How to perform CIC for boys

Explain the importance of CIC and the technique in a simple way to the parents and the child

1.1 .Cleaning hands

1.2 Cleaning the genital area

Daily 1x with water and soap
At every soiling or bowel movement
Always wash from above to below to avoid bacteria from the bowel being brought forward to the urethra
Change piece of cloth for each wiping action

1.3 Insertion of the catheter

Use the widest catheter that can enter the urethra without force
For boys: place gel on the back of the hand and slide the catheter from the tip through the gel to coat the catheter well (if Gel is not available use sunflower oil on the palm of the hand)
Advance the catheter into the urethra until urine is flowing out, push the catheter slightly further in the bladder to make sure both holes are into the bladder
Let the urine flow, when the urine stops to flow, push above the pubis
Withdraw whilst turning the catheter slowly and stop when there is no more urine coming out
Put the catheter again a little bit deeper and withdraw again until the bladder is empty
Remove catheter and wash your hands

The bladder needs to be completely empty!

Show a picture showing the path of urine from the tip of the penis towards the bladder
The penis has to be held in the direction of the belly to bring in the catheter easier
There can be felt counter-pressure at the constrictor at the level of the base of the penis
Execute the technique as described above in section 1

Clear urine = no infection
Cloudy or strong smelly urine, blood in urine or more than normal wet in between = signs of infection

At infection: