Intermittent Catheters 101: Sizes, Types, and How to Choose

A smiling home-care nurse consulting with an older man on his couch

If you're new to intermittent self-catheterization (ISC), the terminology can be confusing — French sizes, coudé tips, hydrophilic coatings. This plain-language guide explains what each term means and how to choose, alongside your healthcare provider's guidance.

What Do French Sizes Mean?

Catheter diameter is measured in French (FR) units — 1 FR = 1/3 mm. Common adult sizes:

  • 8–10 FR — pediatric or narrow urethra
  • 12–14 FR — most common adult starting sizes
  • 16–18 FR — larger diameter, sometimes needed for viscous urine or bypassing strictures

Your urologist or continence nurse determines the right size — using too small a catheter can cause leakage around it, while too large causes discomfort.

Straight Tip vs Coudé Tip

Straight tips are standard. Coudé (curved) tips are designed to navigate past obstructions like an enlarged prostate — commonly prescribed for men with BPH. Products like the GentleCath Intermittent Catheter for Males come in both tip styles and multiple FR sizes.

Male vs Female Length

Male catheters are typically 16" (40 cm); female catheters are 6–8" (15–20 cm), reflecting anatomical differences. Using the correct length makes the process faster and more comfortable.

Uncoated vs Hydrophilic

Uncoated catheters require separate lubricating jelly and are the most economical. Hydrophilic-coated catheters activate with water for a low-friction insertion — often preferred for sensitive urethras or frequent cathing.

How Many Catheters Per Day?

Most ISC users catheterize 4–6 times daily. Single-use is the standard of care in Canada — reusing catheters increases UTI risk significantly.

FAQ

Does intermittent catheterization hurt?

With correct technique and lubrication, it should be no more than briefly uncomfortable. Persistent pain warrants a call to your care team.

Are catheters covered by insurance in Canada?

Many provincial assistive-device programs and private plans cover intermittent catheters with a prescription. We provide detailed receipts for claims.

Shop catheters, drainage bags, and accessories in our Urology Supplies collection — discreet packaging, fast Canadian shipping.