This narrative is meant for your intellectual
stimulation and is not meant to be a medically instructive piece allowing
the uninitiated to master this procedure without supervision. Never attempt
this kind of play without professional assistance as serious physical
complications are possible.
Definition: Intermittent catheterization
involves the placement of a temporary catheter (tube) to remove urine from
the body. This is usually done by placing the catheter through the urethra
to empty the bladder. This is a specialized form of BD/SM play and should
not be attempted except in the company of experienced Medical or BD/SM
practitioners.
Alternative Names: Self-catheterization; CISC;
CIC; Intermittent catheterization
Information:
INTERMITTENT CATHETERS: Some people may require
catheterization for a short period of time or on an occasional basis.
Intermittent (short-term) catheterization may be necessary for people with
neurological disorders, women who have undergone certain gynecological
surgeries, and anyone who is unable to properly empty the bladder.
The goal of intermittent catheterization is to prevent urinary tract
infections and/or to completely empty the bladder. Most people are able to
learn how to perform this procedure.
To perform clean intermittent self-catheterization (CISC), the person
must learn the basic location of the important urological landmarks.
Additionally, the person must have the physical ability to reach the urethra
and must be able to manipulate the equipment. People who are unable to
visualize the urethra may be taught how to feel for the proper location of
the urethral meatus (opening).
Catheters that are used for CISC are slightly different from the
catheters used for indwelling (long-term) catheterization. An indwelling
catheter is held in place by a balloon; CISC catheters do not have this
balloon or the side balloon inflation. CISC catheters may be made of a
clear plastic or a softer rubber material. These catheters also come in a
variety of sizes. Although some catheters are intended to be disposable,
some CISC catheters can be reused.
HOW TO PERFORM CISC (MEN):
1. Assemble all equipment: catheter, lubricant, drainage receptacle.
2. Wash your hands thoroughly with soap and water and clean the penis and
urethral opening.
3. Lubricate the catheter.
4. Hold the penis on the sides, perpendicular to the body.
5. Begin to gently insert and advance the catheter.
6. You will meet resistance when you reach the level of the prostate. Try
to relax by deep breathing, and continue to advance the catheter.
7. Once the urine flow starts, continue to advance the catheter another 1
inch and hold it in place until the urine flow stops and the bladder is
empty.
8. Withdraw the catheter in small increments to make sure the entire
bladder empties.
9. Wash the catheter with soap and water. If the catheter is disposable,
discard it right away. If it is reusable, rinse the catheter completely
and dry the outside. Store the catheter in a clean, dry, secure location.
10. Record the amount of urine obtained, as instructed by your health care
provider.
HOW TO PERFORM CISC (WOMEN):
1. Assemble all equipment: catheter, lubricant, drainage receptacle.
2. Wash your hands thoroughly with soap and water and clean the vulva and
urethral opening.
3. Lubricate the catheter.
4. Locate the urethral opening (meatus). The opening is located below the
clitoris and above the vagina.
5. Spread the labia (vaginal lips) with the second and fourth finger,
while using the middle finger to feel for the opening.
6. Begin to gently insert the catheter into the opening, guiding it upward
as if toward the belly button.
7. Once the catheter has been inserted about 2 to 3 inches past the
opening, urine will begin to flow.
8. Once the urine flow starts, continue to advance the catheter another 1
inch and hold it in place until the urine flow stops and the bladder is
empty.
9. Withdraw the catheter in small increments to make sure the entire
bladder empties.
10. Wash the catheter with soap and water. If the catheter is disposable,
discard it right away. If it is reusable, rinse the catheter completely
and dry the outside. Store the catheter in a clean, dry, secure location.
11. Record the amount of urine obtained, as instructed by your health care
provider.
Some women may perform CISC standing up with one
foot on the toilet. This position is also recommended when there is a
question about the cleanliness of the toilet, such as in public facilities.
A CISC catheter may be reused for 2 to 4 weeks. It may be helpful to soak
the catheter in a white vinegar solution once a week to control odor and
remove thick mucus deposits. Other cleaning or sterilization techniques may
be recommended by your health care provider if infection occurs frequently.
Suppliers for catheterization supplies:
http://www.elitemedical.com/urologicals1.html
http://www.allegromedical.com/urologicals_catheters
http://www.southwestmedical.com/
http://www.qualitymedicalsupplies.com/
Yours in Life, Love and
Leather,
Robert aka Morpheus
"My solitary path allows unobstructed vistas, and an untrampled landscape."
(Morpheus 11/24/99)
http://www.tampafetishparty.com
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