In this section
Note: This guideline is currently under review. Introduction
Definition of Terms
Clean Intermittent Catheterisation (CIC) is a method of draining urine via a catheter inserted into the urethra, past the sphincter into the bladder. Once the urine is drained the catheter is removed. CIC is vital in reducing bladder pressure or draining residual urine, and therefore preserving kidney health. Correctly performed, CIC can also reduce the risk of urinary tract infections (UTIs) and promote continence.
This guideline does not refer to children and adolescents with an acute short term requirement for bladder emptying such as post-operative urinary retention, or need for an indwelling urinary catheter. Please refer to the Indewelling Urinary Catheter Guideline:
This guideline does not refer to the child or adolescent using CIC through a stoma such as a Mitrofanoff.
To provide information that will assist nursing staff to educate and support parents and carers of children who require ongoing CIC.
This guideline applies to infants, children and adolescents who require ongoing CIC due to:
Patient and family assessment should include:
Below is an approximate guide for catheter size:
Assess the preferred positioning before commencing catheterisation.
All children who require long term catheterisation should be considered for education in CISC. Readiness to learn CISC should take into account:
directions for catheterising boys:
Click here for the Evidence Table for this guideline.
Please remember to read the
The development of this nursing guideline was coordinated by Carmen Akaoui, Stomal Therapy, and approved by the Nursing Clinical Effectiveness Committee. Updated June 2019.