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>When handling catheters, hygiene is always the first >rule! >First, you should thoroughly disinfect the entire >pubic area. I am of course assuming that your older >girl will be raised completely hair-free, as is >usually the case with diaper-wearing children. >For girls, you should then insert a cotton ball soaked >in disinfectant into the vaginal entrance, similar to >a tampon - especially if she is on her period when the >catheter is inserted. For boys, you don't have to >worry about this, of course, but you should also make >sure that the area under the foreskin is also >thoroughly disinfected. Especially if he is not >circumcised. >After this preparatory work, you should wash your >hands thoroughly and put on sterile disposable gloves. >Then disinfect the urinary outlet again and inject >approx. 6ml of Instillagel into the ureter. You should >spread the remaining Instillagel on the tip of the >catheter and then insert it slowly but firmly. Once >you have overcome the resistance of the sphincter, >push the catheter a little further until the urine >starts to flow out. Then you can block the catheter >balloon with 8ml of saline solution and pull it back a >little until you feel a little resistance. The urine >should still continue to flow. This means that the >catheter is properly placed and the child can continue >to be diapered. >Recommendations for catheter sizes are of course very >individual and without knowing the child, I can hardly >give advice. As a first guide, you can try: >For boys, I would try 11 Charrière, for girls, 14 >Charrière. You could perhaps buy a set of stainless >steel dilators and try to find the right size that way.

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