.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">If your doctor has recommended clean intermittent catheterisation \u2014 often shortened to CIC \u2014 it is completely natural to feel nervous at first. The idea of passing a thin tube to empty your own bladder can sound daunting. But here is the reassuring truth I share with every patient: it is a safe, straightforward skill that most people learn surprisingly quickly, and it gives back control and independence. This guide walks through what it is, why it is recommended, and how it is done.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>One thing first.<\/strong> This is a reminder for people who have been taught CIC, not a substitute for that teaching. The first few catheterisations should be done with a nurse or doctor watching, because the things that go wrong \u2014 wrong angle, forcing against resistance, wrong catheter size \u2014 are the things a second pair of eyes catches immediately and an article cannot. If you have been given a catheter without being shown how to use it, ask to be shown before you start.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Is Clean Intermittent Catheterisation?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Clean intermittent catheterisation is a way to empty your bladder by gently inserting a thin, flexible tube through the urethra into the bladder. You do this a few times a day, usually four to six, on a schedule similar to normal urination. Once the bladder is empty the catheter comes out. No permanent tube, no bag strapped to the leg \u2014 just a routine emptying whenever it is time. It is most often recommended when <a href=\"https:\/\/drsoaraweeurology.com\/2026\/07\/01\/residual-urine-pvr-causes-warning-signs-treatment\/\">the bladder does not empty on its own<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why Is CIC Recommended?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CIC offers several genuine advantages. It <strong>protects your kidneys<\/strong> by keeping the bladder from becoming dangerously overfull, and it <strong>lowers the risk of urinary tract infection<\/strong> compared with a permanent indwelling catheter left in place. It gives you <strong>independence<\/strong> \u2014 you manage your own bladder at home, at work, or while travelling \u2014 and it <strong>mimics natural bladder function<\/strong>, letting the bladder fill and empty on a regular cycle.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"768\" height=\"768\" data-attachment-id=\"10832\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/cic-restores-independence-you-can-manage-your-bladder-emptying-anywhere\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/CIC-restores-independence-%E2%80%94-you-can-manage-your-bladder-emptying-anywhere.jpg?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;,&quot;alt&quot;:&quot;&quot;}\" data-image-title=\"CIC restores independence \u2014 you can manage your bladder emptying anywhere\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/CIC-restores-independence-%E2%80%94-you-can-manage-your-bladder-emptying-anywhere.jpg?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/CIC-restores-independence-%E2%80%94-you-can-manage-your-bladder-emptying-anywhere.jpg?resize=768%2C768&#038;ssl=1\" alt=\"Clean intermittent catheterization (CIC) gives patients the independence to manage bladder emptying at home, work, or while traveling \u2014 Dr. Soarawee Weerasopone, Bangkok Hospital\" class=\"wp-image-10832\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/CIC-restores-independence-%E2%80%94-you-can-manage-your-bladder-emptying-anywhere.jpg?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/CIC-restores-independence-%E2%80%94-you-can-manage-your-bladder-emptying-anywhere.jpg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/CIC-restores-independence-%E2%80%94-you-can-manage-your-bladder-emptying-anywhere.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/CIC-restores-independence-%E2%80%94-you-can-manage-your-bladder-emptying-anywhere.jpg?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/CIC-restores-independence-%E2%80%94-you-can-manage-your-bladder-emptying-anywhere.jpg?w=800&amp;ssl=1 800w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/><figcaption class=\"wp-element-caption\">CIC restores independence \u2014 you can manage your bladder emptying anywhere.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Why Clean Instead of Sterile?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A common question is why the team recommends a clean technique rather than a fully sterile one. Trials comparing the two have not shown a clear difference in infection rates, so clean technique does not put you at higher risk. It is also far simpler and faster \u2014 no sterile gloves, drapes or antiseptic solutions, just thorough handwashing and a clean catheter \u2014 which makes it realistic to do several times a day, almost anywhere. It costs less. And because it is simpler, people are more likely to keep to their schedule, which is the single most important factor in preventing complications.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What You Will Need<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A clean, single-use catheter (your provider prescribes the correct size and type \u2014 a catheter that is too large is a common reason for pain and bleeding)<\/li>\n\n\n\n<li>Water-soluble lubricant, unless your catheter is pre-lubricated or hydrophilic-coated<\/li>\n\n\n\n<li>Soap and water for handwashing<\/li>\n\n\n\n<li>A clean container or toilet to drain into<\/li>\n\n\n\n<li>Optional: a small mirror (helpful for women while learning) and moist wipes or a washcloth<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Step-by-Step Instructions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Before You Begin<\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Gather your supplies<\/strong> \u2014 catheter, lubricant, and a container or toilet ready.<\/li>\n\n\n\n<li><strong>Wash your hands thoroughly<\/strong> with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitiser.<\/li>\n\n\n\n<li><strong>Get into a comfortable position<\/strong> \u2014 sitting on the toilet, standing with one foot raised, or lying down, whichever works for you.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"10835\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/thorough-handwashing-is-the-key-first-step-of-the-clean-technique\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Thorough-handwashing-is-the-key-first-step-of-the-clean-technique.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;,&quot;alt&quot;:&quot;&quot;}\" data-image-title=\"Thorough handwashing is the key first step of the clean technique\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Thorough-handwashing-is-the-key-first-step-of-the-clean-technique.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Thorough-handwashing-is-the-key-first-step-of-the-clean-technique.jpg?resize=800%2C534&#038;ssl=1\" alt=\"Thorough handwashing with soap before clean intermittent catheterization (CIC) to prevent urinary tract infection \u2014 patient guide by Dr. Soarawee Weerasopone, Bangkok Hospital\" class=\"wp-image-10835\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Thorough-handwashing-is-the-key-first-step-of-the-clean-technique.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Thorough-handwashing-is-the-key-first-step-of-the-clean-technique.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Thorough-handwashing-is-the-key-first-step-of-the-clean-technique.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Thorough-handwashing-is-the-key-first-step-of-the-clean-technique.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/07\/Thorough-handwashing-is-the-key-first-step-of-the-clean-technique.jpg?w=1200&amp;ssl=1 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Thorough handwashing is the key first step of the clean technique.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Preparing the Area<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Gently clean the genital area with soap and water or a moist wipe. <strong>For women:<\/strong> spread the labia with your non-dominant hand and clean from front to back to avoid bringing bacteria toward the urethra \u2014 a mirror helps you locate the opening while learning. <strong>For men:<\/strong> if uncircumcised, gently retract the foreskin, then clean the tip of the penis with a front-to-back motion.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Inserting the Catheter<\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Open the catheter package<\/strong> carefully, touching only the funnel end you will hold \u2014 not the insertion tip.<\/li>\n\n\n\n<li><strong>Apply lubricant<\/strong> generously to the insertion tip (skip this if your catheter is pre-lubricated or hydrophilic-coated \u2014 activate it with water as directed on the package). Do not be sparing with lubricant; most urethral discomfort comes from too little of it.<\/li>\n\n\n\n<li><strong>Gently insert the catheter<\/strong> into the urethral opening. <strong>For women:<\/strong> insert slowly, about 2\u20133 inches (5\u20137 cm), until urine begins to flow. <strong>For men:<\/strong> hold the penis at roughly a 60\u201390 degree angle from the body and insert slowly, about 6\u20138 inches (15\u201320 cm), until urine flows. If you feel resistance, take a slow deep breath, relax, and use gentle steady pressure \u2014 <em>never force the catheter<\/em>. Forcing can tear the urethra and create a false passage, which turns a routine task into a hospital problem.<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\">Draining the Bladder<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Let the urine drain completely into the toilet or container \u2014 you can press gently on your lower abdomen to help empty the bladder fully. Once the flow stops, withdraw the catheter slowly, pausing if more urine begins to flow and waiting until it stops again before continuing.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">After You Finish \u2014 Including the Step People Forget<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Remove the catheter completely and dispose of single-use catheters in the bin \u2014 never flush them. Wash your hands again, and note the amount drained if you have been asked to keep a record.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>If you are uncircumcised, pull the foreskin forward again over the head of the penis before you finish.<\/strong> This is the step that most often gets forgotten, and leaving the foreskin retracted can lead to <strong>paraphimosis<\/strong> \u2014 the foreskin becomes trapped behind the head, swells, and cannot be pulled back down. It is painful, it worsens over hours, and it is a urological emergency. Make replacing the foreskin the last thing you do, every single time, so it becomes automatic. If it does become stuck and swollen, do not wait to see whether it settles \u2014 go to an emergency department.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tips for Success<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Stick to your schedule.<\/strong> Catheterise at regular intervals as recommended, usually every four to six hours. Do not let the bladder overfill \u2014 skipping catheterisations is the most common reason things go wrong.<\/li>\n\n\n\n<li><strong>Drink fluids normally<\/strong> unless told otherwise.<\/li>\n\n\n\n<li><strong>A little blood in the first few attempts is common<\/strong> as the urethra adjusts, and it usually settles quickly. Persistent bleeding, or fresh blood rather than a trace, needs to be reported.<\/li>\n\n\n\n<li><strong>Store supplies<\/strong> in a clean, dry place, and carry a kit when you go out so you can stay on schedule.<\/li>\n\n\n\n<li><strong>Use the catheter you were prescribed.<\/strong> If it hurts consistently, the answer is usually a different size or coating rather than pushing harder \u2014 that is a conversation worth having rather than tolerating.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">About Bacteria in the Urine<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Something that surprises many people on CIC: after a while, a urine sample will almost always grow bacteria. <strong>That by itself is not an infection and does not need antibiotics.<\/strong> Repeated courses given for a positive culture in someone who feels well cause harm without benefit \u2014 side effects, resistance, and bowel infection \u2014 and the reasoning is set out in <a href=\"https:\/\/drsoaraweeurology.com\/2026\/07\/08\/asymptomatic-bacteriuria-bacteria-urine-no-symptoms\/\">bacteria in your urine without symptoms<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What matters is <em>symptoms<\/em>: fever, new pain, worsening burning, feeling unwell, or a sudden change in your usual pattern. Those are the reasons to have the urine tested \u2014 not a routine check while everything feels normal.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">When to Call, and When to Go In<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Go to an emergency department, do not wait:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>You cannot pass the catheter and your bladder is full.<\/strong> A bladder that cannot be emptied needs to be emptied, and that may need a different approach than you can manage at home.<\/li>\n\n\n\n<li><strong>Fever with shaking chills, or feeling rapidly and severely unwell<\/strong> \u2014 this can be an infection reaching the kidney or bloodstream.<\/li>\n\n\n\n<li><strong>Heavy or continuing bleeding<\/strong> from the urethra, rather than a trace on the catheter.<\/li>\n\n\n\n<li><strong>A retracted foreskin that has become swollen and will not come forward.<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>If you have a spinal cord injury at or above the mid-back, one more warning is essential.<\/strong> A pounding headache, sudden sweating or flushing above the level of your injury, blurred vision, a stuffy nose or a slow pulse can be <strong>autonomic dysreflexia<\/strong> \u2014 a dangerous rise in blood pressure, most often triggered by a full bladder or a blocked catheter. Sit yourself upright, drain the bladder if you can, and <strong>get emergency help<\/strong>. This is not something to wait out, and anyone who catheterises because of a spinal injury should know these symptoms by heart.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Contact your provider in the next day or so<\/strong> for cloudy, foul-smelling or bloody urine that does not improve; pain or burning that is getting worse with catheterisation; difficulty inserting the catheter even when the bladder is not full; or persistent leaking between catheterisations, which may mean the schedule needs adjusting.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Most importantly, remember that learning CIC is a process. It gets easier and more routine with practice, and the independence it offers is well worth the initial learning curve.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have questions or would like hands-on guidance, Dr. Soarawee Weerasopone consults at <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital Headquarters<\/a> and at <a href=\"tel:0880221445\">Samitivej Sriracha Hospital, Chonburi \u2014 088-022-1445<\/a>. Bladder function assessment, including <a href=\"https:\/\/drsoaraweeurology.com\/services\/bladder-female-urology-bangkok\/\">urodynamic studies<\/a>, is part of the wider bladder service.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. It suits reviewing your schedule, catheter choice or a recurring problem; being taught the technique for the first time needs to be in person. Samitivej Sriracha is in-person only.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Reference: <strong>Prieto JA, Murphy CL, Stewart F, Fader M.<\/strong> Intermittent catheter techniques, strategies and designs for managing long-term bladder conditions. <em>Cochrane Database Syst Rev<\/em>. 2021 Oct 26;10(10):CD006008. doi:10.1002\/14651858.CD006008.pub5.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What is clean intermittent catheterisation (CIC)?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Clean intermittent catheterisation is a method of emptying the bladder by gently inserting a thin, flexible tube through the urethra into the bladder several times a day, then removing it once the bladder is empty. It is used when the bladder cannot empty fully on its own, and it mimics the natural fill-and-empty cycle without needing a permanent catheter. It should be taught in person before you start doing it alone.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Why use a clean technique instead of a sterile one?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Trials comparing the two have not shown a clear difference in infection rates, so clean technique is not riskier. It is also simpler, faster and cheaper \u2014 thorough handwashing and a clean catheter rather than sterile gloves, drapes and antiseptics \u2014 which means it can be done almost anywhere and is easier to keep up with. Consistent adherence is the most important factor in preventing complications.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">If I am uncircumcised, is there anything extra to remember?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes, and it is the most commonly forgotten step: <strong>pull the foreskin forward again over the head of the penis after every catheterisation.<\/strong> Leaving it retracted can cause paraphimosis, where the foreskin becomes trapped behind the head, swells and cannot be brought forward. It is painful, worsens over hours and is a urological emergency. If it happens, go to an emergency department rather than waiting to see whether it settles.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How often should I catheterise?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Most people catheterise about four to six times a day, roughly every four to six hours, on a schedule similar to normal urination. The exact frequency is set by your provider. The key principle is never letting the bladder become overfull, which protects the kidneys and lowers infection risk \u2014 and, for people with spinal cord injury, avoids triggering autonomic dysreflexia.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">I have a spinal cord injury. What should I watch for?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">If your injury is at or above the mid-back, learn the signs of autonomic dysreflexia: a pounding headache, sudden sweating or flushing above the level of injury, blurred vision, a stuffy nose or a slow pulse. It is a dangerous rise in blood pressure most often triggered by a full bladder or blocked catheter. Sit upright, drain the bladder if you can, and get emergency help. Do not wait it out.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Do I need antibiotics if my urine test grows bacteria?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Usually not. Almost everyone on long-term intermittent catheterisation will grow bacteria on a urine culture, and that alone is not an infection. Antibiotics are for symptoms \u2014 fever, new or worsening pain or burning, feeling unwell, or a clear change from your usual pattern. Repeated courses for a positive culture in someone who feels well cause side effects and resistance without benefit.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Is it normal to see a little blood when starting CIC?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A small amount of blood or mild irritation is common in the first few catheterisations as the urethra adjusts, and it usually resolves quickly. Heavy or continuing bleeding is different and needs urgent assessment. So does fever with chills, worsening pain, or urine that stays cloudy and foul-smelling.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What should I do if I feel resistance while inserting the catheter?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Never force it. Pause, take a slow deep breath and relax \u2014 muscle tension is a common cause \u2014 then try again with gentle, steady pressure and plenty of lubricant. For men, holding the penis at the correct angle helps. Forcing can tear the urethra and create a false passage. If you still cannot pass the catheter and your bladder is full, that is a reason to go in rather than keep trying.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2026\/07\/15\/clean-intermittent-catheterization-cic-patient-guide\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2026\/07\/15\/clean-intermittent-catheterization-cic-patient-guide\/\",\n      \"name\": \"Clean Intermittent Catheterization (CIC): A Step-by-Step Patient Guide\",\n      \"description\": \"How clean intermittent catheterisation is performed, the foreskin step people forget, why bacteria in the urine usually needs no antibiotics, and the situations that require emergency care.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2026-07-15\",\n      \"dateModified\": \"2026-08-16\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2026\/07\/15\/clean-intermittent-catheterization-cic-patient-guide\/#cic\" },\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"disambiguatingDescription\": \"This page is a reminder for people already taught clean intermittent catheterisation, not a substitute for in-person teaching. Uncircumcised men must replace the foreskin after every catheterisation; leaving it retracted risks paraphimosis, a urological emergency. The catheter must never be forced, as this can create a urethral false passage. Inability to pass the catheter with a full bladder, fever with rigors, heavy bleeding, or a trapped swollen foreskin require emergency care. In spinal cord injury at or above the mid-thoracic level, headache, flushing or sweating above the lesion and bradycardia suggest autonomic dysreflexia and require emergency treatment. Bacteriuria is near-universal in long-term catheter users and does not warrant antibiotics without symptoms.\",\n      \"citation\": \"Prieto JA, Murphy CL, Stewart F, Fader M. Intermittent catheter techniques, strategies and designs for managing long-term bladder conditions. Cochrane Database Syst Rev. 2021 Oct 26;10(10):CD006008. doi:10.1002\/14651858.CD006008.pub5\",\n      \"significantLink\": [\n        \"https:\/\/drsoaraweeurology.com\/2026\/07\/01\/residual-urine-pvr-causes-warning-signs-treatment\/\",\n        \"https:\/\/drsoaraweeurology.com\/2026\/07\/08\/asymptomatic-bacteriuria-bacteria-urine-no-symptoms\/\",\n        \"https:\/\/drsoaraweeurology.com\/services\/bladder-female-urology-bangkok\/\"\n      ]\n    },\n    {\n      \"@type\": \"TherapeuticProcedure\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2026\/07\/15\/clean-intermittent-catheterization-cic-patient-guide\/#cic\",\n      \"name\": \"Clean intermittent catheterisation\",\n      \"alternateName\": [\"CIC\", \"Intermittent self-catheterisation\", \"ISC\"],\n      \"procedureType\": \"NoninvasiveProcedure\",\n      \"bodyLocation\": \"Urethra and urinary bladder\",\n      \"indication\": {\n        \"@type\": \"MedicalIndication\",\n        \"name\": \"Incomplete bladder emptying from detrusor underactivity, neurogenic bladder or outlet obstruction not amenable to other treatment\"\n      },\n      \"preparation\": \"The technique must be taught and supervised in person before independent use. Hands are washed thoroughly, the genital area cleaned front to back, and a single-use catheter of the prescribed size used with generous water-soluble lubricant unless pre-lubricated or hydrophilic-coated.\",\n      \"howPerformed\": \"The catheter is inserted slowly through the urethral meatus until urine flows, approximately 5-7 cm in women and 15-20 cm in men with the penis held at 60-90 degrees. The bladder is drained fully, the catheter withdrawn slowly with pauses if flow resumes, and in uncircumcised men the foreskin is replaced over the glans.\",\n      \"followup\": \"Catheterisation every four to six hours to avoid bladder overdistension. Persistent pain suggests the wrong catheter size or coating rather than a need for more force.\",\n      \"adverseOutcome\": [\n        { \"@type\": \"MedicalEntity\", \"name\": \"Minor urethral irritation and slight bleeding in the first few catheterisations\" },\n        { \"@type\": \"MedicalEntity\", \"name\": \"Asymptomatic bacteriuria, near-universal in long-term users and not an indication for antibiotics\" }\n      ],\n      \"seriousAdverseOutcome\": [\n        { \"@type\": \"MedicalEntity\", \"name\": \"Paraphimosis from failure to replace the retracted foreskin: painful progressive swelling of a trapped foreskin requiring emergency care\" },\n        { \"@type\": \"MedicalEntity\", \"name\": \"Urethral trauma and false passage from forcing the catheter against resistance\" },\n        { \"@type\": \"MedicalEntity\", \"name\": \"Inability to pass the catheter with a full bladder, requiring emergency drainage\" },\n        { \"@type\": \"MedicalEntity\", \"name\": \"Febrile urinary tract infection with rigors or rapid deterioration\" },\n        { \"@type\": \"MedicalEntity\", \"name\": \"Autonomic dysreflexia in spinal cord injury at or above the mid-thoracic level, triggered by bladder overdistension: headache, flushing and sweating above the lesion, blurred vision, nasal congestion, bradycardia; sit upright, drain the bladder and obtain emergency care\" }\n      ]\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2026\/07\/15\/clean-intermittent-catheterization-cic-patient-guide\/#faq\",\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"What is clean intermittent catheterisation (CIC)?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Clean intermittent catheterisation is a method of emptying the bladder by gently inserting a thin, flexible tube through the urethra into the bladder several times a day, then removing it once the bladder is empty. It is used when the bladder cannot empty fully on its own and mimics the natural fill-and-empty cycle without needing a permanent catheter. It should be taught in person before you start doing it alone.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Why use a clean technique instead of a sterile one?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Trials comparing the two have not shown a clear difference in infection rates, so clean technique is not riskier. It is also simpler, faster and cheaper, which means it can be done almost anywhere and is easier to keep up with. Consistent adherence is the most important factor in preventing complications.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"If I am uncircumcised, is there anything extra to remember?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Yes, and it is the most commonly forgotten step: pull the foreskin forward again over the head of the penis after every catheterisation. Leaving it retracted can cause paraphimosis, where the foreskin becomes trapped behind the head, swells and cannot be brought forward. It is painful, worsens over hours and is a urological emergency. If it happens, go to an emergency department rather than waiting to see whether it settles.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"How often should I catheterise?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Most people catheterise about four to six times a day, roughly every four to six hours. The exact frequency is set by your provider. The key principle is never letting the bladder become overfull, which protects the kidneys and lowers infection risk, and for people with spinal cord injury avoids triggering autonomic dysreflexia.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"I have a spinal cord injury. What should I watch for?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"If your injury is at or above the mid-back, learn the signs of autonomic dysreflexia: a pounding headache, sudden sweating or flushing above the level of injury, blurred vision, a stuffy nose or a slow pulse. It is a dangerous rise in blood pressure most often triggered by a full bladder or blocked catheter. Sit upright, drain the bladder if you can, and get emergency help.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Do I need antibiotics if my urine test grows bacteria?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Usually not. Almost everyone on long-term intermittent catheterisation will grow bacteria on a urine culture, and that alone is not an infection. Antibiotics are for symptoms: fever, new or worsening pain or burning, feeling unwell, or a clear change from your usual pattern. Repeated courses for a positive culture in someone who feels well cause side effects and resistance without benefit.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Is it normal to see a little blood when starting CIC?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"A small amount of blood or mild irritation is common in the first few catheterisations as the urethra adjusts, and it usually resolves quickly. Heavy or continuing bleeding is different and needs urgent assessment, as does fever with chills, worsening pain, or urine that stays cloudy and foul-smelling.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"What should I do if I feel resistance while inserting the catheter?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Never force it. Pause, take a slow deep breath and relax, then try again with gentle, steady pressure and plenty of lubricant. For men, holding the penis at the correct angle helps. Forcing can tear the urethra and create a false passage. If you still cannot pass the catheter and your bladder is full, that is a reason to go in rather than keep trying.\"\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only, does not constitute medical advice, and is not a substitute for being taught this technique in person. No advice, diagnosis or prescription is given through personal messaging channels or social media. Always follow the specific instructions given by your own healthcare provider. If you cannot pass the catheter with a full bladder, develop fever with chills, bleed heavily, or have a foreskin that becomes trapped and swollen, seek emergency care.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sagten Sie, dass Sie sich selbst katheterisieren m\u00fcssen? Es ist weitaus einfacher und sicherer, als es klingt. Dr. Soarawee Weerasopone, Urologe am Bangkok Hospital, gibt eine klare und freundliche Schritt-f\u00fcr-Schritt-Anleitung zur sauberen intermittierenden Katheterisierung (SIK) \u2013 f\u00fcr M\u00e4nner und Frauen.<\/p>","protected":false},"author":185281453,"featured_media":10527,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"A urologist's friendly step-by-step guide to clean intermittent catheterization (CIC) \u2014 what it is, why it's recommended, why clean technique is used, supplies needed, detailed instructions for men and women, tips for success, and when to call your doctor. By Dr. Soarawee, Bangkok Hospital.","jetpack_seo_html_title":"Clean Intermittent Catheterization (CIC): Step-by-Step Guide | Dr. Pom","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1522],"tags":[],"class_list":["post-10457","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-miscellaneous"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-2IF","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Clean-Intermittent-Catheterization.jpg?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts\/10457","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/comments?post=10457"}],"version-history":[{"count":7,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts\/10457\/revisions"}],"predecessor-version":[{"id":11493,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts\/10457\/revisions\/11493"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/media\/10527"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/media?parent=10457"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/categories?post=10457"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/tags?post=10457"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}