Male User Guide - Hollister VaPro Pocket
Contents
1. iq Jp ap Tp Q Why doesn t the VaPro touch free intermittent catheter require immersion in liquid water and how is it lubricated A The VaPro touch free intermittent catheter coating is activated by sterile water vapour which emanates from the active vapour strip creating a 100 relative humidity atmosphere within the package full activation occurs after an ageing period has been reached prior to distribution The 100 relative humidity atmosphere ensures vapour hydration of the hydrophilic coating on the outer surface of the catheter tube This active process Vaporphilic technology provides a fully hydrated ready to use hydrophilic catheter upon opening the package with no need to add water Q What are the advantages to having a protective tip and sleeve A The protective tip and sleeve help guard against contamination by bacteria both from the environment and in the first 15 mm of the distal urethra The protective tip along with the protective sleeve enables the user to apply a no touch technique 29 Q What material is used to make the VaPro touch free intermittent catheter A The catheter tubing is made from PVC polyvinylchloride Q Does VaPro touch free hydrophilic intermittent catheter contain phthalates A No DEHP or any other phthalates are not used in the manufacturing of the catheter tubing Q What is the coating on the VaPro touch free intermittent catheter and what is unique about tha2. Proper hand washing and personal hygiene are important steps in preparation for catheterisation 1 Wash hands with mild soap and water and dry thoroughly 2 Cleanse the glans and the opening of the urethra with mild unscented soap or a non alcoholic wet wipe VaPro touch free intermittent catheters Q What makes the VaPro touch free intermittent catheter unique A e tis the first hydrophilic catheter to use a revolutionary vapor hydration process Vaporphilic technology e Its easy access packaging is the first system with both a tear strip opening and finger holes e t is the first hydrophilic catheter with both a protective tip and sleeve Q Who can use a VaPro touch free intermittent catheter A Male female and paediatric patients who need to manage urinary incontinence by draining urine from the bladder Q Does the VaPro touch free intermittent catheter contain natural rubber latex A The specifications for the VaPro touch free intermittent catheter and its packaging do not include natural rubber latex as a component and our component suppliers do not add natural rubber latex as part of their production process Q Does the VaPro touch free intermittent catheter require water to be added to the product upon opening A No the VaPro touch free intermittent catheter is ready to use straight from the packaging with no need to add water or to burst water sachets TI ale iq iq lt D N X iq o
3. 28 Frequently Asked Questions Intermittent Catheterisation Q A What are the typical signs of infection in the kidneys or bladder You may feel feverish have lower loin pain or pain in your back The urine may have an offensive odour and may be cloudy Blood may be present in the urine Frequency of urination and pain burning or stinging sensation on passing urine may be present You may also feel confused Not everyone develops these symptoms If you are not feeling well or you suspect you have an infection contact your healthcare provider It is important to contact your healthcare provider at the first sign of a urinary infection How much fluid should drink It is generally recommended that adults drink approximately 2 litres of fluid each day Your needs may be different so please be sure to follow your healthcare professional s advice Check your weight as well to determine if you are retaining fluid Your recommended fluid intake may be based on your weight and other medical history What should I do if I cannot pass the catheter into my bladder If you cannot pass the catheter after 3 or 4 tries call your healthcare professional or go to accident and emergency Never force the catheter as you could cause injury to the urethra Why do I have large amounts of urine when I catheterise at night Please consult your healthcare professional regarding this situation What steps do I need to take to prepare to catheterise
4. Release collection bag by slipping paper band toward the catheter and off the bag or place the catheter on a flat surface and with the bottom of the fist lift the bag away from the catheter to release the paper band Lay catheter on opened package Hold the penis Pull back foreskin if present and cleanse glans and opening of the urethra with mild unscented soap or a non alcoholic wet wipe Remove ring cap from protective tip of catheter f9 VaPro Plus touch free intermittent catheter system Procedure Guide for Males Hold the catheter in one hand and with the other hand advance the catheter forward until the tip of the catheter fills the protective tip taking care that the catheter does not protrude from the tip Grasp the catheter below the protective tip plate and insert the protective tip until the base comes in contact with the urethral opening Relax the foreskin Keep the protective tip in place Insert the catheter forward until urine starts to flow Once urine flow has stopped slowly withdraw the catheter to ensure the bladder is completely empty Then gently remove catheter completely To empty the collection bag before disposing tear at the arrow Tear here to empty to drain urine 26 The catheter may be disposed of in a waste bin Do not flush it down the toilet Wash hands with mild soap and water and dry thoroughly d Some suggested positions for catheterisation 2
5. get up at night to pass water If you are unable to fill the chart in properly every day because of other commitments please try to fill it in accurately for at least 2 days by measuring and recording the frequency of passing urine and leaking by ticking the correct boxes for the remaining days Example of correctly completed section Please see instructions on the previous page Day Day 2 date 28 07 09 date 29 07 09 Guide for volume of drinks Glass Cup Mug 180ml 150ml 200ml 33 TI iq 2 iq iP 2 E iq ap F je m Name Week commencing Please see instructions on the previous page Day 1 Day 2 Day 3 Date Date Date Kart ER KEENE jam 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12am 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm 12pm Total Day 4 Day 5 Day 6 Date Date Date Ker KEKE KARN jam 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12am 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm 12pm Total 35 Glossary of Terms B
6. D de Ordering Details VaPro VaPro Pocket Touch Free Intermittent Catheter Touch Free Intermittent Catheter Stock No Tip Size Size Box Stock No Tip Size Size Box length diameter Qty length diameter Qty 72084 Nelaton M 40 cm Ch 8 30 70124 Nelaton M 40 cm Ch12 30 72104 Nelaton M 40 cm Ch 10 30 70144 Nelaton M 40 cm Ch 14 30 72124 Nelaton M 40 cm Ch 12 30 72144 Nelaton M 40 cm Ch 14 30 72164 Nelaton M 40 cm Ch 16 30 VaPro Plus Touch Free Intermittent Catheter System VaPro Stock No Tip Size Size Box Touch Free Intermittent Catheter length diameter Qty j i i 74124 30 Nelaton M 40cm Ch 12 30 with Tiemas tip 40 cm 74144 30 Nelaton M 40 cm Ch 14 30 Stock No Tip Size Size Box length diameter Qty 73124 Tiemann M 40 cm Ch 12 30 73144 Tiemann M 40 cm Ch 14 30 73164 Tiemann M 40 cm Ch 16 30 United Kingdom Hollister Limited Rectory Court 42 Broad Street Wokingham Berkshire RG40 1AB For more information and to request FREE samples Tel 0800 521 377 Email samples uk hollister com www hollister co uk Warning To help reduce the potential risk of infection and or other complications do not re use Dispose of appropriately after procedure If discomfort or any sign of trauma occurs discontinue use immediately and consult your healthcare professional Caution Federal USA law restricts this device to sale by or on the order of a licensed healt
7. Touch Free Intermittent Catheter Care plan Personal details amp follow up appointments Date first seen Patient name Doctor Nurse Telephone Emergency contact Product name Product code Size Length Frequency of catheterisation per 24 hours Follow up with Follow up appointments Signatures Date Time Location Table of contents Contents The urinary system Bladder problems Intermittent catheterisation Choosing intermittent catheter VaPro intermittent catheter including Tiemann Tip version VaPro Pocket intermittent catheter VaPro Plus intermittent catheter Frequently asked questions Frequency volume chart Glossary of terms Fittleworth delivery service Page 10 15 16 21 22 27 28 31 32 35 36 37 A Healthy Urinary System Your urinary system is made up of the kidneys ureters bladder urethra and the internal and external sphincters Kidneys The kidneys filter certain waste products from the blood to make urine The kidneys typically produce 30 90ml of urine each hour Urine is carried from the kidneys through tubes called ureters to the bladder where it is temporarily stored until urination occurs Ureters The ureters are narrow hollow tubes that lead from the kidneys to the bladder They end in the lower portion of the bladder and are attached to the bladder in such a way that it helps prevent urine from flowing back
8. der fails to contract healthcare professional for Sensorimotor resulting in urinary retention diagnosis and treatment Spastic or Occurs when there is a spinal Hyper reflexive cord injury above the level of Bladder 52 54 It results in frequent uncontrolled voiding due to bladder spasms and a lack of sensation Uninhibited Urinary frequency and urgency Bladder resulting from changes in the brain This can be caused by conditions such as stroke head injury or Multiple Sclerosis Paralytic Inability to empty the bladder Bladder because of damage to the peripheral nervous system It can be caused by conditions such as mellitus or extensive pelvic surgery Used with permission from Newman D Wein A Managing and Treating Urinary Incontinence second edition 2009 Bladder Problems Not everyone develops these symptoms If you are not feeling well or you suspect you have an infection contact your healthcare provider It is important to contact your healthcare provider at the first sign of a urinary tract infection Urinary Tract Infections If you have a neurogenic bladder disorder you may have occasional or frequent urinary tract infections UTIs Urinary tract infections occur when there is an increased amount of bacteria or other microorganisms inside the bladder urethra and kidneys sometimes as a result of residual urine in the bladder In men urinary tract infections can also include the genitals particularl
9. e for medical care If you have or Suspect you have a health problem you should always consult with a licensed healthcare professional 30 Q How do I dispose of the catheter A Catheters should be disposed of in a waste bin Do not flush it down the toilet Follow any local guidelines for the disposal of waste especially medical devices Lifestyle Q How do I catheterise on a trip A In many cases planes buses and trains do not have wheelchair accessible bathrooms You may choose to catheterise under a blanket using a closed system catheter like the VaPro Plus touch free intermittent catheter Q How should I prepare for a trip A Check with the airline when making travel arrangements for special accommodations i e ask for assistance to board the plane if needed request a larger bag allowance You should also familiarize yourself with the policies of your airline Alert hotels about your needs before your arrival and request any equipment you will need i e tub bench roll in shower etc Even cruise lines must provide handicap accessible rooms Be very specific about what you need when making reservations Research your travel destination to prevent surprises with regard to physical barriers Be sure to carry your medications and supplies for catheterisation and other self care routines in your carry on luggage Get as much rest as possible maintain your usual care routines and drink plenty of fluids Drink bottled water if th
10. e tap water is questionable Q What do I need to carry with me to catheterise away from home A While the need for supplies varies by individual ensure that you have enough catheters to use during your time away from home any supplies needed for proper cleansing and a bag to dispose of your catheters if you are not able to locate a waste bin 31 32 Frequency volume chart Important please read carefully It is important that you fill in the chart on the next page to monitor your progress with ISG It is designed to give an idea of your average fluid intake urine output and any leakage during the day This is important to your healthcare professional Each day record how much you drink see pictures below for a guide of how many mis and when you drink it put the volume in the box orovided for that time If you often drink from the same or similar sized cups then you need only measure how much it holds once and put that value down every time you drink from it otherwise use our guide for the amount in mls When you go to the toilet measure the urine you pass using a small jugs Record the volume in mls rather than fluid ounces Record it in the box next to the nearest hour in the out column When you use the catheter measure the amount of urine drained and place in the column marked catheter When you go to bed put a B on the chart next to the right time so that we can tell how many times you have to
11. f the urethra with mild unscented soap or a non alcoholic wet wipe Remove ring cap from protective tip of catheter Direct the funnel end of the catheter into an appropriate receptacle or toilet Please turn over for steps 7 10 VaPro touch free intermittent catheter Procedure Guide for Males Hold the catheter in one hand and with the other hand advance the catheter forward until the tip of the catheter fills the protective tip taking care that the catheter does not protrude from the tip Grasp the catheter below the protective tip plate and insert the protective tip until the base comes in contact with the urethral opening Relax the foreskin Keep the protective tip in place Insert the catheter forward until urine starts to flow Once urine flow has stopped slowly withdraw the catheter to ensure the bladder is completely empty Then gently remove catheter completely The catheter may be disposed of in a waste bin Do not flush it down the toilet Wash hands with mild soap and water and dry thoroughly Some suggested positions for catheterisation VaPro Pocket Touch Free Intermittent Catheter Cleverly compact Brilliantly hygienic Compact Package easy to carry easy to store The VaPro Pocket intermittent Catheter is hygienic in a small size package to compliment your daily routine Hollister Tip and Sleeve Catheters Simple Clean Independence Protective sleeve promo
12. hcare professional Prior to use of this device be sure to read i the complete information on how to use this device including Warnings Cautions and Instructions for Use and ii all other package inserts and labels supplied with the product and accessories Please consult a medical professional before using this product if any of the following conditions are present Severed urethra unexplained urethral bleeding pronounced stricture false passage urethritis inflammation of the urethra prostatitis in flammation of the prostate gland epididymitis inflammation of the epididymis testicle tube Self catheterisation should only be carried out after medical advice and only in accordance with the instructions provided Always follow the care plan and advice given by your healthcare professional For urethral intermittent self catheterisation ISC it is typical to catheterise at least 4 times a day at intervals of 6 to 8 hours If you are unsure about your catheterisation please contact your regular healthcare professional Note Store boxes in a flat position and at normal room temperature Not available for sale in the United States Hollister and logo VaPro VaPro Plus VaPro Pocket and Vaporphilic are trademarks of Hollister Incorporated 2015 Hollister Incorporated CC0449 Hollister
13. ladder A hollow organ with a muscular wall that has two functions the storage and emptying of urine ISC Intermittent self catheterisation Kidneys Two bean shaped organs which lie internally on either side of the spinal cord whose purpose it is to filter waste from the blood and to produce urine Pelvic floor A set of muscles that give you control when emptying your bladder or move you bowels Prostate A small organ in males located below the neck of the bladder encircling the urethra Rectum The lower end of the large intestine leading to the anus Sphincter A round voluntary muscle surrounding the urethra that opens and closes to hold urine in or let it drain out of the bladder Ureters Two hollow tubes that carry urine from the kidneys to the bladder Urethra A muscular tube that carries urine from the bladder to the outside of the body Urinary retention A state in which the bladder cannot be emptied completely A fittleworth As part of Hollister s on going commitment to improving patient care we have teamed up with Fittleworth to bring you an even faster more convenient dedicated home delivery service Fittleworth have an enviable reputation of having over 30 years of experience in supplying continence appliances With over 30 care centres throughout the UK Fittleworth is able to offer all its customers a reliable first class service D ap op op feb lt h oD
14. lps shield the sterile catheter during insertion and removal from bacteria located within the first 15mm of the distal urethra Easy to open packaging large finger holes with tear strip to help facilitate easy opening 10 Hollister Tip and Sleeve Catheters Simple Clean Independence Protective sleeve promotes easy handling while also helping to keep bacteria away Protective tip Active Vapour Strip helps bypass bacteria inside foil packaging in the first 15 mm of the distal urethra Self adhesive tab allows the packaging to be adhered to a hard surface VaPro Touch Free Hydrophilic Intermittent Catheter with TiemacS tip The VaPro Hydrophilic Intermittent Catheter range from Hollister now includes options with the Tiemann tip The new addition is designed to help manoeuvre around the tight bends found in a narrow urethra The NEW Tiemann catheters are suitable for males who have an enlarged prostate or similar condition VaPro touch free intermittent catheter Procedure Guide for Males Wash hands with mild soap and water and dry thoroughly To open the catheter package pull top finger hole toward you at least halfway down the package If necessary use the adhesive strip on the catheter package to affix the package to a surface while preparing to catheterise Lay the catheter on the open package Hold the penis Pull back foreskin if present and cleanse glans and opening o
15. n of the spinal cord and then to the brain to communicate that the bladder is full At that time if it is convenient the brain sends a message to the bladder telling it to contract in order to release the urine At the same time the brain sends a message telling the sphincters to relax A healthy functioning nervous system and brain are very important for proper coordination of this complex process n gt jab mn lt nm lt fp J q gt Front view of male urinary system Ureters Detrusor muscle Bladder Side view of male urinary system Prostate gland Kidney Urethra Ureter Large intestine Bladder Rectum 2 Urethra Penis Bladder Problems Neurogenic Bladder Disorder If you have been diagnosed with a neurogenic bladder it means that you have some type of bladder malfunction caused by a neurologic disorder or injury Your bladder may empty too frequently not frequently enough or in an uncoordinated way Your urinary sphincters may also work incorrectly The way your bladder and sphincters behave depends on the location of the neurologic disorder in your brain spinal cord or peripheral nerves and the extent of your disease or injury If your bladder empties too frequently it may be described as hyper reflexive Spastic or overactive Your body is unable to store as much urine as it should and the bladder empties more frequently than a healthy bladder Thi
16. ng Your Intermittent Catheter Size and Design Catheters come in a variety of sizes materials and styles Catheters are sized on the French scale abbreviated Fr which is a measure of diameter One French is equal to 1 3 of a millimeter The most common sizes used by adults are 12 Fr and 14 Fr and it is generally best to use the smallest size that you can Your healthcare provider will prescribe the proper size for you Since the catheter is inserted into the urethra until the tip of the catheter enters the bladder and urine begins to flow the exact distance is different for every person Generally men use longer length catheters about 40cm Hollister Tip and Sleeve Catheters Hollister tio and sleeve catheters can help you focus on what matters Hollister offers you several VaPro touch free intermittent catheter options to provide the right balance of ease of use and protection and the catheters are designed to be easy to teach and easy to learn Only one training approach is required for all catheter options The touch free design helps keep germs away with a protective tip and sleeve Hollister tio and sleeve catheters are designed to help protect you from germs throughout your catheterisation process e They help protect the entire catheter from bacteria from the time the package is opened until after insertion with the unique tip and sleeve design e You can grip anywhere there s no wrong place to touch the
17. s can cause nocturia urinating more than once at night urgency a strong desire to urinate and frequency voiding more than 8 times in 24 hours Some neurologic disorders prevent the bladder from emptying properly Your bladder fills with urine yet you don t feel the need to urinate or you can t make the urine come out This type of bladder disorder can also be described as flaccid or atonic bladder and it can result in urinary retention or the inability of the bladder to empty Common Issues Neurologic disorders or injuries can also cause Men may experience the urinary sphincters to function improperly problems with urination They may not close or open at the right times or as they age In males may not close at all In a condition called detrusor the prostate gland sits sphincter dyssynergia the pelvic floor muscles underneath the bladder and contract and close the urethra when the bladder wraps completely around the contracts preventing the bladder from emptying urethra The prostate can This can cause urine to flow up the ureters pam MJE nies hes toward the kidneys which can possibly damage block the flow of urine from the kidneys the bladder zz D 2 D am U I e D a Anyone having problems with urination incontinence Types of Neurogenic Bladder Disorders or change in urinary Flaccid or Occurs after acute spinal cord habits should consult their Atonic Bladder injury The blad
18. sleeve e The used catheter stays in the protective sleeve during removal How the Protective Tip Works Hollister touch free intermittent catheters have a protective tip that covers the tio of the catheter The catheter is advanced into the protective tip and then the protective tip is inserted into the urethra figure 1 The protective tip helps prevent the catheter from coming into contact with the germs that are in the first 15 mm of the urethra figure 2 The protective tip helps protect the catheter from becoming contaminated figure 3 Urethra Bacteria Protective Tip Urethra Urethra Hollister Tip and Sleeve Catheters Simple Clean Independence ep F oO QD lt ap DV ret F iq 4 VaPro Touch Free Intermittent Catheter VaPro touch free intermittent catheter puts you in control VaPro touch free intermittent Ring cap TE helps keep protective tip catheter gives you the right clean and protected after balance of ease of use and package is opened protection so you can be in control of your catheterisation Simple insertion and removal e Ready to use with pure catheter hydration technology Designed to be evenly lubricated for easier insertion Helps provide ease of insertion and withdrawal with smooth eyelets Touch Free e The catheter can be gripped anywhere along the protective sleeve e The protective tip he
19. t coating A The VaPro touch free intermittent catheter coating uses a common hydrophilic ingredient PVP polyvinylpyrrolidine A proprietary process was developed to coat the catheter evenly and to make the coating less likely to shed Q How is the VaPro touch free intermittent catheter lubrication process unique A The lubrication technology uses a PVP polyvinylpyrrolidine ingredient within the hydrophilic coating Sterile water vapour activates the coating making this process unique Q What is unique about the VaPro touch free intermittent catheter packaging A Its easy access packaging is the first with both a tear strip opening and finger holes helping to ease access for those with limited dexterity Q How many eyelets are on the VaPro touch free intermittent catheter A The VaPro touch free intermittent catheter has two offset smooth eyelets Q What features should a catheter have A Desirable features include the following Catheter material that is biocompatible does not cause allergic reactions flexible to accommodate the urethral contours and durable so that it retains its shape even with temperature variations It should also provide atraumatic gentle and comfortable insertion be ready to use easy to handle and enable the user to apply a no touch technique to help reduce the risk of infection Hollister Incorporated does not provide medical advice or services The information provided herin is not a substitut
20. tes easy handling while also helping to keep bacteria away Ring cap helps keep protective tip clean and protected after package is opened Simple insertion and removal e Ready to use with pure catheter hydration technology e Designed to be evenly lubricated for easier insertion e Helps provide ease of insertion and withdrawal with smooth eyelets Touch Free e The catheter can be gripped anywhere along the protective sleeve e The protective tip helps shield the sterile catheter during insertion and removal from bacteria located within the first 15 mm of the distal urethra Protective tip helps bypass bacteria in the first 15 mm of the distal urethra Compact Pocket Size e Easy to carry package provides better convenience and storage e Full length catheter fits easily into a pocket or backpack package is only 14x 10 5cm lt per U U oO ep A iq rt VaPro Pocket touch free intermittent catheter Procedure Guide for Males Wash hands with mild soap and water and dry thoroughly To open the catheter package pull finger hole toward you down the package Remove the catheter from package Lay the catheter on opened package Hold the penis Pull back foreskin if present and cleanse glans and opening of the urethra with mild unscented soap or a non alcoholic wet wipe Remove ring cap from protective tip of catheter Hold the catheter straight Please t
21. the go Simple insertion and removal e Ready to use with pure catheter hydration technology e Designed to be evenly lubricated for easier insertion e Helps provide ease of insertion and withdrawal with smooth eyelets Touch Free e The catheter can be gripped anywhere along the protective sleeve e The protective tip helps shield the sterile catheter during insertion and removal from bacteria located within the first 15 mm of the distal urethra Ring cap helps keep protective tip clean and protected after package is opened lt D U a o P D plu vaP gig violist 2 ET Tr E D i L A Teor here 4 S to empty r y 1000 mL collection bag A great choice for those who prefer the convenience of a collection bag e Catheterise on the go no receptacle needed with the integrated collection bag e Convenient handling because the catheter is located outside the collection bag Hollister Tip and Sleeve Catheters Simple Clean Independence 23 VaPro Plus touch free intermittent catheter system Procedure Guide for Males Wash hands with mild soap and water and dry thoroughly To open the catheter package pull top finger hole toward you at least halfway down the package If necessary use the adhesive strip on the catheter package to affix the package to a surface while preparing to catheterise Lay the catheter on the open package 24 Please turn over for steps 7 11
22. up into the kidneys Muscles in the ureters push urine down from the kidneys to the bladder almost constantly Bladder The bladder is a hollow organ with a muscular wall and two primary functions the storage and emptying of urine In a relaxed state the adult bladder can hold about 470ml of urine before you feel a strong urge to urinate The size and shape of the bladder and the amount of urine stored varies from person to person Emptying the bladder also called voiding or urination involves the coordination of both voluntary and involuntary muscles When the bladder is emptied urine leaves the body through a tube called the urethra Voiding occurs when the bladder muscle also called the detrusor contracts and the sphincters open Urine then passes through the urethra and leaves the body Sphincters The urethra is surrounded by two ring like muscles called the internal and external sphincters The external sphincter is the one you control when you urinate The sphincters work best when the pelvic floor muscles are healthy and strong The pelvic floor muscles consist of several small muscle groups that surround the urethra and rectum They provide support to the organs of the pelvis and they help to hold the urethra in place Nervous System The process of urination involves coordination between the bladder the sphincter muscles and an intact nervous system When the bladder is full nerve impulses are sent to the lower portio
23. urn over for steps 7 10 VaPro Pocket touch free intermittent catheter Procedure Guide for Males Direct the funnel end of the catheter into an appropriate receptacle or toilet Hold the catheter in one hand and with the other hand advance the catheter forward until the tip of the catheter fills the protective tip taking care that the catheter does not protrude from the tip Grasp the catheter below the protective tip plate and insert the protective tip until the base comes in contact with the urethral opening Relax the foreskin Keep the protective tip in place Insert the catheter forward until urine starts to flow Once urine flow has stopped slowly withdraw the catheter to ensure the bladder is completely empty Then gently remove catheter completely 20 The catheter may be disposed of in a waste bin Do not flush it down the toilet Wash hands with mild soap and water and dry thoroughly Some suggested positions for catheterisation 21 22 VaPro Plus Touch Free Intermittent Catheter System Convenience on the go Protective tip helps bypass bacteria in the first 15 mm of the distal urethra The VaPro Plus Hydrophilic Intermittent Catheter offers all the benefits of the standard VaPro Protective sleeve ig Catheter with the promotes easy handling added advantage while also helping to of an integral keep bacteria away 1000ml collection bag delivering catheterisation on
24. y the prostate or seminal vesicles Some symptoms of UTIs are e More frequent urination than normal e Leakage of urine between normal voiding or catheterisation e Increased muscle spasms if you are spinal cord injured e Fever e Back pain e Milky cloudy or darkly coloured urine e Foul smelling urine Unlike an indwelling catheter which stays in your bladder for extended periods of time intermittent catheterisation is the insertion and removal of a catheter several times a day to empty the urinary bladder People who use intermittent catheterisation as a method of emptying their bladder should follow the recommended frequency of catheterisation provided by a healthcare practitioner Intermittent catheterisation is easy to learn and a common way people with a neurogenic bladder manage their disorder Supplies can be carried discreetly in a pocket or bag and the procedure can be done fairly quickly To learn the procedure you must learn where the catheter is inserted and how to use the product You must also be able to reach your urethra and manipulate the catheter You can drain the urine through the catheter into the toilet or a disposable bag People of all ages can learn how to perform intermittent catheterisation A caregiver or family member can also perform intermittent catheterisation if you are unable to perform it yourself Your healthcare provider will work with you to find the best solution for you Choosi
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