Curan Man Patient A5 Booklet

Comfort and convenience mean different things to different people

The advantage of choice with Curan intermittent catheters

Table of contents Contents

Page

Using this guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 The urinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Intermittent self-catheterisation . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Curan Man . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Curan Man instructions for use . . . . . . . . . . . . . . . . . . . . . . . . . . 7–10 Curan Advantage Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Curan Advantage Male instructions for use . . . . . . . . . . . . . . . . . 12–14 Frequently asked questions . . . . . . . . . . . . . . . . . . . . . . . . . . . 15–17 Ordering information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 SecuriCare home delivery service . . . . . . . . . . . . . . . . . . . . . . . . . 19 Personal care plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Urine output record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Useful contacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22-23

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Using this guide This booklet provides step-by-step guidance to help you perform intermittent self-catheterisation (ISC) successfully, ease any concerns you may have and assist you with understanding the procedure as quickly as possible.

The booklet is a guide and should be used alongside the advice and information given to you by your healthcare professional.

With guidance from your healthcare professional, you will have chosen one of our catheters to commence ISC. Alongside this booklet you will have samples of either Curan Man or Curan Advantage to take away with you.

This booklet provides the details and further instructions for both catheters, please refer to the section relevant to the Curan catheter you have been given. We hope that after reading the booklet you will feel confident about performing ISC and ready to continue everyday life.

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The urinary system The urinary system is made up of different parts. Waste products from the body are filtered within the kidneys, producing urine which travels to the bladder down tubes called ureters. Urine is stored within the bladder until it is ready to be passed down a tube called the urethra to the tip of the penis.

When the bladder is full, for the majority of people a message is sent to the brain which creates a sensation in the bladder to pass urine via the urethra.

The bladder will normally empty completely, however some people may not be able to fully empty their bladder and the residual pool of urine left behind can lead to infection and potential complications.

A man’s urethra is shaped like an S and about 18-20cm long.

Bladder Prostate

Spine

Urethra Rectum Penis Anus Scrotum

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Intermittent self-catheterisation ISC is a method by which you can empty your bladder with the use of a catheter. This may be necessary if you are unable to empty your bladder fully or at all. A catheter is a hollow tube with special holes called eyelets.

When the catheter is inserted and the eyelets enter the bladder, they allow the urine to drain into the catheter and out of the body.

It is a simple procedure you can carry out at home, work or when travelling.

It will fit in to your current lifestyle and enable you to continue with the daily activities you currently enjoy.

It is normal for some people to find ISC difficult to begin with and the initial time it takes to learn how to perform the process varies from person to person.

The Curan range offers a variety of catheters for ISC. Finding the right one for you is a personal choice with advice from your healthcare professional.

Curan Man is a sterile, single use gel catheter that has been designed to be easy to use, mess-free and effective in emptying the bladder, as well as compact and discreet. Curan Advantage is a hydrophilic-coated catheter, which is activated by bursting the integrated sterile water sachet within the packaging. It is available in a standard male length and a shorter unisex version. Your choice of catheter will depend on your lifestyle and what works best for you.

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Curan Man

Easy grip and twist lid

Gel compartment provides smooth coating with no mess

Flexible packaging allows the catheter to be folded for discreet transport

Smooth polished eyelets

Plastic clip – to hold the catheter in the folded position

Universal connection to a urine collection bag (if required)

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Single flow urine outlet

Blue Grip® - assists insertion of the catheter and promotes a hygienic, no touch technique

Step 1 Wash your hands thoroughly with soap and water and dry them. Make yourself comfortable. If there is a possibility you might be able to urinate, always try before you use a catheter.

Step 2 Find a position where you are most comfortable and can locate the urethra. Here are some of the positions that you may find helpful to perform ISC. Sitting on the edge of the bed.

Sitting over the toilet.

Sitting in a wheelchair.

If you are doing ISC in a wheelchair, or sitting on the edge of the bed, it might be useful to attach a urine drainage bag to the catheter or have an appropriate receptacle to hand to collect urine (such as a jug or urine bottle).

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Curan Man

How to use Curan Man

Step 3 Wash around the genital area, retracting your foreskin (if necessary) and prepare around the glans and the opening of the urethra. Use an alcohol-free wet wipe or mild soap and water.

Step 4 Break the transparent label on the catheter by twisting the easy-grip lid in the opposite direction to the base as indicated by the arrows. If required, attach a urine bag to the drainage end of Curan Man using the universal connector.

Step 5 Take hold of the catheter funnel end and twist the catheter as you pull it from the tube. Curan Man is lubricated with a gel coating so there are no concerns about water spillage. You can use the Blue Grip to hold the catheter and help guide insertion, without directly touching the catheter itself.

Step 6 Hold your penis pointing upwards and close to your stomach to help straighten the urethra.

Do not squeeze or apply pressure to your penis.

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Step 8 When the flow stops, ease out the catheter slowly to ensure that urine is no longer draining. If urine starts flowing again, stop withdrawing the catheter.

The bladder needs to be fully emptied to reduce the risk of infection.

Step 9 Dispose of the catheter and the outer packaging in a waste bin. Do NOT flush it down the toilet. Wash your hands again with soap and water. If there is no immediate method of disposal available Curan Man can be replaced into the tube and fully resealed to carry with you until a bin is located. Curan Man is a single use catheter and should not be reused.

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Curan Man

Step 7 The catheter can then slowly be inserted into the urethra as you have been shown. Once you have started to insert the catheter you should point your penis and the funnel end toward the toilet or collecting bag. Continue to insert Curan Man until you reach the bladder and urine starts to flow.

Curan reviews - Man & Advantage Discreet, hygienic, comfortable to use. Easy to pack when on holiday.

Have been using these since 2015 and never had any issues with them.

Very discreet. Easy to use and small enough to dispose of without embarrassment.

I have tried other products but in my opinion this product is the easiest I’ve used. It’s always well lubricated with the gel, which means you don’t get any excess mess or leakage that you may get with other products.

I have found this product relatively simple and easy to use.

The slide around the catheter is particularly useful when guiding it in place, although pressure is sometimes needed to pass through the stricture.

It easily folds in half with the clip, and then you can place the catheter back in the cover for disposal. I think they are great, and really do seem like the ones I could do with.

To leave a review please visit the relevant product page on our website: www.clinimed.co.uk 10

Curan Advantage

Curan Advantage Male

Adhesive tab at back – to hang the package vertically during activation of the coating Resealable opening tab Water sachet

Single flow urine outlet

Universal connection to a urine collection bag (if required)

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Comfort Coat® – smooth hydrophilic catheter coating

Smooth, polished eyelets

Curan Advantage Male Step 1 Wash your hands thoroughly with soap and water and dry them. Make yourself comfortable. If there is a possibility you might be able to urinate, always try before you use a catheter.

Step 2 Wash around the genital area, retracting your foreskin (if necessary) and prepare around the glans and the opening of the urethra. Use an alcohol-free wet wipe or mild soap and water.

Step 3 Find a position where you are most comfortable and can locate the urethra. Here are some of the positions that you may find helpful to perform ISC. Sitting on the edge of the bed.

Sitting over the toilet.

Sitting in a wheelchair.

If you are doing ISC in a wheelchair, or sitting on the edge of the bed, it might be useful to attach a urine drainage bag to the catheter or have an appropriate receptacle to hand to collect urine (such as a jug or urine bottle).

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Step 5 Wait approximately 25 seconds for the sterile water to activate the hydrophilic coating. You can use the adhesive tab at the back to hang the packaging on a vertical surface whilst you prepare for catheterisation.

Step 6 When you are ready to catheterise open the tab at the front of the packaging by pulling upwards then take hold of the catheter funnel end and pull it from the packaging. At this stage if required attach a urine bag to the drainage end of Curan Advantage using the universal connector.

Step 7 Hold your penis pointing upwards and close to your stomach to help straighten the urethra.

Do not squeeze or apply pressure to your penis.

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Curan Advantage

Step 4 Before opening the packaging, release the sterile water by lightly pinching or squeezing the integrated sachet until it bursts.

Step 8 The catheter can then slowly be inserted into the urethra as you have been shown, using the Blue Grip to help guide the insertion without directly touching the catheter itself.

Step 9 When the flow stops, ease out the catheter slowly to ensure that urine is no longer draining.

If urine flow starts again, stop withdrawing the catheter. The bladder needs to be fully emptied to reduce the risk of infection.

Step 10 Dispose of the catheter and the outer packaging in a waste bin. Do NOT flush it down the toilet. Wash your hands again with soap and water. If there is no immediate method of disposal available Curan Advantage can be replaced into the packaging and resealed using the adhesive tab to carry with you until a bin is located. Curan Advantage is a single use catheter and should not be reused.

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Frequently asked questions How often should I catheterise?

This depends on the individual, the reason for catheterisation, how much fluid you drink and whether you have been prescribed additional medication.

Your healthcare professional will advise you on how many times a day you need to catheterise.

Does ISC hurt?

It may feel like a strange sensation at first, but ISC should not be painful.

For some people the urethra is sensitive when first learning and if this does not settle with time then ask for advice. It is normal for some people to find ISC difficult to begin with but after a very short time and with a little practice you will find it very straightforward.

Will I always have to catheterise from now on?

This will depend on the reason for catheterisation. Sometimes ISC is a temporary measure until your bladder regains its normal function.

You should report any changes in the amount of urine you are passing to your healthcare professional who will review the need for continuing ISC or altering the frequency.

What should I do if I can’t insert the catheter?

If you have tried and failed, do your best not to worry or panic as this is a fairly common problem and wait for around 20 minutes before trying again.

Try to relax, as much as you can, as this is key to successful insertion. Do not try to force the catheter in as this can damage your urethra. If you still can’t manage to insert the catheter, then contact your healthcare professional or the out of hours number you have been given.

What if there is no urine coming out of the catheter?

If there is no urine draining, remove the catheter and try a new one. Make sure you are putting the catheter in the right place.

If there is still no drainage and you feel your bladder is still full, then contact your healthcare professional.

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What should I do if I can’t remove the catheter?

Try not to panic and stay calm, this can happen if you are tense and your muscles go into spasm. Relax for 5-10 minutes to allow the muscles to loosen up. Coughing several times as you begin to remove the catheter can also help. If none of these suggestions work then you should seek medical advice.

How much should I drink?

You should drink around 1.5 litres or 2-3 pints of fluid each day.

What if I see blood?

Don’t worry. It is very common to see a few drops of blood around the tip of the catheter when you have finished or some pinkish discolouration of your urine after catheterisation. However, if bleeding is continuous or heavy then seek medical advice.

Are there any symptoms I should look out for?

Symptoms such as fever, uncontrollable shivering, blood in urine, cloudy urine, burning sensation on catheterisation, unpleasant smell from urine, tummy or lower back pain, may indicate an infection.

You may not experience all of the symptoms of a urinary tract infection (UTI) but it is important that if you suspect that you have a UTI, you contact your GP. What should I do if I forget to catheterise?

You must catheterise as soon as you remember. Then continue as normal at the regular intervals you have been advised.

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What happens if I do not catheterise as regularly as I was told to?

Do not allow your bladder to become too full as it may cause tenderness and bloating around the lower stomach, headache, feeling hot and sweaty.

Occasionally forgetting to catheterise will not matter but if this happens too often it can cause urinary tract infection (UTI) and urinary leakage. Should the pressure in your bladder become too high there may be a risk of urine backflow to your kidneys, which could lead to complications.

What happens when I travel abroad?

Pack as many Curan catheters as you will need for the duration of your holiday or business trip. To avoid any possible problems with customs ask your healthcare professional for a written statement explaining that the catheters are necessary for medical reasons and are for your own use or call the CliniMed® Careline on 0800 036 0100 and request a travel certificate.

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Ordering information Your healthcare professional will provide you with your first supply of Curan catheters and will tell you how to obtain a prescription from your GP for further supplies.

Curan Man Size guide 12 Ch 14 Ch 16 Ch

Colour code Order code

• • •

PIP code

CM12

406-1651

CM14

406-1677

CM16

406-1669

box of 30

Curan Advantage Male Size guide 10 Ch 12 Ch 14 Ch 16 Ch

Colour code Order code

• • • •

PIP code

WHM10

407-3771

WHM12

407-3805

WHM14

407-3789

WHM16

407-3821

Curan Advantage Unisex Size guide 8 Ch 10 Ch 12 Ch 14 Ch

Colour code Order code

• • • •

PIP code

WHU08

407-3755

WHU10

407-3730

WHU12

407-3748

WHU14

407-3763

For more information visit www.clinimed.co.uk/urology-continence-care/products 18

Using the Curan ISC range?

SecuriCare’s home delivery service ensures you receive the products you want, when you need them. As a SecuriCare customer, you’ll receive a personalised service tailored to you, as well as a range of complimentary items to support your daily continence care routine.

We deliver...

• Free home delivery service for your prescription continence products • 1-hour delivery window with text message reminder so you don’t have to wait in all day • PharmaCare, SecuriCare’s in-house pharmacy, can deliver all your prescription medicines along with your products in one convenient package • Simple ordering via Freephone, email, online, text or post • Freephone Careline offering expert advice and individual support • EPS (Electronic Prescription Service) your prescription is sent to us electronically, saving time* * with GP consent

It’s easy to join Call 0800 585 125 Email enquiries@securicaremedical.co.uk Online at www.securicaremedical.co.uk Extended opening hours: Mon - Fri, 7.45am - 9pm

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Curan personal plan Name Hospital/clinic Name of nurse/GP Daytime phone no Office hours Out of hours contact Name of catheter I use Order code Size CH

I catheterise

times per day

Additional information:

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Review date

Urine output record Date

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Volume of fluid drank per day

Volume of urine passed after each catheterisation (ml) 1

2

3

4

5

6

7

Useful contacts Aspire www.aspire.org.uk 020 8954 5759

Diabetes UK www.diabetes.org.uk 0345123 2399

Back Up Trust www.backuptrust.org.uk 020 8875 1805

Disability Rights UK www.disabilityrightsuk.org 020 7250 8181

Bladder and Bowel Community www.bladderandbowel.org 0800 031 5412

Disabled Living www.disabledliving.co.uk 0161 607 8200

Bladder & Bowel UK (formerly PromoCon) www.bladderandboweluk.co.uk 0161 607 8219

Disabled Living Foundation www.dlf.org.uk 0300 999 0004

Bladder Health UK www.bladderhealthuk.org 0121 702 0820

Multiple Sclerosis Society www.mssociety.org.uk 0808 800 8000 Multiple Sclerosis Trust www.mstrust.org.uk 0800 032 3839

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NHS 111 www.nhs.uk/111 111 SecuriCare (Medical) Ltd. Home delivery service www.securicaremedical.co.uk 0800 585 125 Shine Association for Spina Bifida & Hydrocephalus www.shinecharity.org.uk 01733 555988 Spinal Injuries Association www.spinal.co.uk 0800 980 0501 Talk Health Partnership www.talkhealthpartnership.com 01256 962250

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For further information or to order a free sample please contact the CliniMed® Careline on 0800 036 0100

CliniMed Ltd., a company registered in England number 01646927. Registered office: Cavell House, Knaves Beech Way, Loudwater, High Wycombe, Bucks HP10 9QY. Tel: 01628 850 100 Email: enquiries @clinimed.co.uk or visit www.clinimed.co.uk. Curan® and Blue Grip® are registered trademarks of Curan Medical BV, 7007 CJ Doetinchem, The Netherlands. ComfortCoat® is a registered trademark of DSM Biomedical B.V., Koestraat 1, 6167 RA, Geleen, The Netherlands. CliniMed® and SecuriCare® are registered trademarks of CliniMed (Holdings) Ltd. © CliniMed Ltd. 2019. Last Revised October 2021.

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