Neurogenic Bladder Explained: Causes and Management

The central nervous system consists of the brain, the spinal cord, and many nerves in between. It is responsible for many of the functions within our bodies. When the brain and the nervous system are not properly communicating, or there is damage to these nerves, messages that are supposed to be sent to and from the brain are disrupted. In neurogenic bladder, the nerves do not work the way that they should. Find out more about this condition, including symptoms, risk factors, and potential treatment options.

What is neurogenic bladder?

Neurogenic Bladder (NGB) happens when conditions related to the brain, spinal cord, or central nervous system affect the bladder. Under normal conditions, the bladder communicates with the brain to hold or release urine. When the nerves that control this communication are disrupted, the bladder becomes either overactive or underactive, depending on the nature of the damage. This condition occurs when neurological issues interrupt these critical messages, causing the bladder to malfunction.

The two different types of neurogenic bladder are:

Overactive bladder

Overactive bladder (OAB) causes you to have little or no control over your urination. It can also cause you to feel a sudden urge or frequent need to urinate.

Underactive bladder

Underactive bladder (UAB) occurs when your bladder muscles are unable to hold urine. The brain fails to send the proper nerve signals, and the ability to sense when your bladder is full or when to empty it is lost, leading to urine leakage.

What are the symptoms of neurogenic bladder?

woman holding her hands on her stomach in painThe symptoms of neurogenic bladder depend on what is causing the condition. The most common symptom of NGB is the inability to control urination. You can either lose control over your ability to urinate (overactive bladder or OAB) or are unable to empty the bladder fully, or have slow bladder emptying (underactive bladder or UAB).

Other symptoms of NGB may include:

Urinary Tract Infection

A urinary tract infection (UTI) is often one of the first signs. Those with overactive and underactive bladder often experience repeated urinary tract infections. UTIs are caused by harmful bacteria, viruses, or yeast growing in the urinary tract.

Urine Leakage

Urinary incontinence happens when the bladder muscles may be overactive and squeeze more often than regular, leading to urine leaks. You may leak just a few drops of urine, or you may expel a large amount of urine. This urine leakage can happen at any time of the day or night.

Urine Dribbles

With underactive bladder symptoms, you may only dribble a little bit of urine. You may not be able to empty your bladder fully or may not be able to empty your bladder at all. Urine dribbles are most common in those with diabetes, MS, or who have had major pelvic or bladder surgery. The sphincter muscles around the urethra may not work correctly, or they may stay constricted when trying to empty your bladder.

Frequent Urination

Feeling the sudden urge to pass urine often may happen to those with overactive bladder. Frequent urination is passing urine more than eight times in 24 hours. After feeling the sudden urge to urinate, some experience urine leaks, which can be a few drops or a more significant amount.

It is critical to contact your doctor if you have these symptoms or others that are related to urinating. More harm to the urinary system may happen by leaving signs and symptoms to progress without proper medical treatment.

Who is at risk for neurogenic bladder?

Neurogenic bladder can be from a congenital disability or caused by a brain disorder or bladder nerve damage. Whatever the cause may be, the nerves that communicate between the brain and the bladder are not working correctly.

Congenital disabilities that can cause neurogenic bladder include:

Spina bifida

When a fetus’ spine does not fully develop during the first month of pregnancy, Spina bifida occurs. After birth, babies often have weakness or paralysis that affects the bladder and how it works.

Sacral agenesis

Sacral agenesis is a congenital condition in which parts or all of the sacrum and lower spine are missing.

Cerebral palsy

Cerebral palsy is a group of chronic disorders that affect a person’s ability to control body movement and posture. These disorders result from injury to the motor areas of the brain. Cerebral refers to the brain, and palsy refers to weakened muscles. Cerebral palsy may occur in the womb or after birth and is not always diagnosed in the first year of life.

Various other medical conditions and brain disorders that can cause neurogenic bladder include the following:

  • Stroke
  • Parkinson’s disease
  • Alzheimer’s disease
  • Multiple sclerosis
  • Spinal cord injuries
  • Erectile dysfunction
  • Trauma/accidents
  • Central nervous system tumors
  • Heavy metal poisoning

If your doctor thinks you might have a neurogenic bladder, they will perform or order nervous system and bladder muscles tests. By treating the underlying condition, symptoms can often be reduced.

How is Neurogenic Bladder Diagnosed?

Various tests can help determine the health of the central nervous system and the bladder for a doctor to determine if neurogenic bladder is the diagnosis.

Some of the typical testing a doctor may perform or order includes:

Medical history

Your health care provider may ask you several questions to understand your medical history. These questions may include:

  • Symptoms you are having, how long you have had them, and how they are changing your life
  • Information about your past and current health problems
  • A list of the over-the-counter and prescription drugs you are taking
  • How your diet is and about how many liquids you drink during an average day

Physical exam

A physical exam may help your doctor better understand what might be causing your symptoms. The physical exam will likely include your abdomen, pelvis or prostate, and rectum.

Urine culture

A sample of your urine is tested for blood or infection when asked for a urine culture.

Bladder scan

A bladder scan is an ultrasound that shows the amount of urine remaining in the bladder after using the restroom.

Bladder Diary Page 1Bladder diary

You may be asked to keep a bladder diary to track how often you are using the restroom or leaking each day. By keeping a bladder diary for a couple of weeks, your doctor and you can sit down to discuss and learn more about your daily symptoms.

You can download and print your bladder diary here: Bladder Diary

Cystoscopy

A catheter with a tiny camera is inserted into the urethra during a cystoscopy to look into the bladder. This procedure can help the doctor diagnose urinary problems and determine what treatment is necessary. The test can tell how much the bladder can hold, how elastic it is, and when you feel the need to release urine. Bladder cancer, an enlarged prostate, and UTIs can all be found during a cystoscopy.

Other imaging

Your doctor may need to do additional imaging tests such as x-rays and CT scans to help diagnose your condition. Your doctor may also refer you to a specialist for imaging of the spine and brain.

How is Neurogenic Bladder Treated?

Treatment for neurogenic bladder is dependent on what is causing your symptoms and how serious they are. Manufacturers in the medical industry continue to release new inventions to help improve bladder control. The most popular surgery for both men and women is bladder sling surgery. Your doctor may consider these procedures when helping you determine what may work best for you. The goal of the treatment chosen by you and your doctor is to control the symptoms and prevent damage to the kidneys.

Currently, there is no cure for neurogenic bladder, but these are some options your doctor may recommend as treatments to help manage your symptoms:

Portrait of happy young Caucasian woman wearing sportswear doing pelvic muscle exercise lying on mat and smiling in gymBladder training

Kegel exercises can help strengthen your pelvic floor muscles. Since these muscles support your bowel and bladder, practicing these exercises can help prevent urinary leakage. To learn more about Kegel exercises for pelvic floor health, visit our blog post, Take Control of Your Pelvic Floor Disorder.

Delay urination

By waiting a few minutes after you feel the urge to urinate, you are practicing delayed voiding. The goal of delaying urination is to extend this time to a few hours in another attempt to train your bladder.

Urinate on a schedule

By urinating at certain times throughout the day, you might avoid, which can help prevent your bladder from becoming too full. Your doctor may also ask you to keep a bladder diary or journal to record any leakage incidents. A bladder diary can help you determine the best intervals for urinating.

Incontinence products

Incontinence products such as protective underwear, pads, panty shields, panty liners, and adult diapers can help prevent wetness and odors while protecting skin and clothing. The use of underpads, bed pads, chux, and mattress protectors can protect mattresses.

Intermittent catheterization

Your doctor may recommend intermittent catheterization to ensure complete bladder emptying. You may need to self-catheterize a few times a day; however, the catheter may need to stay in long-term in some instances. A variety of intermittent catheters are available to ensure the experience is as smooth and comfortable as possible.

Medication

Your doctor can prescribe medications to help improve bladder function. Specific medicines for neurogenic bladder depend on if your bladder is overactive, underactive, or both.

collage of coffee mug, brownies, tomatoes, and alcoholic beveragesChange of lifestyle and diet

Making a few lifestyle changes might be a good first step for those with minor nerve damage. Maintaining a healthy weight can reduce pressure on the bladder and help relieve symptoms of overactive bladder. Avoiding foods and beverages such as the following can also help reduce or prevent irritating your system:

  • Caffeine
  • Alcohol
  • Spicy foods
  • Dairy
  • Chocolate
  • Artificial sweeteners
  • Citrus fruits
  • Fruit juices

Electrical stimulation

Another treatment option is electrical stimulation therapy. This therapy involves placing small electrodes on the bladder. When stimulated, the electrodes can send impulses to the brain, telling it you need to urinate.

Botox for OAB

Botox works by stopping the nerve signals to the bladder muscles that trigger OAB. The entire procedure is outpatient and typically done in a doctor’s office. Your doctor will fill your bladder with a numbing agent. Once the bladder is numb, a cystoscope is inserted through the urethra, and Botox is injected into multiple strategic points of the bladder muscle. Your doctor will discuss Botox as a treatment for neurogenic bladder if you are intolerant to all other medications and treatment options.

Surgery

If other treatments fail, you could require a procedure or device to help you urinate. Your doctor can insert an artificial sphincter into your body that compresses the urethra to prevent urinary leakage, which can be manually released to allow emptying of the bladder. Other surgical options include bladder reconstruction surgery which may help with bladder control, or undergoing urostomy surgery. With a urostomy, the ureters are attached to a small portion of the ilium that is then used to create a stoma. A urostomy pouch is then be used to collect and discard urine from the body.

At Personally Delivered, we carry a wide range of incontinence products, catheters, ostomy supplies, and more to manage various symptoms from medical conditions. For help choosing the products, you need for your unique situation, give us a call. One of our compassionate, knowledgeable, and friendly Product Experts is ready to assist.

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Disclaimer: Important Notice Regarding Medical Advice

The information provided in this blog is intended for general informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment.

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Botox Treatment for Overactive Bladder

Are you experiencing a sudden urge to urinate more often than usual? Do you find yourself unable to make it to the restroom in time? Or are you experiencing side effects from certain medications that impact your bladder? If so, you might be wondering if Botox treatment for Overactive Bladder may be the right solution for you.

What is Overactive Bladder?

An Overactive Bladder (OAB) can happen to anyone, regardless of age, sex, or race. It is a chronic incontinence condition that affects the communication between nerve signals and bladder muscles. The bladder muscles contract uncontrollably, resulting in the involuntary leakage of urine. These uncontrollable spasms of the bladder create a strong and sudden urge to urinate and are often accompanied by frequent urination throughout the day and night.

What is Botox?

Botox, formally termed onabotulinumtoxinA, is a drug that is classified as a neurotoxin. Neurotoxins disrupt the nervous system and how it functions. These types of drugs specifically are toxins that destroy nerve tissue. Since the nerves cannot transmit signals to the muscles when Botox is injected, the muscles become extremely relaxed or paralyzed.

How Can Botox Treat Overactive Bladder?

Have you experienced severe side effects from OAB medications or did not find relief using those medications? Before discussing Botox as a treatment for your OAB, start thinking about how OAB may be affecting your life.

  • Is OAB limiting your daily activities because you frequently need to find and use restrooms?
  • Are you limiting your intake of fluids?
  • Do you feel embarrassed that others are noticing your symptoms?
  • Are you experiencing frustration because OAB impacts your daily decisions like what you wear, where you go and affects your self-confidence?

If OAB is compromising your overall quality of life, Botox for Overactive Bladder may help.

In your body, certain chemicals travel from nerve cells to bladder muscle cells so they can contract and you can urinate. With OAB, these muscles uncontrollably contract and cause a sudden urge to go to the bathroom, causing involuntary leakage or the need to urinate many times throughout the day.

Botox can help patients with OAB reduce their leakage episodes by 50%-75%. It works by stopping the nerve signals to the bladder muscles that trigger OAB. The entire procedure is outpatient and typically done in a physician’s office. Your doctor will fill your bladder with a numbing agent. Once the bladder is numb, a cystoscope is inserted through the urethra, and Botox is injected into multiple strategic points of the bladder muscle. The entire prep, procedure, and monitoring should take approximately one hour.

What are the Possible Side Effects of Botox Treatments for Overactive Bladder?

Coloplast SpeediCath Compact Catheter Set for WomenAfter the Botox treatment for Overactive Bladder is complete, you may have a few side effects such as:

  • It may sting or burn when you urinate the first few times after treatment.
  • You may notice a small amount of blood in your urine.
  • You might experience an inability to empty your bladder fully.
  • You might get a urinary tract infection (UTI).

If any of these symptoms persist longer than a week, you should contact your doctor. If you continue to have trouble fully emptying your bladder, your doctor may prescribe the temporary use of an intermittent catheter such as the Infyna Chic Hydrophilic Female Catheter or the SpeediCath Compact Sets for Women or Men. Since Botox treatment for Overactive Bladder has had much success, using a catheter has been a rare side effect.

How Long Does Botox Treatment for Overactive Bladder Last?

Each person will respond differently to Botox treatment for Overactive Bladder. The Botox injections can help manage OAB with as few as two treatments per calendar year. After the first treatment, you should experience fewer and fewer leakage episodes as the weeks move on. In clinical trials, Botox relieved OAB symptoms for up to six months.

It may be helpful to keep a bladder diary to track your urination pattern and how you felt before and after Botox treatment for Overactive Bladder. When you meet with your doctor to discuss the results of your treatment, bring this bladder diary with you. Your doctor will use this as a tool to determine if you may need an additional Botox treatment sooner than every six months.

Download our useful Bladder Diary now.

Is Botox as a Treatment for OAB Covered by Medicare?

The good news is Botox treatment for Overactive Bladder is covered by most insurance companies, including Medicare. You may have no out-of-pocket expense; however, the cost of Botox is different for everyone depending on your specific insurance company.

To see if you are eligible and to find out how much Botox treatment for Overactive Bladder will cost you, visit this handy calculator now.

For any questions related to incontinence products that we offer to help manage Overactive Bladder symptoms, please Contact Us or give us a call at (800)777-1111. Our compassionate and experienced team is here to help make life a little easier for you so you can get back to enjoying life.

Products to Help Manage Overactive Bladder

Disclaimer: Important Notice Regarding Medical Advice

The information provided in this blog is intended for general informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment.

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Bladder Exstrophy: Treatment and Outlook

Many pediatric urological complications can happen before, during, and after childbirth. Some of them are more serious than others, and some are more easily treatable. Bladder exstrophy is one of those conditions that affect the child as they are developing in the womb. Luckily, there are reconstructive procedures that can repair this congenital abnormality so that children can grow up and enjoy most of the same activities as others.

What is Bladder Exstrophy?

Bladder exstrophy is a developmental abnormality that happens when the lower abdominal skin does not properly form, causing the bladder and part of the urethra to be exposed to outside elements. The bladder is essentially turned inside out when the muscle and skin do not correctly close around it. The inner lining of the urethra is exposed on the top of a boy’s penis or between the separated left and right halves of the clitoris in girls.

Due to the bladder and urethra not being closed properly, the bladder cannot hold urine. Urine continuously leaks out and onto the exposed bladder and the surrounding skin. Bladder exstrophy is slightly more common in boys than girls.

How is Bladder Exstrophy Repaired?

A child born with bladder exstrophy requires some form of immediate treatment after birth. First, the bladder and urethra need to be protected from diaper material with a transparent adhesive dressing. Each child will be different when it comes to a specific plan of treatment that the primary care physician, pediatric urologist, and the urology health care team devise.

There are also different options for the repair; immediate or delayed. Immediate reconstructive surgery will be performed within the first two to three days of a child’s life, whereas delayed surgery will be around six to twelve weeks of age. Sometimes the delayed choice is preferred due to the small anatomy of a newborn. Allowing the body to develop more might be a safer repair option.

Bladder exstrophy reconstructive surgery usually involves multiple operations at different times in a child’s life as they mature to obtain the best results.

Initial Closure and Pubic Bone Repair

The first surgery is either done immediately after birth or delayed at approximately six to twelve weeks. This procedure closes the bladder, abdominal wall, and posterior urethra and reconstructs the belly button and pubic bone repair. Because the pubic bone is separated and spread widely apart in children with bladder exstrophy, correcting this abnormality when the bones are soft is more successful. Bringing the pubic bones closer together helps support the soft tissues of the pelvis.

Babies are put into a device, so their lower legs do not move. This device helps prevent the separation of the pelvic bones and aids in recovery.

Repair of the Urethra

If the initial surgery was delayed, this procedure could be combined with the first at approximately six to twelve weeks of age. The bladder should have increased in size at this point, and the urethra is closed and rerouted through the usual passageway. The ureters may be repositioned within the bladder if they are not connected in the right place.

Common Problems Associated with Bladder Exstrophy

Children with bladder exstrophy can experience problems at any stage of life after their surgical repairs are complete. Often, lifelong follow-up care is needed to help ensure the best quality of life.

Urinary Incontinence

Since the pelvic bones are spread widely apart in a child with bladder exstrophy, there is inadequate support of the soft tissue of the pelvis. Because of this lack of support, there is increased tension on the pelvic bones, leading to involuntary urinary leakage.

Vesicoureteral Reflux

When the ureters are not joining the bladder in the correct place, urine can flow back toward the kidneys. This backflow can lead to kidney damage and recurring urinary tract infections.

Emotional Issues

A psychologist or licensed therapist may need to be considered part of the child’s health care team. They can help the child and the family deal with complex issues together.

What are the Risks Involved with Bladder Exstrophy Surgery?

Wound Site Problems

There is a risk that the wound site will not heal properly and open up, causing the bladder to move out of position. Another surgery is required to repair this problem.

Kidney Damage

The other risk is kidney damage from vesicoureteral reflux when urine flows back into the kidneys. If this condition is left untreated, it can lead to kidney failure.

As with any surgical procedure, there are some risks. However, the health care team will monitor both of these conditions throughout the child’s treatment plan.

What is the Long-term Outlook for Babies Born with Exstrophy?

Children born with bladder exstrophy can live a happy and productive life with an average life expectancy. Many people have a normal sexual function and can have children of their own. Some males with bladder exstrophy may experience fertility issues. However, there are many treatment options available for that and can be discussed with a doctor.

Intermittent Catheterization or Urostomy Surgery Later in Life

little ones urostomy pouchDuring a child’s journey with bladder exstrophy, there may come when they are unable to empty their bladder on their own completely. In this case, the health care team can determine if the use of pediatric intermittent catheters might be an alternate approach. If a more long-term drainage solution is needed, a urostomy can be surgically created as an alternate opening for access to the urinary system. The child will then have complete control over urine flow from their body using an ostomy pouching system with a drainage tap.

Most children with bladder exstrophy go about their daily lives without anyone ever even knowing what is different underneath their clothing. They participate in sports and other activities much the same as any other child. The success stories are endless from families that have had a child undergo bladder exstrophy surgeries.

For any questions related to incontinence products, intermittent catheters, ostomy supplies, or any other product that we carry to manage medical conditions, our Product Experts are available to assist. Our compassionate and knowledgeable team will make it easy for you to choose the right products for your needs so you can get back to doing the things you enjoy most.

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How to Lubricate Your Catheter

If you are new or a novice to self-catheterization, you know how essential comfort is to the process. Inserting a tube into the urethra that is smooth and slick yet not messy will provide the best catheterization experience and put you at ease. Using a high-quality catheter lubricant to lubricate your catheter is an essential step in self-catheterization. We will dive into why this catheter accessory is important and how to use it to lubricate your catheter.

Why a Urinary Catheter is Needed

A catheter is needed when you are unable to urinate on your own. When urine builds up in the bladder, it can be uncomfortable and also cause problems such as serious kidney infections if left untreated. Self-catheterization is a way to completely empty your bladder when you need to. A thin, flexible tube is inserted into the urethra until it reaches the bladder. The catheter then lets the urine flow out into an attached urinary drainage bag.

Urinary catheters are used for a variety of reasons, such as:

  • Lengthy surgical procedures when you are under anesthesia and unable to control your bladder.
  • Nerve damage caused by a medical condition such as Multiple Sclerosis or a spinal cord injury.
  • Urinary incontinence that causes leakage or urinary retention that causes you to be unable to urinate.
  • An enlarged prostate, which can narrow the urethra or put additional pressure on the bladder.

Regularly emptying your bladder may prevent urine leaks and help prevent kidney damage from blocked urine and infections.

It is essential to stay clean when using a urinary catheter to help prevent infection. Part of this process is using a high-quality lubricant for catheters or choosing a hydrophilic or pre-lubricated catheter.

Using a Lubricant to Lubricate Your Catheter

If you’re using an uncoated straight catheter, it is recommended to use a high-quality catheter lubricant for a comfortable experience. When you lubricate your catheter, you may reduce the risk of urethral trauma and potential infections.

using a high-quality lube can improve the catheterization experience

Choosing Your Lubricant to Lubricate Your Catheter

Catheter lubricant should always be used when inserting an intermittent urinary catheter to reduce pain, discomfort, and friction. The use of lubricant to lubricate your catheter may also help reduce infections such as urinary tract infections (UTI). Choosing a high-quality sterile lubricant for catheters will aid in the most comfortable catheterization experience and do the best for you.

Some essential features of a high-quality lubricant to keep in mind when choosing your self-catheter lubricant include:

  • Water-soluble lubricant – offers the most comfortable slickness and will not compromise the integrity of a silicone catheter.
  • Viscous lubricant – reduces friction and makes the process smoother.
  • Bacteriostatic lubricant – contains agents that inhibit bacterial growth, which helps prevent infection.

Personally Delivered carries a wide variety of catheter lubricants from trusted brands such as Cardinal Health, McKesson, Cure Medical, Surgilube, HR Pharmaceuticals, and more. All of our catheter lubricants to lubricate your catheter that we carry are safe, sterile, and water-soluble. Lubricants for catheters are available in different packaging styles, all of which are convenient sizes for travel or on the go.

Healthcare professionals have used lubricants for catheters in flip-top caps or screw-on caps, such as Surgilube lubricants, since 1932. This catheter lubricant is water-soluble, sterile, viscous, and bacteria-inhibiting. Surgilube minimizes friction to provide a smooth and comfortable catheterization experience from start to finish.

Surgilube Catheter Lubricant with flip-top cap

HR Pharma Lubricating Jelly comes in a convenient 3-gram or 5-gram foil packet or in a 4-ounce tube. This catheter lubricant to lubricate your catheter is sterile, greaseless, water-soluble, and easy to clean up. The OneShot foil packets are designed to be easy to open and contain just the right amount of catheter lubricant for each use. HR Pharma Lubricating Jelly in the flip-top cap option is easy to open and close using just one hand for those with dexterity problems.

HR Pharma Lubricating Jelly Five Gram Foil Packets

How to Lubricate Your Catheter

Now that we have discussed the need for a catheter and the importance of choosing a high-quality lubricant, we will provide general instructions on how to lubricate your catheter and insert it. Your doctor should provide you with basic instructions when prescribed your catheters; however, you may find these instructions a bit more detailed.

Prepare the necessary supplies

Personally Delivered unscented wipesYou will need the following items:

  • Anti-bacterial soap and warm water or personal antiseptic wipes
  • Your clean intermittent catheter
  • Catheter lubricant (not petroleum jelly or Vaseline as they are not water-soluble)
  • A waterproof bed pad
  • A container to hold the urine or the toilet

Prepare for insertion

  • Try to urinate first before using your clean catheter.
  • Wash and dry your hands with anti-bacterial soap and warm water.
  • Clean the end of your penis or genital area well with anti-bacterial soap and warm water or personal cleansing wipes. If you are a male and not circumcised, make sure to clean under the foreskin, too.
  • Sit or lie down with knees bent and place the bed pad under your penis or genital area. Put the collection container close to you, or if you are using a toilet, make sure to stand directly above it to catch any urine.

Lubricate your catheter

  • Spread the catheter lubricant on the tip of the urinary catheter, lubricating only the first half of the intermittent catheter. You will need a good amount of catheter lubricant to ensure the catheter will not cause friction to your urethra.
  • Place the other end of the catheter over the toilet bowl or in the container to catch the urine.

*Using sterile, water-soluble, viscous, and bacteriostatic catheter lubricant to lubricate your catheter will reduce pain, risk of infection, and urethral damage. Remember to make sure you choose a high-quality lubricant for catheters for a clean and comfortable catheterization experience.

Insert the intermittent catheter

  • Gently insert the catheter into the urethra opening. Slowly move the catheter in until urine begins to flow. Push the catheter in about another inch and hold it in place.
  • Allow the urine to drain into the collection container or toilet.
  • Remove the catheter slowly when urine stops flowing.
  • Wash and dry your hands.

Catheters are not meant to be reused and are to be discarded after each use. The self-catheterization process should never hurt or cause sharp pain. If the catheter is not going in, stop and take a moment to relax. A catheter should never be forced into the urethra. This action could cause severe trauma and tear this sensitive tissue.

Watch these short videos for a demonstration.

When to Contact Your Doctor

Don’t ignore signs of an infection, any pain, or other concerns. You should contact your doctor if you experience any of the following symptoms:

  • Burning or pain when you urinate. You might have a urinary tract infection (UTI).
  • You cannot urinate or not passing much urine at all.
  • There is blood in the urine, or there is a foul smell.
  • Nausea or vomiting.
  • Too much pain upon insertion of your catheter despite the use of lubricant to lubricate your catheter.
  • You have a fever of 100.4°F(38.0°C) or higher, as advised by the CDC (Centers for Disease Control and Prevention)

At Personally Delivered, we are proud to be a supplier of a variety of high-quality catheter lubricants to lubricate your catheter for comfort. Choosing the right catheter lubricant is one of the most critical steps in a safe, clean, and comfortable self-catheterization experience. Our catheter Product Experts are here to assist if you need help choosing the catheter gel or jelly to lubricate your catheter. We will make it easy for you.

Popular Catheter Lubricants

Disclaimer: Important Notice Regarding Medical Advice

The information provided in this blog is intended for general informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment.

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GentleCath™ Glide Catheters with FeelClean™ Technology

Are you sometimes feeling “stuck” or frustrated determining which catheter is best for your unique needs? Have you been resorting to a less expensive intermittent catheter that you are used to and more familiar with for fear of taking a risk to try something new? Sometimes, it is easier to just put up with the mess that has become the routine instead of opting for something that might be uncomfortable or not work for you. GentleCath™ Glide catheters with FeelClean™ Technology will challenge everything you know about hydrophilic-coated intermittent catheters!

GentleCath™ has developed a solution and designed their GentleCath™ Glide catheters with innovative and advanced technology to transform their users’ intermittent catheterization experience. GentleCath™ Glide catheters with FeelClean™ Technology are designed to finally offer a clean and comfortable catheterization experience without the messiness, drying out, and sticky situations.

What is FeelClean™ Technology?

Convatec developed FeelClean™ Technology for their GentleCath™ Glide intermittent catheters and are the only intermittent catheters with this advanced technology. As the GentleCath™ Glide catheters are manufactured, the FeelClean™ Technology additive is embedded into the catheter material itself. In contrast, traditional hydrophilic catheters are dipped into a cured surface coating. GentleCath™ Glide catheters’ hydrophilic properties are in every part of the tube’s material.

What Are the Benefits of FeelClean™ Technology?

Hydrophilic Properties Are Maintained

GentleCath™ Glide catheters can maintain their hydrophilic properties because of this FeelClean™ Technology. The entire catheter, from tip to end, is embedded with this innovative technology to maintain its hydrophilic properties within a wet environment for a smooth and comfortable catheterization experience.*

90 percent of users rated GentleCath Glide with FeelClean Technology better for comfort

Activation is Instant

With FeelClean™ Technology, there is no need to wait for the GentleCath™ Glide catheters to be activated. Some other catheters with a hydrophilic coating on their surface need to soak before they are fully hydrated and ready to use. GentleCath™ Glide catheters with FeelClean™ Technology are ready to use as soon as you need them so they can be used quickly and discreetly.

No Sticking and Won’t Dry Out

Because of the FeelClean™ Technology embedded into the actual catheter material, GentleCath™ Glide catheters won’t dry out or become sticky. The catheter remains smooth for the entire catheterization process from start to finish for maximum comfort. With FeelClean™ Technology, it takes 39% less force to start removing than the leading coated catheter.**

Minimal Mess and Residue

Worrying about mess and residue getting on your hands, body, and clothes during intermittent catheterization is a thing of the past with FeelClean™ Technology. Convatec has taken the extra effort to test their GentleCath™ Glide catheters, and their findings have resulted in less residue left behind than competitive products. FeelClean™ Technology locks in the hydrophilic properties and doesn’t require a coating, so users can enjoy a more comfortable catheterization experience without the mess and residue left behind. 2

PVP and DEHP-free

You can feel confident using the GentleCath™ Glide Catheters because they are not made without the use of PVP or DEHP. PVP is used in glues and makes surfaces sticky when they dry out. DEHP (di(2-Ethylhexyl)phthalate) is often used as a plastic softener and has been linked to reducing fertility.

Better Hygiene

With a no-touch handling sleeve, the GentleCath™ Glide enables better hygiene. Cross-contamination of the catheter is prevented since this sleeve protects bacteria from the hands.

Watch How FeelClean™ Technology Works

Enroll in the GentleCath™ me+ Program

Many questions arise during your catheterization journey, and that is precisely why Convatec created the GentleCath™ me+ Program. This program provides support for intermittent catheter users at no cost. The program has many benefits, including video trainers, personalized product sampling, connecting with a team of nurses for specific questions and advice, and so much more.

Learn about the complimentary GentleCath™ me+ Program, how to enroll, and more by clicking the button below.

We are proud to offer GentleCath Glide catheters with FeelClean Technology at Personally Delivered. If you have any questions about these or any other intermittent catheters we carry, our friendly, knowledgeable, and caring Product Experts are just a phone call away and ready to assist.

Remember, your catheterization experience should never be uncomfortable. With GentleCath FeelClean Technology, you will have less of a mess, no more sticky situations, and get back to doing the things that bring you joy.

GentleCath™ Glide Catheters with FeelClean™ Technology

*Maintains hydrophilic properties within a moist environment.
**In-vitro Data on File.

References:
1. Study U378 GentleCath Glide Final Report (n=39). Data on file.
2. WHRI4930 TA565 GentleCath Glide Residuals. Data on file.

GentleCath.com

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The Importance of Being Your Own Health Advocate

Health care providers and hospitals have the best intentions in mind; however, medical errors do occur. If you feel something is wrong, it is crucial to be your own health advocate and speak up. Bringing attention to a potential issue could prevent a future error with another patient. Meena Dhanjal Outlaw suffered a spinal cord injury over 20 years ago that left her significantly paralyzed. Here, she speaks about the importance of being your own health advocate.

All Doctors Are Not Created Equal

When I had my spinal cord injury seventeen years ago, it was evident that the type of medical attention I need is by doctors who understand a spinal cord injury. I lived far away from the rehabilitation facility that practically took care of my needs, so I sought a general physician close to home. Unfortunately, I found that she was not well-versed in treating patients with spinal cord injuries,

I could go to my general physician for common colds and other minor issues. However, I realized she didn’t understand how my body functioned after a spinal cord injury.

For example, every time I had to give a urine sample, she would note that there was bacteria in my urine and instantly say, ‘You have a urinary tract infection.’ and give me a prescription for antibiotics.  I already knew from the specialized doctors I had seen thus far that I would only need an antibiotic if I had a fever or unexpected bladder accidents. So to avoid conflict with the doctor, I just never filled the prescription.

It wasn’t easy at times, but if I didn’t speak up for myself, then who will?

Pay Attention to Your Body and Ask Questions

Doctor Discussing Medication with his patient as they sit next to one anotherAt one point, I had to call my surgeon when I experienced a post-op problem. The surgeon had placed a port under my shoulder to provide easier access to the type of transfusion that will successfully treat the neuromuscular disease I have in addition to my spinal cord injury, which is called Myasthenia Gravis.

I knew there was a problem, considering the amount of blood oozing from where the incision had been made to place the catheter. The nurse in post-op knew that they had missed a stitch. After looking at the wound, the doctor didn’t think it was necessary to put in an extra stitch.

I was in pain the entire weekend after the surgery and felt I was consuming way too much over-the-counter pain medication.

Upon going for my second transfusion, I mentioned to the doctor that I was still in a lot of pain. He dismissed my pain, told me I had a small clot, and redressed the area.

Unfortunately, I felt I couldn’t speak up for myself at that time. However, since then, I spoke with my neurologist, who recommended pain medication. In addition, the doctors will now be keeping a closer eye on this area since I have several more treatments there.

If You are Concerned, Speak Up for Yourself

Self-advocacy isn’t always getting the result you think is necessary for you. Instead, it’s about not being afraid to speak up when necessary. Many people with a disability feel they cannot speak up for themselves because they don’t want to offend the doctor and possibly get more neglectful care.

I look back and wonder if I had spoken up at the time, would that surgeon continue to dismiss me or would I have had a weekend free of pain?

Take Charge and Educate Yourself – Be Your Own Health Advocate

older woman sitting in a chair and reading a book

The best form of defense for me as a woman with a spinal cord injury was to educate myself about my own condition. This helped me better take action over my situation and prevent specific problems.

For example, if I took the antibiotics every time the general physician prescribed them to me, my body could’ve become immune to antibiotic treatment. At that point of severity, the only way to treat a UTI would be intravenously in a hospital with a much stronger dose of antibiotics.

Today, I have a general physician who listens to me and is well-versed in treating patients with Myasthenia Gravis and spinal cord injuries. While visiting her means a longer drive, it’s worth it to me because her care is so important.

So to recap:

  • Don’t be afraid to speak up.
  • Become knowledgeable about your condition so that you know what to do even after leaving a physician with no treatment to remedy your issue.
  • Find a doctor that understands
  • Don’t be afraid of distance.
  • Know your rights as a patient.

For further information on becoming your own health advocate and your rights as a patient, check out this helpful link www.patientadvocate.org, and remember knowledge is power.

Becoming your own health advocate can take time, but as Meena explains in her story, that tremendously helped her. There are many struggles that can come along with a spinal cord injury such as:

  • Neurological issues that can lead to loss of bladder or bowel control
  • Poor coordination or balance when walking
  • Extreme back, neck, and head pain
  • Changes in sexual function, sensitivity, and fertility

Being your own health advocate can help you feel more in control of your condition and have more confidence in the decisions you make for your medical care. When you take an active role in your health care, you are more likely to get the resources you need.

At Personally Delivered, we carry home delivery medical supplies for a wide variety of conditions. Whether you are looking for adult disposable diapers, incontinence pads, protective underwear, catheter supplies, or any other medical supplies, we have got you covered. Our friendly, knowledgeable, and caring Product Experts are just a phone call away and ready to assist you in the purchasing process.

About the Author

Meena Dhanjal Outlaw

On January 23, 2000, Meena suffered a spinal cord injury that left her a T12 paraplegic. She worked hard to grow and push past adversity and challenges and even went back to school for a four-year diploma in writing for teenagers and children.

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Multiple Sclerosis and Incontinence

Multiple Sclerosis and incontinence often are experienced together. The central nervous system controls many functions throughout the body, such as walking, thinking, and controlling various muscles. Multiple Sclerosis can cause damage to the central nervous system and produce a variety of symptoms, including vision loss, muscle stiffness, or even bladder and bowel dysfunction.

What is Multiple Sclerosis?

mend and women exhibiting different symptoms of multiple sclerosisMultiple Sclerosis (MS) is an autoimmune disease that affects cells in the central nervous system. For those with MS, not only is their immune system defending harmful bacteria and viruses again, but it is also attacking their body. Electrical signals are sent throughout the body by the central nervous system to control almost everything we do, and MS disrupts these electrical signals.

Those with MS can experience a wide range of symptoms, and this disease affects everyone differently. Although most of the symptoms are not visible to others, some are and can worsen over time.

Common Symptoms of MS

  • Walking problems
  • Vision problems
  • Bladder and bowel dysfunction
  • Fatigue
  • Cognitive difficulties (attention, learning, and memory)
  • Mood changes
  • Muscle stiffness
  • Numbness and tingling
  • Pain in arms and legs
  • Hot and cold sensitivity
  • Weakness or poor coordination

How Multiple Sclerosis Can Affect the Bladder and Bowels

There is a coating on the nerve endings called the myelin sheath that protects the nerve cells. When the myelin sheath is damaged due to multiple sclerosis, electrical impulses transmit to the brain much slower. This nerve damage affects how the body interprets signals between the brain and the bladder and bowel. Coordination of the muscles that control holding and emptying the bladder and the bowels is disrupted, leading the incontinence.

Bowel or fecal incontinence can result from weak sphincter muscles from MS or can be from constipation. When a person is constipated from MS, it can be from the medication or lack of mobility and lead to overflow incontinence.

Some of the various types of incontinence a person with Multiple Sclerosis may experience are:

Overflow Incontinence

When the bladder does not fully empty, urine can leak. Those with overflow incontinence from MS are unable to squeeze the muscles needed to empty the bladder due to nerve and muscle damage.

Urge Incontinence

When a person feels a sudden urge to use the restroom and has to rush to get there, they are experiencing urge incontinence. The nerves linked to the bladder have been damaged with MS and cannot communicate quickly enough to the brain.

Stress Incontinence

When usually going about your day and having an unintentional loss of urine, you experience stress incontinence. You may also notice this leakage when you sneeze, cough, laugh, or lift something heavy. The pelvic floor muscles have weakened from MS, so stress incontinence is often experienced.

Constipation

When you are not emptying the bowels as often as you usually would is one of the signs of constipation. Some medications can often cause constipation that lasts for days and be very painful. Abdominal bloating, decreased appetite, and fatigue are all signs that you may be constipated, and you should speak to your doctor about treatment.

Fecal Incontinence

Fecal incontinence or bowel incontinence is when a person cannot control regular bowel movements. When the sphincter muscles are damaged from multiple sclerosis, the ability to delay emptying the bowels is disrupted.

Treatment Options for Incontinence Related to Multiple Sclerosis

Treatment options are available to help improve incontinence for those with multiple sclerosis. There are many conservative methods. However, if those are not effective, then there are medications available. If incontinence symptoms are more severe, you may be recommended surgery as a last resort to improve your quality of life.

Conservative Treatments for Incontinence

Diet and Lifestyle

Bladder and bowel health is critical when it comes to incontinence. Eating a well-balanced diet that consists of fiber and plenty of fluids can help with regular bowel movements and avoid constipation. Fluids like carbonated beverages, caffeine, and alcohol can irritate the bladder, so it is best to avoid them.

Establishing a Routine

Establishing a routine can help to avoid accidents. It might help to go to use the bathroom every few hours and after every meal. Keeping a pattern of eating and drinking at the exact times can also help. In the evening, make sure to have your last drink two hours before bed. This practice may help avoid an overnight accident.

Retraining the Bladder or Bowels

Bowel retraining and bladder retraining is a treatment for incontinence that can work well for those with persistent diarrhea, constipation, or nerve damage due to MS. With bowel retraining, the goal is to aim for consistency of the stool and regularity of the movements. Gradually increasing the time between bowel movements, you are retraining the sphincter muscles, which may help make it easier to hold on.

When retraining the bladder, this process also involves gradually increasing the amount of time between each visit to the bathroom. Both bowel and bladder retraining takes time and patience. Many people find that keeping a Bladder Journal or Bowel Journal can help. This journal can also be shared with your doctor to determine a treatment plan.

Incontinence Products

Assortment of incontinence productsToday, there are many incontinence products on the market that are designed to address light to severe urinary or fecal incontinence. These incontinence products can help provide more comfort, security, and protection for your clothing, bedding, furniture, and auto.

Incontinence products are available in a wide variety of absorbency levels, sizes, and styles. And, these products are offered for all genders and ages. Some of the categories include:

  • Incontinence Protective Underwear resemble regular underwear and offer more traditional and discreet protection.
  • Incontinence Briefs are also called adult diapers with refastenable tabs. This incontinence product is a more secure and absorbent option.
  • Incontinence Liners and Pads are generally used for light to moderate incontinence and are inserted into regular underwear as an added layer of protection.
  • Incontinence Belted Undergarments are much longer than a typical pad and feature a belt for additional security.
  • Incontinence Bed Pads, Underpads, and Chux are an excellent option to protect everything from your bed, furniture, car seat, or use as a puppy potty training pad.
  • Incontinence Clamps are used to help treat urinary incontinence in men. This device blocks the flow of urine. Many men use them to control urinary incontinence after prostate surgery, obesity, old age, or those who have diabetes.

Visit our Incontinence Product page for more information and to order these products. Our caring, specially trained Product Advisors can help you decide which option is most suitable for you.

Intermittent Catheters

collage of intermittent and Foley cathetersWhen a person cannot fully empty their bladder independently, they may be given the option to use an intermittent catheter.  By using an intermittent catheter, it can help eliminate overflow incontinence. A thin, flexible tube is into the urethra to drain urine out of the bladder. All catheters are designed to be sterile, one-time-use, and require a valid prescription from a physician. There are various types of catheters available, and depending on your unique needs, your doctor will know what is best for you.

Foley Catheters or Indwelling Catheters

Depending on the circumstance, a Foley catheter or indwelling catheter is inserted into the bladder and remains there for either a short or prolonged period. A balloon filled with sterile water is incorporated near the tip of the catheter tube. Once the catheter is inserted and inflated, this balloon prevents the Foley catheter from slipping out of place. Typically, a leg bag or urine drainage bag is connected to this type of indwelling catheter.

Percutaneous Tibial Nerve Stimulation

A treatment method that directly stimulates the nerves responsible for bladder and bowel control is called Percutaneous Tibial Nerve Stimulation (PTNS) and can treat incontinence. The tibial nerve is near the ankle, and during PTNS, a small needle connected to a stimulator device is inserted at this point. Impulses travel up the spine and target nerves in the spinal cord to retrain the bladder and pelvic floor muscle function. Some MS patients have found this helpful.

Using Medicine to Treat Incontinence

Laxatives

Sunmark ClearlaxMultiple sclerosis can leave some immobile, which can lead to constipation and ultimately overflow incontinence. Over-the-counter laxatives are available to help treat incontinence and come in various options such as suppositories, powders, and liquids. Laxatives are usually fast-acting to provide relief for irregularities. Make sure to you speak to your doctor or pharmacist about which type of laxative is best to use.

Antidiarrheal Medication

Antidiarrheals work to slow down the production of loose stool or diarrhea. Over-the-counter medications such as Imodium are available for purchase to help with the discomfort of repeated liquid bowel movements. However, it is essential to note that an underlying issue causes diarrhea, and these medications may offer only temporary relief.

Anal Irrigation and Enemas

Anal irrigation or rectal irrigation is a method that involves emptying the bowel by using a specialized pump, water, and irrigation tube. Anal irrigation is an effective alternative to conservative treatments like suppositories and laxatives. Anal irrigation can help manage chronic constipation and fecal incontinence.

Enemas are a quick, easy, and fast-acting treatment used to clear impaction from severe constipation. Using enema products involves administering a solution such as water and sodium phosphate to clear the bowel.

Antispasmodic Medications

Spasms of the bladder muscle can often be treated by the use of antispasmodic medications. These medications work to relax the muscles of the gut. They can help reduce urge incontinence associated with MS. Antispasmodic medications belong to a group of medicines known as antimuscarinic or anticholinergic drugs. A doctor must prescribe these medications as they are not suitable or safe for some people.

Injectable Therapies

Injectable therapies are available as a treatment that includes the non-surgical injection of a “bulking” material into the urethra to improve leakage. This material thickens the tissues, which then prevents soiling and improves bladder control.

Surgical Treatments for Incontinence

Suprapubic Catheters

As an alternative form of long-term catheterization, a suprapubic catheter can be used to treat incontinence. This type of catheter involves a minor surgical procedure to place a tube directly into your bladder through your abdomen. The suprapubic catheter can then be attached to a leg bag or urinary drainage bag to collect urine. It can be more comfortable than a Foley catheter and may be less likely to cause infection.

Botox

Botox is a potent neurotoxin that causes muscle paralysis by blocking the electrical impulses to a nerve. This type of incontinence treatment is relatively new in terms of treating an overactive bladder. If all other medications have failed to improve your condition, Botox may be a considered treatment by your doctor.

Bladder Augmentation

If medications and conservative treatments have failed to treat your incontinence, your doctor may discuss a bladder augmentation surgery may be an option. There are several ways this operation can be performed, but it is considered major surgery and involves cutting the bladder open. If you consider this option with your doctor, it is essential to ask as many questions as possible and take notes of your conversation.

Sacral Nerve Stimulation

Sacral Nerve Stimulation or Sacral Neuromodulation (SNM) can help restore normal bladder or bowel function by addressing the communication between the brain and the bladder and bowel. A device is implanted under the skin in the upper buttock. This device helps correct the messages that run along the nerve pathways that may be causing incontinence symptoms. As with other incontinence surgical treatment options, it should only be considered after medication and conservative incontinence treatment options have been exhausted.

Colostomy

For those with Multiple Sclerosis and incontinence, if fecal incontinence is severe, constipation is brought on from immobility, or dexterity issues have developed, your doctor may recommend a bowel diversion in the form of a colostomy. A small incision is made in the abdomen, and a section of the colon is pulled to the surface, forming a stoma. The stoma is an artificial opening that an ostomy skin barrier and ostomy pouch attaches to for waste collection. Colostomies may be temporary or permanent, so this treatment is typically considered in severe cases where all other treatment options have failed.

Where to Buy Incontinence Products

shop on Personally Delivered website, save an additional 5%, earn 3% cash back at teh end of the year based on purchasesWe carry a wide variety of incontinence products at Personally Delivered by many trusted brands like Attends, PBE Tranquility, Prevail, First Quality, Depend, and more. Incontinence is not the same for everyone, and that is why we have Product Advisors to help you navigate the purchasing process based on your unique needs.

Not only do we offer a wide range of incontinence products by absorbency, size, and style, we can help make it easy for you to get the products you need to be delivered right to your door when you need them. With our Automatic Delivery Program, you will save an additional 5% on each shipment and get 3% back at the end of the year. There is no commitment, it is hassle-free, and you can cancel at any time.

What Resources Are Available for Those Affected by MS?

For those affected by Multiple Sclerosis and incontinence, there are many resources available.

Multiple Sclerosis and incontinence often go hand-in-hand, but as you can see, there are many options available for treatment. We are here for all of your incontinence needs at Personally Delivered. If you need assistance choosing the right incontinence products for your unique situation, our Product Experts are just a phone call away.

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The Hollister Infyna Chic Hydrophilic Female Catheter

The Infyna Chic is the most recent hydrophilic female catheter from Hollister. This intermittent hydrophilic catheter for women is now available at Personally Delivered, and we are excited to share with you all of the beautiful features. Hollister understands that discretion is critical to women who catheterize, so let’s dive into learning more about this discreet and easy-to-use new female intermittent catheter.

The Hollister Infyna Chic Hydrophilic Female Catheter Features

Flip-top cap

This intermittent hydrophilic catheter for women was designed not only with discreetness but with ease-of-use in mind. The beautiful pastel pink pocket-sized carrying case’s lid flips open and closed using just one hand.

5-inch length

The Infyna Chic hydrophilic female catheter is 5-inches in length, giving assurance that the bladder is fully drained.

hand holding the hollister infyna chic catheter by the funnel allowing a touch-free catheterization process Touch-free insertion

The Infyna Chic Intermittent Catheter allows for touch-free insertion as it is just the right stiffness to glide into the urethra. The heat-polished eyelets are an added benefit to allow for greater comfort during the insertion process.

Uniquely color-coded funnels

The unique French size funnel colors of the Infyna Chic hydrophilic intermittent catheters are an array of beautiful pastel colors, unlike the traditional catheter funnels that are much brighter. These attractive, elegant colors give this female catheter a delicate feminine appeal.

Pre-hydrated

This hydrophilic female catheter is also pre-hydrated in its own water solution. This pre-hydration means the catheter is ready-to-go when you are. Since the fluid is water-based instead of gel-based, standard fabrics will not stain if you accidentally spill. Upon flipping the cap closed, there is no worry about any liquids leaking from the container.

Recyclable case

As a bonus, the case is not only discreet but recyclable. This feature means less environmental waste and a reduced carbon footprint.

hollister infyna chic hydrophilic female catheter flip top cap

The Hollister Infyna Chic Catheter Unique French Size Funnel Colors

The universal color-coding system that’s a part of catheter sizing allows you to look at the funnel color to ensure you are using the proper prescribed French size. Unlike the traditional bold and brighter shades of other catheter funnels mentioned in the features above, the Hollister Chic Hydrophilic Female Catheter funnels are a delicate array of beautiful and feminine pastels.

hollister infyna chic catheter funnel color reference chart

How to Use the Hollister Infyna Chic Hydrophilic Female Catheter

Collect your supplies

  • Alcohol-based hand sanitizer or anti-bacterial hand soap
  • A toilet
  • A moist towelette or personal wipe
  • Your Hollister Infyna Chic catheter

hand gripping the hollister infyna chic hrophilic female catheter by the funnelPrepare for insertion

  • Wash your hands with anti-bacterial soap or use an alcohol-based hand sanitizer.
  • Use a moist towelette or personal wipe and cleanse the genital area.
  • Either sit or stand near the toilet and open your legs.
  • Flip open the cap of the Infyna Chic catheter with your thumb. This action will break the seal.
  • Grip the catheter’s funnel with your dominant hand, making sure not to touch the catheter tube itself.
  • Using your non-dominant hand, spread the labia open and gently start inserting the catheter into the urethra until urine begins to flow.
  • Once urine stops flowing, slowly remove the catheter and insert it back into its case. Once the cap is closed, there is no worry about leaking.
  • You can now carry the catheter to a place for disposal or throw the catheter away and recycle the case.

You should not feel sharp pain or hurt in any way during the catheterization process. If you experience these feelings, try taking a deep breath and attempt insertion of the catheter again.

Also remember, that all catheters are intended to be single-use devices. Attempting to reuse a catheter increases the risk of urinary tract infections (UTIs) and can damage the hydrophilic coating, making catheterization more painful.

Real Women Talk About Life With the Hollister Infyna Chic Catheter

Where to Buy Hollister Infyna Chic Hydrophilic Female Catheters

We are proud to carry the Hollister Infyna Chic Hydrophilic Intermittent Female Catheter at Personally Delivered. Should you have more questions about this female catheter, our friendly and knowledgeable Product Experts are ready to assist.

hollister infyan chic sizing options

As a friendly reminder, all catheters, including the new Hollister Infyna Chic Hydrophilic Intermittent Female Catheter, require a physician’s prescription. With a valid prescription, our team can help guide you through finding the right size and type of catheter that will suit your unique needs.

View Other Popular Hollister Female Catheters

Apogee Essentials Female HC Hydrophilic Catheter

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Hollister Onli Ready-To-Use Women's Hydrophilic Intermittent Catheter

Hollister Onli Ready-To-Use Women's Hydrophilic Intermittent Catheter
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GentleCath me+ Program by ConvaTec

It is natural to have several questions along the way on your catheterization journey. ConvaTec is committed to supporting your needs and making continence care more convenient and comfortable.

The GentleCath me+ Program is a free support program designed to help intermittent catheter users like you navigate life a little easier. The goal of GentleCath me+™ is to make sure your catheterization needs are taken care of so you can be less stressed and focus on what matters to you most.

What are the Benefits of the GentleCath me+ Program?

When you enroll in the complimentary GentleCath me+ program, you will gain full access to several valuable benefits:

  • With GentleCath Video Trainer, you can create your personalized video guide with tips and advice tailored to you and the specific intermittent catheter you are using.
  • GentleCath me+ Support consists of a team of WOC nurses and product specialists available by phone or email to answer questions and offer advice.
  • GentleCath me+ Answers is your “go-to” resource for answering all of your catheterization questions in great detail.
  • GentleCath me+ Community highlights real stories from other intermittent catheter users and provides a wealth of help and advice.
  • Personalized product sampling offers to help ensure you are using the best intermittent catheter for your unique needs.

We will go into more detail about each of these benefits, but let’s first discuss the available GentleCath Intermittent Catheters.

The Four Types of GentleCath Intermittent Catheters

GentleCath users feel confident using products designed for safety and ease of use. Each individual has their own unique set of needs when it comes to catheterization, which is why GentleCath offers a variety of product solutions.

The four types of GentleCath Intermittent Catheters are:

1. GentleCath Glide Catheter

GentleCath Glide catheterThe GentleCath Glide Catheter is a less messy option for a fast and convenient catheterization experience. The FeelClean Technology offers a smooth, slippery surface and reduced residue. Also, it features a handling sleeve for a touchless experience, which helps you avoid getting bacteria from your hands on the catheter.

Benefits of Using GentleCath Glide Catheters

  • Quick lubrication: GentleCath Glide catheters are ready to use as soon as you break the included water sachet and wet the length of the catheter.
  • Low-friction hydrophilic surface: The smooth, slippery surface makes the catheterization insertion experience more comfortable and prevents any tissue trauma.
  • FeelClean Technology: The unique FeelClean technology is less messy and reduces the residuals left behind when catheterizing.
  • A touchless handling sleeve: GentleCath Glide catheters have a no-touch handling sleeve to help prevent contamination of the catheter with bacteria from the hands.
  • Not made with DEHP: DEHP (di(2-Ethylhexyl)phthalate) is a plastic softener that may be linked to cancer and reduced fertility.

 

Download the GentleCath Glide Male User Guide

Download the GentleCath Glide Female User Guide

2. GentleCath Hydrophilic Catheter

GentleCath Hydrophilic Female CatheterThe GentleCath Hydrophilic Catheter allows for a simple catheterization experience from beginning to end. The included sterile water sachet activates the coating, and the handling strip allows you to catheterize without touching the catheter tube itself, reducing the risk of infection.

 

Download the GentleCath Hydrophilic Male User Guide

Download the GentleCath Hydrophilic Female User Guide

3. GentleCath Uncoated Catheter

GentleCath Female CatheterThe GentleCath Uncoated Intermittent Catheter makes insertion and removal smooth and easy with its soft rounded tip and polished eyelets to minimize friction. The GentleCath Uncoated Catheter is available with both straight and coudé tips.

 

Download the GentleCath Uncoated Male User Guide

Download the GentleCath Uncoated Female User Guide

4. GentleCath™ Pro Closed-System Catheter

GentleCath Pro-Closed System CatheterWith the GentleCath™ Pro Closed-System Catheter, you can use your catheter wherever and whenever you need it. This all-in-one intermittent catheter minimizes the risk of infection with its touch-free design of a pre-attached collection bag.

 

Download the GentleCath™ Pro Closed-System Male User Guide

Download the GentleCath™ Pro Closed-System Female User Guide

GentleCath me+ Video Trainer

With the GentleCath me+ Video Trainer, just answer a few simple questions, and you will be able to view your very own video within a couple of minutes. Detailed instructions and tips tailored to you serve as an educational aid to provide clear instruction on the use of your particular type of intermittent catheter.

GentleCath me+ Support

two men laughing and supporting one anotherWhen adjusting to catheterizing, you might find yourself dealing with a range of practical, physical, and emotional challenges. GentleCath me+ Support brings you the products and support you need, tips and advice you can use, and an inspiring community to be a part of. You’ll get the support you need throughout your entire journey.

GentleCath me+ Support is customized to provide the proper support at the right time throughout all stages of your journey. A team of dedicated nurses and product specialists can give you the support and answers you need.

You can fill out a contact form, call them directly, or send an email from HERE.

GentleCath me+ Answers

You can get answers to commonly asked questions and explore articles providing tips, tricks, resources, and solutions with the GentleCath me+ Answers benefit. Topics span relationships, travel, physical activities, and everyday life.

GentleCath me+ Answers is committed to helping you find answers to the questions you may have as an intermittent catheter user. There is a place to ask your unique questions that you would like answered.

GentleCath me+ Community

community of cheerful people supporting one another in a park

In the GentleCath me+ Community, you can read inspiring stories and experiences from other intermittent catheter users while discovering an entire community of help and advice.

Everyone’s catheterization journey will be different, so the GentleCath me+ Community was designed to help create meaningful connections and facilitate encouragement between intermittent catheter users.

GentleCath me+ Personalized Product Sampling

GentleCath Glide Male CatheterWith a valid prescription from your physician, you can request GentleCath Intermittent Catheter samples for both men and women. Just answer a few simple questions, and you will be contacted by a ConvaTec representative regarding the GentleCath Intermittent Catheter sample that interests you.

Enroll in GentleCath me+

Enrolling in GentleCath me+ gives you all the valuable resources and support you need all at no cost to you. You will have access to a dedicated team of WOC nurses and specialists to information on products and lifestyle. You don’t have to figure it out alone with the GentleCath me+ program.

Enroll Now

We at Personally Delivered are proud to be a part of the ConvaTec family. We are also available to speak to you about any questions you may have about GentleCath me+ or any of the GentleCath Intermittent Catheters we carry. Our dedicated and compassionate catheter experts are just a phone call away and ready to assist.

So if you are a GentleCath Intermittent Catheter user, why not enroll in GentleCath me+ and get back to living your life the way you want to!

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Male Catheters

Are you searching for more information about male catheters as well as where to buy them? We will discuss the five main types of male catheters to help you better understand them as well as where to purchase male catheters.

Personally Delivered offers a wide array of male catheters at the best prices. Whether you’re using catheters for urinary retention, benign prostatic hyperplasia (BPH), after prostate cancer treatment, or another medical condition, we are sure to have the male catheter option for you.

The Five Types of Male Catheters

Catheters can be used intermittently or stay in the bladder for a more extended period. We will discuss the differences, benefits, and where to buy male catheters in more detail.

The five types of male catheters are:

  1. Straight male catheters
  2. Pre-lubricated and hydrophilic male catheters
  3. Closed system male catheters
  4. Indwelling Foley catheters
  5. Male external catheters

1. Straight Male Catheters

Coloplast Self-Cath Straight Male Length CatheterA straight male catheter is a thin, uncoated flexible tube that you insert into the urethra or through a stoma to drain urine from the bladder. Straight male catheters are commonly made of vinyl (PVC), silicone, POBE, or red rubber latex. These types of catheters are intermittent, meaning they are inserted, urine is drained, and then the catheter is withdrawn and discarded after each use.

Since they are uncoated, straight male catheters require manual lubrication upon insertion for a more comfortable catheterization experience. Sterile catheter lubricant comes in convenient single-use packets or larger tubes.

Straight catheters, like all types of male catheters, may also be available to you as pocket catheters. Straight pocket catheters typically come in a curved or U-shaped package, which you can discreetly tuck into your pocket, bag, or briefcase for easy carrying.

2. Pre-lubricated and Hydrophilic Male Catheters

Hydrophilic male catheters are similar to straight catheters but have a unique coating bonded to the surface. When activated by water, the catheter becomes lubricated and slick, providing smooth and comfortable insertion and catheter removal.

Some types of male hydrophilic catheters require manual activation of the hydrophilic coating, while others come already activated and are ready to go right out of the packaging. The popular GentleCath Glide Male Catheter comes with an included water sachet that is “popped,” and the hydrophilic coating is activated, creating a low-friction surface. The newer SpeediCath Soft Hydrophilic Male Catheter is ready to go when you are since it is pre-lubricated and virtually touch-free.

GentleCath Glide Male catheter in size 14 French and is 16 inches longJust like hydrophilic catheters, pre-lubricated male catheters don’t require additional lubricating jelly. Pre-lubricated catheters are a “less mess” option as the gel-like sterile lubricant won’t drip like the sterile water or saline does from other hydrophilic male catheter options.

Most pre-lubricated and intermittent hydrophilic catheters offer a touchless handling sleeve in their packaging to allow the user to handle the catheter without touching the tube itself. This touch-free feature reduces the risk of bacterial contamination from your hands. Cure Medical takes great attention to detail in their hydrophilic catheters. The Cure Ultra Male Catheter features a unique Coverall coating to ensure evenly distributed lubrication down the catheter’s entire length. This technology provides a cleaner, no mess, no dripping catheterization. The gripper sleeve eliminates touching the catheter itself and reduces the risk of contamination and infection. All Cure catheters are free of DEHP, BPA, and natural rubber latex as an added benefit.

Benefits of Hydrophilic Catheters

  • Easy-to-use
  • Less mess
  • Reduced friction and trauma to the urethra
  • Reduced risk of contamination and urinary tract infections (UTIs)
  • Convenient for carrying and traveling

3. Male Closed System Catheters

Hollister VaPro Plus Hydrophilic CatheterA male closed system catheter is an all-in-one option that includes a pre-lubricated or hydrophilic catheter in its own self-contained sterile collection bag. Sometimes other insertion supplies are included, such as gloves, disinfecting wipes, and an underpad, to make catheterization more hygienic. The completely closed system allows for touchless catheterization, making it an excellent choice for men on-the-go or in wheelchairs because of their convenience. The all-in-one system will enable men to catheterize whenever and wherever there is privacy.

A popular touchless male closed system catheter option is the Hollister VaPro Plus Touch-Free Male Catheter. This catheter is ready-to-use with sterile catheter hydration technology. No receptacle is needed with the integrated collection bag and touch-free protective sleeve and introducer tip.

4. Indwelling Foley Male Catheters

details and specific parts of a Foley catheterIndwelling Foley catheters stay in the bladder for a more extended period and are inserted by a doctor or nurse. The Foley catheter’s primary purpose is to drain urine from the bladder into a collection device, typically a leg bag or drain bag. A small balloon is inflated near the insertion tip to keep the catheter in place, so it doesn’t slip.

A couple of the examples of Indwelling Foley Catheters that we carry at Personally Delivered are the Cardinal Health Dover 2-Way Straight Foley Catheter and the Coloplast Foley Catheter with 10 cc Balloon.

Since Foley catheters remain inside the body for long periods, the risk of urinary tract infections may increase. However, indwelling catheters may be the right choice for people who are unable to self-cath.

You can learn even more about Foley catheters here.

5. Male External Catheters

Male external cathetersFreedom Clear External Male Catheter, also referred to as condom catheters or Texas catheters, fit over the penis in the same manner that a condom would. The difference between a regular condom and the male external catheter or condom catheter is that it has a plug at the end to attach a drainage tube so urine can pass into a collection bag or device. Skin-friendly adhesive or soft straps hold the male external catheters in place.

Men who use condom catheters usually wear one for no longer than a day or two at a time. It can be beneficial because they are less likely to cause urinary infections associated with frequent catheterization. Because external catheters allow for more movement and are non-invasive, they can be a more comfortable option.

If deciding that a male external catheter is an option for you, it is essential to make sure you get the right size and fit to prevent leaks, leading to skin irritation and breakdown.

Male Catheter Lengths

Coloplast SpeediCath Flex Coudé Pro Pocket CatheterThe male urethra is longer than the female urethra, therefore requiring a longer catheter. Male catheters (sometimes known as unisex catheters) are typically 16-inches long. However, there are pocket catheters for men that come in a shorter length to accommodate the compact size for discreetness.

For example, the Coloplast SpeediCath Flex Coude Pro Pocket Catheter is only 13-inches long. It is an excellent choice for discreet carrying in public. It offers hygienic features such as a flexible insertion tip and a unique protective dry-sleeve, so you never directly touch the catheter tube.

Male Catheter French Sizes

Male length catheters come in many different French sizes to accommodate a variety of anatomies. A universal gauge system is used that measures the catheter tube diameter, referred to as a “French size” (Fr). The diameter is taken in millimeters and then multiplied by 3 to result in the French size. For example, if a catheter’s diameter is 5.4 millimeters, the French size is 16.

Most male catheters, except for certain red rubber catheters, follow the universal color-coding system, which allows you to look at the funnel color to ensure you are using the proper prescribed French size.

Your doctor will play an essential role in making sure you are using the right size catheter for your needs. If your catheter is too short, it will not reach the bladder to drain urine sufficiently. On the other hand, if the French size is not wide enough, urine can flow around the tube, causing leakage.

The biggest problem experienced by using a catheter that is too long or wide is pain. Trying to insert a catheter that is slightly larger than the diameter of your urethra will not only be painful but can also be damaging to the tissue.

catheter funnel color reference chart

Straight and Coudé Tips on Male Catheters

There are two different types of catheter insertion tips available on all types of male catheters. There is a straight tip with no bend or curve in it, and then there is a coudé tip, featuring an angle, “elbow,” or bend.

Some men have urethral strictures, enlarged prostates, or blockages and have difficulty passing straight catheters. The doctor may sometimes prescribe a coudé catheter to help bypass tight places. Coudé catheters come in a variety of options for a man’s needs and preferences, such as closed system kits, hydrophilic catheters, and intermittent straight catheters

Coudé catheters are broken down even further into three main types of tips for coudé catheters. These three different types of tips for coudé catheters include:

Tapered Tip Coudé Catheter

GentleCath Male Coudé Tip CatheterA Tapered Tip Coudé Catheter features a short, strong curve that is smaller at the insertion point. This tip is perfect for navigating through complicated passages or strictures or bypassing enlarged prostates.

An excellent example of a tapered tip coudé male catheter is the GentleCath Male Length Coudé Tip Catheter. With its smooth polished eyelets, this tapered tip coudé male catheter facilitates easy insertion.

Olive Tip Coudé Catheter

Coloplast Self-Cath Olive Tip Coudé CatheterAn Olive Tip Coudé Catheter is slightly ball-shaped and rounded with a curve to aid in smooth passage around obstructions to the bladder. The rounded, curved olive insertion tip allows for a smoother passage to the bladder and may bypass false passages or urethral obstructions.

The Coloplast Self-Cath Olive Tip Coudé Catheter is an excellent example of an olive tip coudé male catheter. This particular catheter also features a guide stripe on the length of the catheter to aid in the placement of the angled tip.

Tiemann Tip Coudé Catheter

Rusch Siliconized Tiemann CatheterThe Tiemann Tip Coudé Catheter is elongated and tapered and typically more pliable than other coudé tips. This type of catheter tip is beneficial for navigating narrower passages and bypassing strictures. And since the Tiemann tip is flexible, it can also aid in better comfort during catheterization.

The Rusch Siliconized Tiemann Tip Coudé Catheter is an excellent example of this type of male catheter. It also features a notch on the catheter funnel that determines the tip position for insertion.

How do You Use Male Catheters?

Gather all of the catheter supplies

Surgilube lubricant packetsYou will need the following:

  • A toilet or collection container for urine
  • Anti-bacterial soap and warm water or a moist towelette or personal wipe
  • Water-soluble lubricating jelly
  • Waterproof pad such as a bed pad or underpad
  • Clean catheter

Prepare for insertion

  • Use warm, soapy water to wash your hands and around the head and tip of your penis. You can also use a moist towelette or personal wipe.
  • Sit or lie down with knees bent and place the underpad under your penis. Put the collection container close to you, or if you are using a toilet, make sure to stand directly above it to catch any urine.
  • Lubricate the male catheter with the water-soluble lubricating jelly.
    • Lubricate the first 7 to 10 inches of the catheter.
    • Place the other end of the catheter over the toilet or collection container.

Insertion of the male catheter

  • With one hand, hold your penis straight out from your body. Slowly insert the male catheter with the other hand into the opening of your urethra. If the catheter is not going in, stop and take a moment to relax. Never force a catheter.
  • Start to empty your bladder.
    • Gently push the catheter in about 7 to 10 inches and stop inserting when urine starts to flow.
    • Once the urine is flowing, push the catheter in about another inch and hold it in place.
    • Slowly remove the catheter when urine stops flowing.

 Note: The catheterization process should not hurt or cause sharp pain. If you experience these feelings, remove the catheter and try again.

Troubleshooting Common Catheter Problems

The catheter will not go in.

If the catheter does not go in, do not force it. You could damage sensitive tissue and cause trauma. If you are still unable to insert the catheter after you have stopped for a moment to relax and tried again, contact your doctor or visit your nearest urgent care clinic for immediate assistance.

No urine is draining from the catheter.

Gently rotate the catheter as you insert it in case it is blocked. Sometimes mucus or lubricating jelly can block the drainage eyelets and take a couple of minutes to dissolve. Try gently pushing the catheter a little further up into the penis or pulling it back.

If you are using an indwelling Foley male catheter, check for kinks in the catheter tubing or urine drain bag tubing. Ensure the urine collection bag is positioned below your bladder and the leg straps fit correctly, not to cause any bag obstruction.

Urine is leaking around the catheter.

Also called “bypassing,” urine leaking around the catheter could mean the catheter is blocked or the tubing is kinked. Make sure that you are using the right size catheter prescribed for you. If the catheter is too small, leakage around the catheter is quite common.

There is difficulty inserting or removing the catheter.

If you have pain or discomfort when you insert your catheter, try using more lubricant. When you are pushing the catheter past your prostate (the gland that makes semen), it is common to meet some resistance. Take a deep breath and try to relax before you push the catheter in further. Breathe in, then continue pushing the catheter in as you slowly let your breath out.

Your doctor may have prescribed a size too large for you, which can be very uncomfortable and cause pain. It is wise to contact your doctor and confirm that you are using the correct size male catheter.

There is blood on the catheter or in your urine.

If you notice blood on the catheter, it could be a sign that your urethral opening is too dry. Try using more lubricating jelly to prevent further irritation to the area. If you see blood in the urine, it could mean you have an infection. Contact your doctor for an assessment.

When to Contact Your Doctor

If you experience any of the following symptoms, contact your doctor immediately:

  • You have a fever of 100.4°F(38.0°C) or higher, as advised by the CDC(Centers for Disease Control and Prevention)
  • Nausea or vomiting
  • Your urine is thick, cloudy, or has mucus in it
  • Bloody (pink or red) or foul-smelling urine
  • You have pain or burning in your urethra, bladder, or abdomen.
  • It is too painful, difficult, or uncomfortable to insert your catheter far enough to start your urine flow.

Where to Buy Male Catheters Online

Regardless of a person’s age or gender, all catheters require a prescription from your doctor. Your doctor will evaluate your condition, validate your diagnosis, and provide you with a prescription. You can visit the PersonallyDelivered.com site and shop to purchase a variety of male catheters with that prescription.

Personally Delivered is a leading provider of male catheters. We supply catheters from a wide range of brands from popular catheter manufacturers. It is a top priority of ours to make sure we can accommodate our customers’ diverse needs and preferences by carrying catheter supplies of all types and sizes.

With any questions or concerns about any of the female catheter supplies we offer at Personally Delivered, our Product Experts are just a phone call away and ready to assist.

Popular Male Catheters

SpeediCath Compact Set for Men

SpeediCath Compact Set for Men

GentleCath Glide Male Catheter

GentleCath Glide Male catheter in size 14 French and is 16 inches long

Cure Medical Pocket Catheter with Lubricant

Cure Medical Pocket Catheter with Lubricant

UltraFlex Silicone Self-Adhering Male External Catheter

UltraFlex Silicone Self-Adhering Male External Catheter
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