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How to perform CIC for girls

Technique CIC: Training booklet for nurses

1. CIC technique

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

1.1 .Cleaning hands

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1.2 Cleaning the genital areaTechnique CIC-Training booklet for nurses-Clean Genital Area-Boy.jpgTechnique CIC-Training booklet for nurses-Clean Genital Area-Girl.jpg

  • 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 girls: spread labia so that the urethra is clearly visible (no gel required)
  • 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 out. When urine flow stops flowing out, sit up slightly or change position to see if there is any further drainage from the bladder

  • Slightly withdraw whilst very slightly turning the catheter and stop withdrawing if more urine comes out. Start withdrawing again when urine flow stops and slowly remove the catheter

  • Remove catheter and wash your hands

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The bladder needs to be completely empty!

2. CIC for girls

  • Show a clear picture of a vulva and let the patient look at her own vulva so that she knows where the urethra is situated
  • Learn to catheterize with the help of a mirror or learn to catheterize by feeling with the fingers
  • Execute the technique just like explained above in section 1.

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3. Examination urine

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

In case of cloudy and/or smelly urine:

 

  • Have the boy / girl drink extra
  • Ensure the bladder is being emptied well 
  • Do an extra CIC during the day
  • Pay attention to hygiene when performing CIC- ensure good hand washing and cleaning of the genital area, and cleaning the equipment well
  • If urine is still cloudy after 24 hours or if systemic symptoms develop, ensure to be seen by a doctor

 

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