Clean Intermittent Self Catheterisation (CISC)

Abstract

Clean Intermittent Self Catheterisation (CISC) is a widely used, effective method for bladder management, especially in patients with incomplete or absent voiding. While generally safe, CISC carries risks, the most common being urinary tract infections (UTIs), including catheter-associated UTIs (CAUTIs), which are nearly universal among long-term users. Other complications include urethral trauma, strictures, prostatitis, epididymo-orchitis, and pain. Poor technique significantly increases risks, highlighting the importance of training and regular review.

Newer hydrophilic and gel-coated catheters may reduce infection and trauma but are limited by higher costs. Despite these advances, no type has proven definitively superior in cost-effectiveness, leading to cautious recommendations. While CISC improves quality of life for many, understanding and managing its complications is essential for safe, long-term use.

Harvey, N., & Pearce, I. (2014, July 1). Complications of CISC. Urology News. https://www.urologynews.uk.com/features/features/post/complications-of-cisc