Bladder Control Tips

Bladder Control Tips

Women’s Excellence recommends the following ways to help bladder control issues through holistic care.

Helpful Handouts
Intermittent Self-Catheterization
Intermittent self-catheterization (IC) is a safe procedure that can help bring your urinary symptoms under control. Many people self-catheterize and report that it has improved their quality of life. It will allow you to completely empty your bladder at regular intervals, protect your kidneys from infection and damage, lower the risk of distending (stretching) the bladder, and eliminate the need for wearing a continuously draining catheter. There are different kinds of catheters. Learn about them, discussing options with your provider.

General Instructions:

  1. Gather equipment needed: Mirror (for women to locate opening of urethra), Bath soap and clean towel, Water soluble lubricant such as KY Jelly®, New sterile catheter
  2. Arrange your clothing so it is not in the way.
  3. Attempt to urinate on your own. Even if you are able to urinate a large amount, there may still be some urine in the bladder that must be emptied to prevent infection. Proceed as instructed by your provider.
  4. Wash your hands with regular bath soap and water. Wash the area of your urethral opening known as the perineal area (from front to back) with bath soap and water. Antiseptic wipes such as baby wipes may be used when away from home. Refrain from using these wipes for daily perineal care.
  5. Open catheter packaging.
  6. Open lubricant tube, and apply a generous amount of lubricant to the first few inches of the catheter. Lubricant can be purchased at most drugstores. The lubricant must be water soluble – DO NOT USE Petrolatum based products such as VASELINE®! Bacteria can “stick” to this type of lubricant and possibly cause a bladder infection.
  7. Sit on toilet, or firm surface, and lean back.

Women:

  1. Slightly spread legs apart for ease in inserting the catheter. Using the hand you will not be using to hold the catheter, spread your vaginal lips (labia) apart, both outer and inner parts.
  2. Identify your clitoris, urinary opening, and vaginal opening using a mirror or by feeling the area.
  3. (see diagram 1: Female Anatomy)
  4. Slightly spread legs apart for ease in inserting the catheter. Using the hand you will not be using to hold the catheter, spread your vaginal lips (labia) apart, both outer and inner parts.
  5. Identify your clitoris, urinary opening, and vaginal opening using a mirror or by feeling the area.
  6. Pick up the lubricated catheter with the other hand. Hold it like a pencil about 2”-3” from its tip, and insert tip straight (or upward) into urinary opening, allowing the other end to hang down between your legs into a basin or toilet.
  7. Gently thread the catheter 3”-4” into the bladder until you see urine flow into the basin or toilet. Then gently thread it another 1/2”-1” into bladder.  Note: If the catheter enters the vagina instead of the urinary opening, withdraw the catheter, wash it with soap and water, vigorously rinse the catheter lumen (tube) with tap water to remove vaginal mucus, dry it, and start again.
  8. Hold catheter in place and allow urine to continue draining until it stops completely.
  9. Gently remove the catheter from the bladder. Wipe yourself with tissue from front to back, and throw away the used catheter.
  10. Pick up the lubricated catheter with the other hand. Hold it like a pencil about 2”-3” from its tip, and insert tip straight (or upward) into urinary opening, allowing the other end to hang down between your legs into a basin or toilet.
  11. Gently thread the catheter 3”-4” into the bladder until you see urine flow into the basin or toilet. Then gently thread it another 1/2”-1” into bladder.  Note: If the catheter enters the vagina instead of the urinary opening, withdraw the catheter, wash it with soap and water, vigorously rinse the catheter lumen (tube) with tap water to remove vaginal mucus, dry it, and start again.
  12. Hold catheter in place and allow urine to continue draining until it stops completely.
  13. Gently remove the catheter from the bladder. Wipe yourself with tissue from front to back, and throw away the used catheter.

Diagram 1: Female Anatomy
Diagram 1

Holistic Medications To Help Bladder Health
Women’s Excellence offers numerous remedies for bladder health.  For more information, please click HERE.

Always Urinate After Sex
Women should always urinate after sex to rid the urethra of any type of bacteria that might have come into contact during intercourse.

Importance Of Evaluations Of A Dropped Bladder
Women’s Excellence stresses the importance of evaluations of a dropped bladder to help eliminate or avoid urinary retention frequency, pain, and recurring UTIs.

When To Come In When You Think You Have A Bladder Infection
Unfortunately, more and more bladder infections are associated with resistant bacteria.  So, anytime you have symptoms of a urinary tract infection, you should be evaluated and provide urine for a culture. This allows us to treat you with the right antibiotic for the right amount of time and get you back to your normal life.

Restrict Fluids After 7pm To Help Decrease Night Time Voiding
Women’s Excellence has found that the elimination of acidic and caffeinated beverages after 7pm (or later in the evening depending on one’s normal bedtime) will help the risk of voiding during the night time. Drinking water, in moderation, at night is okay and also helps dilute the urine which helps reduce irritation or pain