Intermittent catheterization to aid bladder function
Another method of emptying the bladder is by doing an intermittent catheterization (IC), also known as an in-and-out catheterization. The catheter is inserted and left in only long enough to empty the bladder and then is removed. ICs are usually done every 4 or 6 hours, depending on the person’s emptying needs. Here we review IC options available. Please note the sensitive nature of some of this content may not be suitable for all audiences.
Understanding intermittent catheterization
Your doctor recommends what type of catheter to use based a variety of factors that include:
- Medical need: Body type and special concerns
- Function: How much movement and control you have in your hands and body
- Cost: What is affordable for you, based on possible co-pays and reimbursement costs.
Many people find that their insurance coverage for catheters changes over time. Changes in insurance provider coverage, work status, and/or Medicare or Medicaid benefits can affect costs. When coverage changes, your monthly supply bill and/or your catheters may change. Consider how this will impact your out-of-pocket expenses in the future.
- Straight catheters are the most cost-effective choice.
- Closed systems (lubrication, bag, and connection tube together) are much more expensive.
- Check with your case manager and supplier for cost information.
- Have a backup supply of straight catheters in the event of emergencies, gaps in insurance coverage, or supplier issues.
Training basics
You will need to demonstrate the ability to complete straight catheterizations in the bed and, if you utilize one, in a wheelchair, using these supplies:
- Lubricant
- Leg bag
- Connector and one of three approved cleaning methods:
- Soap and water with wash cloths
- Wipes containing benzethonium chloride (WetOnes®)
- Medical or post-operative skin cleanser (Theraworx®).
Be prepared for emergencies. Straight catheters are the only type of device you can repeatedly use, wash and store in an envelope or paper bag for up to seven days. The ability to complete straight catheter use and storage ensures you are prepared for any unexpected interruption to catheter delivery, including natural disasters, shipment delays, or gaps in insurance coverage.