ISC intermittent catheterisation

What is an intermittent catheter?

An intermittent catheter, also known as ISC catheter, is a flexible and tubular instrument for emptying the bladder. Unlike permanent catheters, it serves the purpose of one-time bladder emptying. The special feature: This catheter is designed for an independent application and reduces, compared to the use of a permanent catheter, the risk of urinary tract infection.

What is intermittent catheterisation ?

The intermittent catheterisation is the practice for the application of an ISC catheter. The patient receives beforehand an instruction of use. This method is easy to learn. Most of the patients and even children at the age of 8 years are able to catheterise themselves. In case of poor hand dexterity, special helping tools can be used in order to make the procedure easier.

ISC intermittent catheterisation – ISC catheter: The first choice

The ISC intermittent self-catheterisation makes sense for every person having certain indications. It is without any doubt safe. Not only for short-term use, but rather also for intermediate- and long-term usage. If the natural emptying of the bladder is disturbed, the use of an ISC catheter is normally preferable to other types of catheters.

Catheter - ISC intermittent catheterisation

The self-catheterisation serves the purpose of emptying the urinary bladder in regular intervals. Provided that the patient has the ability to self-catheterise, the patient empties the bladder, depending on the diagnosis, between 1-2 or 4-6 times daily. For this a sterile single-use catheter is used.

The ISC catheter empties the bladder completely and without pressure – irrelevant of male or female. Even children can be educated to do this independently.

Nevertheless, the self-catheterisation is depending on the user. The patients physical and psychical conditions are the basis for this application. These include inter alia basic fine motor skills of the hands and fingers, sufficient visual capability as well as the individual drive and will of the user.

ISC intermittent catheterisation - Advantages

To diminish urological complications, the use of an ISC catheter is the most recommendable method of emptying the bladder. Thanks to the short application time, possible complications and ascending urinary tract infections are reduced. Impairments of the upper urinary tract, bladder stones or possible constrictions appear quite seldom.

Further advantages:

  • The ISC give the patients a certain mobility
  • gives autonomy
  • ability of having sexual activities
  • and positively enhances the user’s life quality.

Should the user, due to certain medical reasons, be unable to apply ISC catheterisation, there is still the possibility of intermittent external catheterisation, the IEC. For this application, a third person – for example a family member or a nurse – conducts the catheterisation.

How often the ISC is done differs between every individual patient and takes place according to the agreement of the doctor concerned or the medical professionals.  

Good for the recovery, good for the patient – ISC intermittent catheterisation

The use of an ISC catheter not only reduces possible complications and recurring urinary tract infections, but also the use of an ISC catheter comes very close to the natural procedure of urinating. Furthermore, the patient has also the possibility to decide independently when to empty the bladder.

Additional extra: With the common method of the intermittent self-catheterisation, the recovery time after an operative surgery is reduced. The user thereby finds a quicker way back to the natural way of urinating.

So good, so safe – Among the ISC catheters there are different products with different coatings, such as a hydrophile- or gel- coating. Under all circumstances it is of importance to have good glide properties as well as rounded drainage eyes, in order ensure a safe usage with the lowest risk of complications possible. Catheters with an introducer tip provides even more safety.

Self-catheterisation – ISC intermittent catheterisation for mor life quality

The use of an ISC catheter is not only safe, effective and the risks of complications are lower, it also gives the patients freedom, independency and the intimacy also remain unrestricted. Hence this method has become the first choice among doctors and medical professionals. The experts’ standard of the German Network for Quality Development in the care sector (DNQP) highly recommends the use of an ISC catheter rather than a suprapubic or transurethral long-term catheter, if the patient has the ability and will to commit to self-catheterise. Especially patients diagnosed with neurogenic bladder dysfunction, the ISC catheter is the first choice. In individual cases, the treating doctor decides which type of catheter shall be used.

Indications – ISC intermittent catheterisation

The medical reasons for the use of ISC are different. On one hand ISC catheters are applicable for treatment (therapy) as well as for examination (diagnostic) of different diseases.

Areas of application are in particular disorders of the urethra as well as micturition disturbances. Urinary retention, residual urine due to neurological disorders, and urinary incontinence are all considered as indicators. Hence this discreet method is used by patients with for example a paraplegia, previous stroke, overactive bladder, prostatic diseases, multiple sclerosis or Parkinson’s.

Execution of self-catheterisation – ISC intermittent catheterisation

If using an ISC catheter, a good instruction and organised preparation are the most important things. In order to make it as quick and uncomplicated as possible for the patient, all inherent heling aids should be placed within reach.

Especially for the long-term use it is recommended to use ISC-catheters with a flexible tip, rounded drainage eyes (holes) and products with good glide properties. By using ISC-products with an introducer tip, the risk of infiltration of germs is reduced. For patients with recurring urinary tract infections, those products are advisable.

ISC intermittent catheterisation – Ready to use disposable catheters

ISC intermittent catheterisation: In order to cope with the different demands of users, different products are offered for ISC.

The MTG-catheters EZ-Advancer and the Cath-Lean for females with an introducer tip and an integrated collection bag offers a safer and easier handling. The introducer tip reduces the risk of urinary tract infections, because the catheter stays inside the introducer tip, up until the first part of the urethra is bridged, as this is the most germ contaminated area. The urine is collected in the connected collection bag and can then be emptied in the toilet.

The MTG-catheters for both males and females are ready for use thanks to the gel coated catheter.

ISC intermittent catheterisation: Independent bladder control for at home

Manifold catheters for manifold needs

To determine which product is most suitable, patients need to independently test and learn on their own.

In respect of determining the right product, a broad selection of products are available with different coatings, such as hydrophile or gel coatings. A special attention should be given on good gliding properties as well as rounded drainage eyes (holes). The ready to use catheters are available in different sizes – from 6 Charrière up to 20 Charrière- The length differs from 10cm, 15cm, 25cm and up to 40cm.

Are you looking for further GHC products for revulsive incontinence? In our assortment you can find further numerous applications: From leg bagsbedside bags, the matching leg bag fixationirrigation catheter and much more.

Product recommendations

Care Flow UB 2000

Closed urine drainage system with a filling capacity of 2000 ml (04/02/2000)
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Bluecath silicone catheter

Suprapubic 2-way integral balloon catheter with dilatation tip and plug (01/02/21)
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Closed urine drainage system for day & night (04/03/1000)
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CARE FIX Fabric leg bag holder for the thigh

Fabric leg bag holder with an integrated leg bag pocket (05/02/12)
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Care Dress Abdominal PEG dressing set

For an effective dressing change of a PEG entry point (08/02/PEG/GHC)
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Care Flow UMS 2500 Urine measurement system

Closed Urine measurement system, incl CAREFLOW UB 2000UMS changing bag, 2000 ml (04/08/2000)
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Care Set cathter insertion kit

Type Comfort Eco (01/01/99/KL/CE/GHC)
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