{"id":2022,"date":"2020-12-10T15:48:43","date_gmt":"2020-12-10T08:48:43","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=2022"},"modified":"2026-08-30T04:05:20","modified_gmt":"2026-08-29T21:05:20","slug":"saubere-intermittierende-katheterisierung","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/de\/2020\/12\/10\/clean-intermittent-catheterization\/","title":{"rendered":"Clean Intermittent Catheterization (CIC): Why It Is Needed, and How It Is Done"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 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=\"Best Urologist working in Chonburi and Cambodia\" 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, 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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<p class=\"has-drop-cap wp-block-paragraph\">Clean intermittent catheterization (CIC) is a routine part of urological care in Western countries but is still used relatively little in this region. It is what we turn to when the bladder can no longer empty itself properly \u2014 so it helps to start with what the bladder is supposed to do.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The bladder&#8217;s job is to store urine and then squeeze it out completely. With age, or with any condition that damages the bladder muscle or its nerve supply, that squeeze becomes incomplete and urine is left behind after voiding \u2014 the <strong>residual urine volume<\/strong>. Urine that sits in the bladder becomes a reservoir where bacteria can settle and multiply. This is why these patients come to me with urinary tract infections that keep returning, and with the impression that the antibiotics are not working, when the real problem is that the bladder never empties. For an <strong>underactive bladder<\/strong>, the most effective answer is CIC.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Important \u2014 please read first.<\/strong> The instructions below are a reference <strong>for patients who have already been assessed by a urologist, had CIC prescribed, and been taught the technique in person by a doctor or nurse<\/strong>. Catheterisation is easy to describe and less easy to do well; passing a catheter without training can injure the urethra, and the underlying cause of incomplete emptying needs diagnosing before anyone starts. <strong>Please do not attempt this from a written guide alone.<\/strong> Read this to understand what you have been taught, or to prepare for a training session \u2014 not instead of one.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"450\" data-attachment-id=\"2034\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2020\/12\/10\/clean-intermittent-catheterization\/old-man\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Old-man.jpg?fit=1200%2C675&amp;ssl=1\" data-orig-size=\"1200,675\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;6.3&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 6D Mark II&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1545141334&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;55&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Neurogenic bladder is one cause of chronic bladder infection\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Neurogenic bladder is one cause of chronic bladder infection&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Old-man.jpg?fit=800%2C450&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Old-man.jpg?resize=800%2C450&#038;ssl=1\" alt=\"An older man affected by incomplete bladder emptying and recurrent urinary infection\" class=\"wp-image-2034\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Old-man.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Old-man.jpg?resize=300%2C169&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Old-man.jpg?resize=1024%2C576&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Old-man.jpg?resize=768%2C432&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Old-man.jpg?resize=16%2C9&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">A neurogenic or underactive bladder is a common cause of recurrent bladder infection.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Why clean rather than sterile<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Catheterisation in hospital is done with full sterile technique: trained staff, a sterile field, and single-use disposable equipment. That is appropriate in a clinical setting, but it is neither affordable nor practical for someone who needs to catheterise every single day, indefinitely.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CIC deliberately relaxes the requirement from sterility to <strong>cleanliness<\/strong>, which is what makes it something a patient or family member can do at home at a manageable cost. The obvious worry is infection \u2014 and the reassuring finding from the <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30138101\/\">literature<\/a> is that infection rates with the clean technique are comparable to the sterile technique. That single piece of evidence is what makes long-term home catheterisation possible.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"757\" data-attachment-id=\"2036\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2020\/12\/10\/clean-intermittent-catheterization\/informative-illustration-of-urinary-tract-infections\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/UTI.jpg?fit=1200%2C1136&amp;ssl=1\" data-orig-size=\"1200,1136\" 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;Informative illustration of urinary tract infections illustration&quot;,&quot;created_timestamp&quot;:&quot;1595699423&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;Informative illustration of urinary tract infections&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Off and on bladder infection must find correctable cause\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Off and on bladder infection must find correctable cause&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/UTI.jpg?fit=800%2C757&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/UTI.jpg?resize=800%2C757&#038;ssl=1\" alt=\"Urine sample showing infection, the recurring problem when the bladder does not empty fully\" class=\"wp-image-2036\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/UTI.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/UTI.jpg?resize=300%2C284&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/UTI.jpg?resize=1024%2C969&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/UTI.jpg?resize=768%2C727&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/UTI.jpg?resize=13%2C12&amp;ssl=1 13w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Repeated bladder infections should always prompt a search for a correctable cause.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">The CIC technique, step by step<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><em>For patients who have been trained in this technique. If your urologist or nurse gave you different instructions, follow theirs.<\/em><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Pass urine normally first, as far as you are able.<\/li>\n\n\n\n<li>Wash your hands with liquid soap and water.<\/li>\n\n\n\n<li>Wash the genital area with an over-the-counter antiseptic soap.<\/li>\n\n\n\n<li>Take the catheter out of its container carefully, keeping it clean and avoiding contact with anything else.<\/li>\n\n\n\n<li>Apply water-based lubricating jelly generously to the tip of the catheter. Use plenty \u2014 under-lubricating is the commonest cause of discomfort and of urethral trauma.<\/li>\n\n\n\n<li>Get into position \u2014 sitting on the toilet works for most people, lying down for others \u2014 and have a container ready if you are not draining directly into the toilet.<\/li>\n\n\n\n<li>Pass the lubricated catheter gently into the urethra. It should slide; if it does not, stop and do not force it.<\/li>\n\n\n\n<li>Continue until urine begins to flow \u2014 that tells you the tip has reached the bladder.<\/li>\n\n\n\n<li>Advance it a little further so the tip sits properly inside the bladder rather than at its neck.<\/li>\n\n\n\n<li>Hold the catheter in place and let the bladder drain completely.<\/li>\n\n\n\n<li>Withdraw the catheter slowly and return it to its container of antiseptic solution.<\/li>\n\n\n\n<li>Wash the genital area again, and wash your hands.<\/li>\n<\/ol>\n\n\n\n<h4 class=\"wp-block-heading\">Looking after the equipment<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Change the antiseptic solution in the container <strong>every day<\/strong>, so the catheter is stored in fresh solution rather than yesterday&#8217;s.<\/li>\n\n\n\n<li>Replace the catheter set after about <strong>3 weeks<\/strong>. Beyond that the infection risk rises, and the material degrades to the point where it can injure the urethra.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Cloudy urine is not the same as an infection<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">This is worth understanding early, because it decides how many courses of antibiotics you end up taking over the years. Almost everyone who catheterises regularly will grow bacteria in their urine. That is colonisation, not infection, and in a person who feels well it does not need antibiotics and does not need a urine sample sent. International infection guidance is explicit that the look and smell of the urine should not be used to decide whether infection is present.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What decides it is <strong>how you feel<\/strong>: fever or shaking chills, new pain in the flank or lower abdomen, blood appearing in the urine, unexplained tiredness or feeling generally unwell. Those are worth contacting your doctor about. Cloudy or strong-smelling urine on its own, in someone who feels normal, usually is not \u2014 and treating it repeatedly causes antibiotic resistance without making anything better. Drinking normally through the day and keeping to your catheterisation schedule does more than any antibiotic here.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">When to be seen the same day<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Go to an emergency department the same day \u2014 in Thailand you can call 1669:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>You cannot pass the catheter at all and your bladder is full.<\/strong> Do not keep trying, and do not force it \u2014 repeated attempts injure the urethra and make the next attempt harder for whoever has to do it.<\/li>\n\n\n\n<li><strong>Fever or shaking chills<\/strong>, particularly with flank pain or feeling systemically unwell.<\/li>\n\n\n\n<li><strong>Heavy bleeding<\/strong>, rather than the occasional trace that can follow a slightly difficult passage.<\/li>\n\n\n\n<li><strong>If you have a spinal cord injury or another neurological condition:<\/strong> a sudden pounding headache, sweating or flushing above the level of your injury, blotchy skin, a blocked nose, or a feeling of impending doom \u2014 especially if your bladder is full or the catheter is not draining. This is a recognised emergency in people with spinal injuries at higher levels, blood pressure can rise dangerously fast, and <strong>draining the bladder is often the thing that fixes it<\/strong>. Sit upright, catheterise if you safely can, and get help immediately. Tell the emergency team you have a spinal cord injury and that this may be autonomic dysreflexia \u2014 many staff outside spinal units will not think of it, and saying the words changes what happens next.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Book a review, rather than an emergency visit<\/strong>, if catheterisation becomes newly painful or difficult when it had been easy, if you are seeing blood more than occasionally, if leakage between catheterisations is getting worse, or if you find you are needing to catheterise more often than the schedule you were given. Any of those suggests something has changed and is worth checking rather than working around.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CIC sounds daunting when it is first suggested, and most patients are apprehensive. In practice it becomes routine within a few weeks, and for people who have spent years on repeated antibiotic courses, the drop in infections is usually what convinces them it was worth learning.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have an underactive bladder, incomplete emptying, or recurrent urinary tract infections and would like specialist evaluation and CIC training, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a>. Appointments at Samitivej Sriracha Hospital can be arranged by calling the Urology department on <a href=\"tel:0880221445\">088-022-1445<\/a>. Questions about the cost of consultation, training or equipment should go to the hospital directly \u2014 for Bangkok Hospital, by email to <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital also runs a Telemedicine service, arranged in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. It is useful for reviewing how CIC is going, troubleshooting problems, and discussing whether the schedule still suits you. The initial assessment and the hands-on training must be done in person, and so must any problem you are having with the technique itself \u2014 that is something to be watched rather than described. Samitivej Sriracha is in-person only.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions about Clean Intermittent Catheterization<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">What is Clean Intermittent Catheterization (CIC)?<\/strong> <p class=\"schema-faq-answer\">Clean Intermittent Catheterization (CIC) is a procedure where a thin, flexible tube called a catheter is inserted through the urethra into the bladder to drain urine at regular intervals. It is used when the bladder cannot empty fully on its own due to nerve damage, muscle weakness, or other conditions causing urinary retention.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">Who needs Clean Intermittent Catheterization?<\/strong> <p class=\"schema-faq-answer\">CIC is recommended for patients with an underactive or neurogenic bladder who cannot empty their bladder completely. Common causes include spinal cord injury, multiple sclerosis, diabetic neuropathy, bladder outlet obstruction, and post-surgical urinary retention. Chronic incomplete bladder emptying often leads to recurrent urinary tract infections, making CIC an essential management strategy.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">Is Clean Intermittent Catheterization safe to do at home?<\/strong> <p class=\"schema-faq-answer\">Yes, once you have been trained in the technique by a doctor or nurse. Unlike sterile catheterization performed in hospitals, CIC requires cleanliness rather than full sterility. Evidence from medical literature confirms that infection rates with the clean technique are comparable to the sterile technique, making it a practical and cost-effective option for long-term home use. It should not be attempted from written instructions alone.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">How often do I need to perform CIC?<\/strong> <p class=\"schema-faq-answer\">The frequency of CIC depends on the degree of bladder dysfunction and your urologist&#8217;s recommendation. Most patients perform CIC at least once daily, while others may need it every 4&#8211;6 hours. The goal is to prevent the bladder from becoming overfull and to reduce the risk of urinary tract infections caused by retained urine.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">How long can I reuse a CIC catheter?<\/strong> <p class=\"schema-faq-answer\">A CIC catheter set can typically be reused for up to 3 weeks when properly cleaned and stored in antiseptic solution, which must be changed daily. After 3 weeks, the catheter should be replaced to minimize infection risk and prevent the degraded rubber from causing urethral irritation or injury.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-6\"><strong class=\"schema-faq-question\">My urine is cloudy and smells. Do I need antibiotics?<\/strong> <p class=\"schema-faq-answer\">Usually not. Almost everyone who catheterises regularly grows bacteria in the urine, and in a person who feels well that is colonisation rather than infection. International guidance states that the appearance and smell of urine should not be used to decide whether infection is present, and treating it repeatedly causes antibiotic resistance without benefit. What matters is how you feel: fever or shaking chills, new flank or lower abdominal pain, blood in the urine, unexplained tiredness or feeling generally unwell are the reasons to contact your doctor. Drinking normally and keeping to your catheterisation schedule does more here than antibiotics.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-7\"><strong class=\"schema-faq-question\">What should make me go to an emergency department?<\/strong> <p class=\"schema-faq-answer\">Being unable to pass the catheter when your bladder is full needs same-day attention, and you should stop trying rather than forcing it, because repeated attempts injure the urethra. Fever or shaking chills, particularly with flank pain or feeling systemically unwell, and heavy bleeding also need same-day assessment. If you have a spinal cord injury, a sudden pounding headache with sweating or flushing above the level of your injury, especially when the bladder is full or not draining, is an emergency: draining the bladder often relieves it, and you should tell the emergency team you have a spinal cord injury and that this may be autonomic dysreflexia. In Thailand the emergency number is 1669.<\/p><\/div><\/div>\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\/2020\/12\/10\/clean-intermittent-catheterization\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2020\/12\/10\/clean-intermittent-catheterization\/\",\n      \"name\": \"Clean Intermittent Catheterization (CIC): Why It Is Needed, and How It Is Done\",\n      \"description\": \"Why an underactive bladder that never empties causes urinary infections that keep returning, why clean technique is sufficient rather than sterile, how CIC is performed and maintained by patients who have been trained in it, why cloudy urine is not an indication for antibiotics, and which problems need same-day emergency care.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2020-12-10\",\n      \"dateModified\": \"2026-08-30\",\n      \"lastReviewed\": \"2026-08-30\",\n      \"specialty\": \"https:\/\/schema.org\/Urologic\",\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      \"medicalAudience\": {\n        \"@type\": \"MedicalAudience\",\n        \"audienceType\": \"Patients already assessed, prescribed CIC and trained in the technique, and their carers\"\n      },\n      \"about\": {\n        \"@type\": \"MedicalCondition\",\n        \"name\": \"Underactive bladder with incomplete emptying\"\n      }\n    },\n    {\n      \"@type\": \"MedicalProcedure\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/12\/10\/clean-intermittent-catheterization\/#cic\",\n      \"name\": \"Clean intermittent catheterization (CIC)\",\n      \"procedureType\": \"https:\/\/schema.org\/NoninvasiveProcedure\",\n      \"bodyLocation\": \"Urethra and bladder\",\n      \"howPerformed\": \"A catheter is passed through the urethra at regular intervals to empty the bladder, using clean rather than fully sterile technique. Key points taught during training: void first as far as possible, wash hands and the genital area, lubricate the catheter tip generously with water-based jelly because under-lubrication is the commonest cause of discomfort and urethral trauma, pass the catheter gently and never force it, advance a little beyond the point where urine starts to flow, drain the bladder completely, then withdraw slowly and wash again.\",\n      \"indication\": {\n        \"@type\": \"MedicalIndication\",\n        \"name\": \"Underactive or neurogenic bladder leaving residual urine after voiding\",\n        \"description\": \"Retained urine acts as a reservoir in which bacteria settle and multiply, which is why these patients present with urinary tract infections that keep returning and appear not to respond to antibiotics. The problem is not the antibiotic but that the bladder never empties.\"\n      },\n      \"preparation\": \"Assessment by a urologist, diagnosis of the cause of incomplete emptying, and in-person training in the technique by a doctor or nurse. Catheterisation is easy to describe and less easy to do well; passing a catheter without training can injure the urethra. It must not be attempted from written instructions alone.\",\n      \"followup\": \"Change the antiseptic storage solution daily and replace the catheter set after about three weeks, beyond which infection risk rises and the material degrades enough to injure the urethra. Bacteriuria is near-universal in patients performing regular intermittent catheterisation and represents colonisation rather than infection in an asymptomatic person: cloudy or malodorous urine alone should not prompt a urine culture or antibiotics, since repeated treatment causes antimicrobial resistance without benefit. Contact a doctor for fever or rigors, new flank or lower abdominal pain, haematuria, unexplained malaise, catheterisation that becomes newly painful or difficult, worsening leakage between catheterisations, or a need to catheterise more often than the prescribed schedule.\",\n      \"seriousAdverseOutcome\": [\n        {\"@type\": \"MedicalEntity\", \"name\": \"Inability to pass the catheter with a full bladder: requires same-day emergency assessment. Repeated forced attempts cause urethral injury and false passage and make subsequent catheterisation harder\"},\n        {\"@type\": \"MedicalEntity\", \"name\": \"Symptomatic urinary tract infection with fever or rigors, flank pain or systemic illness, requiring same-day assessment\"},\n        {\"@type\": \"MedicalEntity\", \"name\": \"Autonomic dysreflexia in patients with spinal cord injury: sudden pounding headache, sweating or flushing above the level of the lesion, blotchy skin, nasal congestion or a sense of impending doom, typically triggered by a full or undrained bladder. Blood pressure can rise dangerously fast. 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The instructions above are a reference for patients who have been assessed and trained in this technique, and are not a guide to attempting catheterisation without training. No medical advice, diagnosis or prescription is provided through personal messaging channels or social media. Always consult a qualified healthcare professional before starting any medical treatment. In an emergency, attend the nearest emergency department \u2014 in Thailand the emergency number is 1669.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>When the bladder cannot empty itself, urine sits and infections keep returning. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains why clean intermittent catheterization breaks that cycle, why &#8220;clean&#8221; is enough rather than sterile, and how the technique is performed.<\/p>","protected":false},"author":185281453,"featured_media":10034,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Learn what Clean Intermittent Catheterization (CIC) is, why it is needed for underactive bladder, and step-by-step instructions for safe self-catheterization at home.","jetpack_seo_html_title":"Clean Intermittent Catheterization (CIC): Why & How | Dr. Soarawee Urology","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":[1362],"tags":[1443,1442,1440,1444,1441],"class_list":["post-2022","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-infection","tag-cic","tag-clean-intermittent-catheterization","tag-intermittent-urethral-catheterization","tag-neurogenic-bladder","tag-urethral-catheter"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-wC","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Clean-Intermittent-Cath.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts\/2022","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=2022"}],"version-history":[{"count":29,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts\/2022\/revisions"}],"predecessor-version":[{"id":11814,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/posts\/2022\/revisions\/11814"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/media\/10034"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/media?parent=2022"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/categories?post=2022"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/de\/wp-json\/wp\/v2\/tags?post=2022"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}