How to Catheterize Through a Stoma After Mitrofanoff Surgery

Are you looking for information regarding how to catheterize through a stoma? You’ve come to the right place. Here at 180 Medical, our goal is to help provide the support and resources you need along with the best service possible.

We understand that fear, anxiety, and worry can overcome you when first learning the news you’ll need surgery. But rest assured, you’re not alone. The good news is that we’ve found by educating yourself about what to expect, it can ease some of your fears and better prepare you for what’s to come.

In this blog post, you’ll learn how to use a catheter through a stoma. Plus, we provide some resources that can help you along your journey.

What is a Mitrofanoff Procedure?

Have you ever heard of a Mitrofanoff procedure? If not, here’s a little back story on the procedure.

A Mitrofanoff is a procedure in which a surgeon cuts a piece of tubular tissue and creates a conduit from a stoma to the bladder. An individual with a Mitrofanoff empties the bladder by passing an intermittent catheter through the stoma into the bladder.

For some, a Mitrofanoff has advantages over a suprapubic because there is no indwelling Foley tube or no collection bag. Also, the stoma is visible and accessible, making it easier than trying to insert a catheter into the urethra.

This enables a person with limited hand dexterity who can’t catheterize through the urethra to manage the bladder independently. Another advantage is because the stoma is so easy to see and reach, cathing can be accomplished from a chair or wheelchair.

This procedure is becoming more and more common for those with bladder problems due to spina bifida, bladder exstrophy, or bladder obstruction.

Which Type of Catheter is Ideal When Cathing Through a Stoma?

So, which type of catheter is right for you? It depends on each individual’s anatomy, needs, and personal preferences. At 180 Medical, you have a variety of different catheter materials, sizes, and types from which to choose.

Every catheter type comes in two tip options: straight tip catheters or coudé tip catheters. While each case is different on which catheter tip will work best for your needs, straight tip catheters often work well for most individuals when catheterizing through a stoma.

Here at 180 Medical, we have several straight tip catheters from which to choose. These are also available as pocket catheters, which come in a curved or U-shaped package and can be easily concealed.

sarah quote about latex free catheters for stoma

How to Catheterize Through a Stoma

Cathing through a stoma doesn’t have to be complicated. In fact, it’s so easy, even children can learn! With the 180 Medical Kids Club Program, we show children how easy it is to catheterize through a stoma. If you have children that would benefit from receiving this information, we encourage you to visit our Kids Club page.

Below are steps that will teach you how to use a straight intermittent catheter through a stoma.

1. Wash Your Hands

It’s important to always keep yourself free from bacteria and germs. Be sure to get all your supplies ready and wash your hands with soap and water.

2. Wash the Area Around Your Stoma

Gently wash the around your stoma with warm soapy water. If you have betadine swab sticks or benzalkonium (BZK) wipes work well for cleaning around your stoma.

3. Lubricate the Catheter

Each catheter has specific instructions on the package. Some catheters come with lubricating jelly, while others do not. If your catheter comes with lubricating jelly or is already pre-lubricated, follow the instructions on the package.

If your catheter does not come with lubrication, you still need to make sure to use lube to minimize friction during self-catheterization. We have catheter lubricant you can request from our website.

Important tip: Lubricate at least two inches of your catheter before inserting it into your stoma.

4. Insert the Catheter

Insert your catheter into the stoma slowly. When the urine begins to come out, insert the catheter a little more. Be sure to let the urine go into a toilet or container. When the urine stops flowing, slowly take the catheter out of the stoma.

5. Throw Away the Catheter and Wash Hands

Throw the catheter away and wash your hands again.

Want to Learn More About How to Catheterize Through a Stoma?


At 180 Medical, we do everything in our power to provide you with the products and resources you need.

We also have free catheter samples you can request that come in all sizes that will best fit your personal needs. Not to mention, we have specialists that are extremely knowledgeable and can assist you every step of the way. If you have any questions or concerns about how to catheterize through a stoma, contact us today. Our Specialists are here to help.

Disclaimer: Please note that this is intended to provide a general understanding of self-catheterization. It should not be used in place of a visit, call, or consultation with a physician or other healthcare provider.

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About the Author
TJ Gipson is a Marketing Specialist at 180 Medical. His favorite part about working at 180 Medical is the culture of excellent service and true empathy 180 Medical has for their customers.

In his spare time, he enjoys studying direct response advertising copywriting, marketing strategies, reading, listening to music, and working out.