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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. > >Wow thanks Mary! How would you suggest I use the >urethral sounds to measure, and do these hurt? Would I >also need to wear sterile gloves for the sounds? > >Also, if you have any more advice for the >catheterisation I’d love to hear it, the more I can >get the better.

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