Intermittent catheterisation

Intermittent catheterisation is a medical technique used in conditions where patients need short term catheter-based management of the urinary bladder. Intermittent catheterisation is considered the ‘gold-standard’ for medical bladder emptying. Intermittent catheterization can be done by the patient or a caregiver in home environment.

Advantages

People with neurogenic bladder disorders like spinal cord injury, spina bifida or multiple sclerosis, and non-neurogenic bladder disorders like obstruction due to prostate enlargement, urethral strictures or post-operative urinary retention, need to be continuously catheterised to empty their urinary bladders. But such continuous catheterisation can lead to problems like urinary tract infections (UTI), urethral strictures or male infertility. Intermittent catheterisation at regular intervals avoids such negative effects of continuous long term catheterisation, but maintaining a low bladder pressure throughout the day.

Technique

It is unclear if sterile technique or special catherters affects the risk of infection in those who require intermittent catheterisation.[1]

References

  1. ↑ Prieto, J; Murphy, CL; Moore, KN; Fader, M (Sep 10, 2014). "Intermittent catheterisation for long-term bladder management.". The Cochrane database of systematic reviews 9: CD006008. doi:10.1002/14651858.CD006008.pub3. PMID 25208303.
General