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Q: What are the typical signs of infection in the kidneys or bladder?
A: You may feel feverish, have lower loin pain or pain in your back. Your urine may have an offensive odour and may be cloudy. Blood may be present in the urine. Frequency of urination and pain, burning, or a stinging sensation upon passing urine may be present. You may also feel confused. Not everyone develops these symptoms. If you are not feeling well or you suspect you have an infection, contact your healthcare provider. It is important to contact your healthcare provider at the first sign of a urinary infection.
Q: How much fluid should I drink?
A: It is generally recommended that adults drink approximately two litres of fluid each day. Your needs may be different, so please be sure to follow your healthcare professional’s advice. Check your weight as well to determine if you are retaining fluid. Your recommended fluid intake may be based on your weight and other medical history.
Q: What should I do if I cannot pass the catheter into my bladder?
A: Never force the catheter as you could cause injury to the urethra. If you cannot pass the catheter after three or four tries, call your healthcare professional or go to accident and emergency.
Q: Why do I have large amounts of urine when I catheterise at night?
A: Please consult your healthcare professional regarding this situation.
Q: What steps do I need to take to prepare to catheterise?
1. Wash hands with mild soap and water and dry thoroughly.2. For males: Cleanse the glans and the opening of the urethra with mild, unscented soap or a non-alcoholic wet wipe.
2. For females: Spread the labia and cleanse around the opening of the urethra with mild, unscented soap or a non-alcoholic wet wipe.
Refer to instructions for use that accompany your product for more information or speak with your healthcare professional.
Q: How do I catheterise on a trip?
A: In many cases, planes, buses and trains do not have wheelchair-accessible bathrooms. You may choose to catheterise under a blanket using a closed-system intermittent catheter, such as a VaPro Plus Touch-Free Intermittent Catheter System, Advance Plus intermittent catheter, or an Advance Plus Pocket intermittent catheter. When travelling, be sure to carry some of your catheter supplies in your hand luggage. Check with the airline when making travel arrangements.
Q: What features should an intermittent catheter have?
A: Desirable features include biocompatible catheter material (non-sensitising), flexibility to accommodate urethral contours and durability to retain its shape even with temperature variations. Some catheters are ready to use, easy to handle and enable a no-touch insertion technique. Needs of users vary. Learn more about the unique features of Hollister Continence Care products.
Q: Who can use an intermittent catheter?
A: Male, female and paediatric patients who need to drain urine from the bladder can use an intermittent catheter as prescribed by a healthcare professional.
Q: Do Hollister pre-lubricated intermittent catheters require water to be added to the product for lubrication upon opening?
A: No, the Hollister Advance and Advance Plus intermittent catheters are pre-lubricated with gel and ready to use. All VaPro Touch-Free Intermittent Catheters are ready to use straight from the packaging, with no need to add water or to burst water sachets.
Q: What are the advantages of a protective tip and sleeve?
A: Bacteria in the urinary tract can lead to a urinary tract infection. Many Hollister intermittent catheters have a tip and sleeve, which are designed to help keep germs away from the catheter. The protective tip and no-touch sleeve enable a no-touch catheterisation technique.
Q: How do I dispose of the catheter?
A: The catheter should be disposed of in a waste bin. Do not flush it down the toilet. Follow any local guidelines for the disposal of waste, especially medical devices.
Q: How should I prepare for a trip?
A: Check with the airline or cruise line when making travel arrangements for special accommodation (i.e., if needed ask for boarding assistance, a larger bag allowance or accessible accommodation). You should also familiarise yourself with the policies of your airline.
Alert hotels about your needs before your arrival and request any equipment you will need (i.e., bath, bench, roll-in shower, etc.). Even cruise lines must provide disabled-accessible rooms. Be very specific about what you need when making reservations.
Research your travel destination to prevent surprises with regard to physical barriers. Be sure to carry your medications and supplies for catheterisation and other self-care routines in your carry-on luggage. Get as much rest as possible, maintain your usual care routines and drink plenty of fluids. Drink bottled water if the tap water is questionable.
Q: What do I need to carry with me to catheterise away from home?
A: While the need for supplies varies by individual, ensure that you have enough catheters to use during your time away from home, any supplies needed for proper cleansing, and a bag to dispose of your catheters if you are not able to locate a waste bin.
Q: What makes VaPro touch free intermittent catheters unique?
Q: Who can use a VaPro touch free intermittent catheter?
A: Male, female and paediatric patients who need to manage urinary incontinence by draining urine from the bladder.
Q: Do VaPro touch free intermittent catheters contain natural rubber latex?
A: The specifications for VaPro touch free intermittent catheters and its packaging do not include natural rubber latex as a component, and our component suppliers do not add natural rubber latex as part of their production process.
Q: Does the VaPro touch free intermittent catheter require water to be added to the product upon opening?
A: No, the VaPro touch free intermittent catheter is ready to use straight from the packaging, with no need to add water or to burst water sachets.
Q: Why doesn’t the VaPro touch free intermittent catheter require immersion in liquid water, and how is it lubricated?
A: The VaPro touch free intermittent catheter coating is activated by sterile water vapour contained in the packaging. The process of pure catheter hydration technology provides a fully hydrated, ready-to-use catheter upon opening the package with no need to add water.
Q: What are the advantages of having a protective tip and sleeve?
A: The protective tip and sleeve help guard against contamination by bacteria both from the environment and in the first 15mm of the distal urethra. The protective tip, along with the protective sleeve, enable the user to apply a no-touch technique.
Q: What material is used to make the VaPro touch free intermittent catheter?
A: The catheter tubing is made from PVC — polyvinylchloride.
Q: Does the VaPro touch free hydrophilic intermittent catheter contain phthalates?
A: No DEHP or any other phthalates are used in manufacturing of the catheter tubing.
Q: What is the coating on the VaPro touch free intermittent catheter, and what is unique about that coating?
A: The VaPro touch free intermittent catheter coating uses a common hydrophilic ingredient, polyvinylpyrrolidine (PVP). A proprietary process was developed to coat the catheter evenly.
Q: What is unique about the VaPro touch free intermittent catheter packaging?
A: Its easy access packaging with both a tear strip opening and finger holes, helps to ease access for those with limited dexterity.
Q: How many eyelets are on the VaPro touch free intermittent catheter?
A: The VaPro touch free intermittent catheter has two offset smooth eyelets.
Q: Does the gel have any ingredients that could cause allergic reactions?
A: Hollister Incorporated has undertaken both biocompatibility and latex testing in an effort to reduce any potential risk of allergic reaction; however, even this extent of testing cannot completely eliminate all possible reactions.
Q: Is the gel totally water soluble?
Q: How much gel is in the gel reservoir? Is it enough for a catheterisation?
A: The Ch. Size 6-8 reservoirs hold 2.3 grams of gel while the French size 10-18 reservoirs hold 4.0 grams. All reservoirs have been tested and have been shown to coat the catheters adequately. The Ch. Size 6-8 size does not contain as much gel as the other sizes due to the smaller catheter surface area.
The concept of the gel reservoir is to coat the catheter fully vs other means of applying lubrication. This process significantly reduces the amount of gel required to ensure the catheter is coated and is easier for the user, as the gel is applied automatically and reduces the risk of spilling.
Q: What is the purpose of the gel reservoir?
A: People have different needs with regard to the amount of gel they need. With the gel reservoir, the users have the possibility to individually regulate the amount of gel.
Q: Do the components leave any marks on clothes?
A: The gel will stain clothing if left untreated. To remove a gel stain, dab or rub with a wet cloth or wash as per instructions on the clothing.
Q: Does the catheter leave gel in the urethra?
A: Some gel can remain in the urethra, although the amount of gel that could remain is insignificant. The gel has been tested for use both on skin and mucosal tissue and approved for use with no adverse effects identified from testing.
Q: What are the advantages to the protective tip?
A: The protective tip helps to reduce the introduction of bacteria into the urinary system by bypassing the first 15 mm of the distal urethra.
Q: What material is used to make the Advance intermittent catheters?
A: The catheter tubing is made from PVC — polyvinylchloride.
Q: Do Advance intermittent catheters contain phthalates?
A: No DEHP or any other phthalates are used in manufacturing of the catheter tubing.
Q: When catheterising, what should I do if I am having my period?
A: Good hygiene during menstruation is always important. Every time you catheterise, you should wash your genital area with a pH-neutral soap, and you should change your tampon or sanitary pad often.
Q: How should I clean the bedside collector or leg bag used with a penile sheath?
A: There are several commercially available products to clean urine collection devices. The Hollister m9 cleaner/decrystalliser is one such product. It is odourless, pH balanced and comes with its own mixing bottle with tapered tip to fit inside most tubing.
Q: Can penile sheaths be used on an uncircumcised penis?
A: Yes. Apply the catheter with the foreskin in its natural position.
Q: Can a protective barrier wipe be used on the skin?
A: Yes. However, if the catheter leaks before 24 hours have passed, eliminate the protective wipe because it may be interfering with the adhesion.
Q: What is the best way to remove a penile sheath?
A: Gently roll the catheter off the skin. Holding a warm, soapy washcloth over the catheter for about 30 seconds may help weaken the adhesive for easier removal. Adhesive remover wipes may also be helpful.
Q: Is the InView special catheter only for men with a short shaft?
A: No. Some users simply prefer an external catheter with a shorter sheath. The adhesive of the special version is adequate to hold the catheter. For some men, the shorter sheath is a matter of preference or comfort. Learn more about the InView penile sheath.
Q: Is sizing important in selecting the right penile sheath?
A: Yes. Disposable sizing guides are available to help in proper catheter size selection. If you are between sizes, choose the larger of the two sizes.
Words you may have heard, explained simply and clearly.
Refers to a tube or collapsible material within a urine collection device to help prevent urine from re-entering the tubing.
Found on some Hollister penile sheaths, a plastic guide with notches for the thumb and forefinger to assist proper placement against the tip of the penis.
Aseptic intermittent catheterisation
The process of performing intermittent catheterisation using sterile equipment and inserting the catheter in a sterile way. This would include a sterile ready-to-use product that can be inserted with gloves using a no-touch technique (e.g., the Advance Plus intermittent catheter or a VaPro hydrophilic catheter).
Benzalkonium chloride (BZK)
An antimicrobial solution used for cleansing the urethral opening prior to inserting an intermittent catheter. Does not stain skin or clothing.
A collapsible balloon-like muscular organ that lies in the pelvis and functions to store and expel urine.
A procedure in which a catheter is passed through the urethra or stoma into the bladder, usually for the purpose of draining urine.
The ability to control urination.
A printed or electronic form to keep track of when one urinates or leaks urine.
A special type of hollow tube inserted through the urethra or a stoma to the bladder to withdraw urine or instil medication.
The process of inserting a tube into the bladder to drain urine.
Cauda Equina Syndrome
Cauda Equina Syndrome is a rare but serious condition that affects the bundle of nerves at the end of the spinal cord called the cauda equina. This syndrome causes pain down the leg, numbness around the anus, and loss of bowel and bladder control.
Clean intermittent catheterisation
The process of emptying the bladder using a clean intermittent catheter. It involves inserting and removing a catheter, typically several times a day.
Refers to a no-touch catheter located within, or attached to, a urine collection bag. Some catheters are manipulated through the bag and guided through a protective tip as it is inserted into the urethra without being directly touched.
Closed system kit
Comprised of a closed system (catheter located within, or attached to, the urine collection bag) and sometimes other supplies.
On Hollister Incorporated straight intermittent catheters, the funnel ends are colour and size coordinated so catheters may be consistently ordered by size or funnel colour.
A device that secures the extension tubing to the catheter or urinary pouch system.
The ability to control the timing and process of urination and/or bowel movements.
A slight bend manufactured in the tip of the catheter that makes insertion past the prostate easier for some men. Some products include a notch at the funnel end, or a guide stripe on the catheter, as a guide for alignment during insertion.
External condom catheter
Device that is secured externally with various adhesives to the penis shaft for the purpose of urine collection. The device must be connected with tubing to a urine collection bag.
External sphincter muscle
A round voluntary muscle surrounding the urethra that opens and closes to hold urine in or let it drain.
Tubing that provides the connection between an external or indwelling catheter and a urine collection bag or leg bag. May also serve as a connection between an ostomy pouch or wound drainage collector. Typically made of latex or vinyl.
An oval-shaped hole in the insertion end of the catheter to facilitate drainage of urine from the bladder. Eyelets are usually two in number and may be across from each other or offset.
Female urinary pouch (FUP)
A cut-to-fit, one-piece vinyl pouch with a flexible synthetic barrier that is attached externally to the female urethral/vulva or perineum area. The pouch is usually connected to a bedside collection bag. An FUP is used for bed-bound female patients.
Refers to lesser pliability of a urethral catheter.
Refers to greater pliability of a urethral catheter.
A skin barrier from Hollister Incorporated with special additives that achieve a stronger adhesive seal and are more resistant to breakdown from fluids. Skin-prepping agents are not recommended under Flextend skin barriers.
A catheter that is inserted into the bladder through the urethra for continuous emptying of the bladder and is connected by tubing to a drainage bag.
Abbreviated Fr, the measuring gauge for the outer diameter of a straight or indwelling catheter. 1 French = 1/3 mm
Coloured, non-insertion end of the intermittent catheter that allows for ease of fluid control. Many manufacturers include colour on the funnel to correspond to the specific French size of the catheter.
A small, blue-coloured, lubricant-filled flexible device unique to Hollister Incorporated, which is built into the Advance and Advance Plus catheters. The catheter is lubricated as it passes through the blue gel reservoir on its way to the urethra.
A comprehensive look at a person's medical history, including information such as existing diseases, previous health problems, injuries, medications and surgical procedures.
A catheter designed to be lubricated when in contact with sterile water or saline, which eases friction on the urethra upon insertion.
Loss of control of bowel and/or bladder function.
A flexible tube that remains in the bladder continuously to drain urine. May be referred to as a Foley catheter.
A condition resulting from the presence of bacteria.
A thin, latex extra membrane inside Hollister Incorporated extended wear latex penile sheaths. The inner flap helps prevent urine undermining of the catheter adhesive.
A coloured line or a ridge that extends the length of the catheter, especially the coudé catheter, and serves as an alignment guide during insertion. On Hollister Incorporated products, a funnel notch provides this guide.
A flexible tube that is used for emptying the bladder on a regular schedule. The tube is inserted and removed at regular time intervals and is not indwelling. Used for self-catheterisation.
Internal sphincter muscle
An involuntary muscle located at the bladder opening to the urethra.
Two bean-shaped organs that lie internally on either side of the spinal cord and whose purpose is to filter waste from the blood and to produce urine.
A urinary tract infection that also involves the kidneys. Also called pyelonephritis.
A material made from natural rubber, which may cause allergic reactions. Red rubber catheters and some penile sheaths contain latex.
A flat plastic bag that attaches to the leg to collect urine from an indwelling catheter.
Leg bag straps
Fabric straps that hold a leg bag in place.
A water-soluble jelly applied to a catheter to allow for easier insertion.
Male external urinary pouch (MUP)
A cut-to-fit, one-piece pouch with an adhesive backing. An MUP is usually attached to a bedside collection bag and is used by men with limited mobility.
The opening of the urethra in both men and women.
An atonic or unstable bladder associated with a neurological condition, such as diabetes, stroke or spinal cord injury.
Neurogenic bowel dysfunction
Constipation or fecal incontinence associated with a chronic neurological condition, such as multiple sclerosis, spinal cord injury, or Parkinson’s disease.
The act of getting up during the night to urinate.
Not made from natural rubber; usually vinyl or silicone for catheters or plastic for collection bags. Minimises risk of allergic reaction to latex.
An oval-shaped catheter tip that makes it easier for a female user to find the urethral opening when catheterising.
A condition in which the bladder is squeezing down too frequently, causing a frequent urge to pass urine; may contribute to incontinence.
The involuntary loss of urine occurring when the bladder is overfilled (overdistension of the bladder).
Pelvic floor muscles
Several small muscle groups that surround the urethra and rectum. They support the organs of the pelvis and help to maintain continence.
Refers to a catheter that is lubricated through means of activating a hydrophilic catheter or by passing through a gel reservoir, or a lubricated catheter in a closed system, or a catheter in packaging that contains a lubricant packet, which is ruptured to lubricate the catheter prior to opening the package.
A small organ in males located below the neck of the bladder encircling the urethra.
A specially designed system on some intermittent catheters, which is inserted into the urethra to help reduce the introduction of bacteria into the urinary system by bypassing the first 15 mm of the distal urethra.
Povidone iodine solution, used as an antimicrobial disinfectant, applied to the urethral opening prior to catheter insertion. May stain clothing.
The involuntary loss of urine due to detrusor hyperreflexia and/or involuntary urethra relaxation without warning or sensory awareness. This condition may be seen in the presence of neurogenic bladder disorders.
The backward flow of urine from the bladder back through ureters and sometimes into the kidneys.
Cap on the protective tip of some of Hollister Incorporated intermittent catheters that protects the catheter tip. The ring assists with cap removal, especially for those with limited dexterity.
The means of emptying the bladder independently with an intermittent catheter.
Used for penile sheaths, these semi-circular cutouts help determine the diameter of the penis in order to guide catheter selection for correct fit.
A gentle, flexible catheter with limited firmness.
A flexible skin barrier from Hollister Incorporated that conforms to round and some irregular surfaces. Gentle enough to be removed in 24 hours or less.
Refers to the tapered, rounded insertion end of a catheter.
The involuntary loss of urine associated with physical stress, such as coughing, sneezing, climbing or lifting.
A catheter that is inserted through the skin above the pubic bone and into the bladder for continuous drainage of urine.
A scan that can be used to identify the shape and position of the bladder and other abdominal organs.
A bladder with an overly large capacity that overfills. Loss of sensation due to this filling action results in a bladder that does not contract forcefully enough, and small amounts of urine dribble from the urethra.
Two hollow tubes that carry urine from the kidneys to the bladder.
The natural tube through which urine exits the bladder.
The involuntary loss of urine associated with a strong desire to void (urgency).
An examination of the contents of urine to determine the presence of infection, to diagnose metabolic disease (e.g., diabetes), and to obtain information about kidney function.
The involuntary loss of urine that is objectively demonstrable as a social or hygienic problem.
Urinary tract infection (UTI)
An illness caused by the invasion of bacteria in the tissues of the urinary tract.
Liquid waste filtered from the blood by the kidneys.
Crystals of salts and minerals may form in alkaline urine. Alkaline urine may also allow bacteria to grow in the bladder, which may result in a urinary tract infection (UTI).
Measurement of the functional sequences within the lower or upper urinary tract.
Vacuum relief valve
A feature on Hollister Incorporated leg bag tubing that helps prevent collapse of the tubing.
Vented leg bag
A special vacuum-relief mechanism featured on Hollister Incorporated oval kink-resistant tubing and the companion pouch, which also features an air vent. These combined features help to minimise a vacuum in the leg bag, as well as in the tubing. A vacuum is created as the urine cools outside the body. The vacuum may stall urine drainage through the tubing and/or prevent the leg bag from emptying completely.
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