Intermittent catheterization is the gospel for patients with neurogenic neurogenic bladder dysfunction: an injury to the nerves that control voiding resulting in impaired function of the bladder and sphincter.
Clinical manifestations.
Urinary incontinence
Urinary retention.
Urinary incontinence + retention.
Common causes.
Spinal cord injury/traumatic, non-traumatic.
Traumatic brain injury, stroke, brain tumors multiple sclerosis.
Aging: tonic incontinence.
Postpartum: Tonic incontinence.
Goals of bladder management.
Better bladder emptying planning and control to reduce the risk of urinary tract infections and prevent urinary retention to prevent long-term complications.
Bladder management methods.
Reflex voiding: A bladder treatment option that works through stimulation.
Kratai’s method: Using both hands to compress the suprapubic area of the bladder to squeeze the bladder body. This method requires adequate hand control.
Suprapubic indwelling catheterization: Any catheter placed and retained in the bladder is known as indwelling catheterization and can be classified as suprapubic indwelling catheterization and transurethral indwelling catheterization.
Intermittent catheterization: The rationale for its use is designated as the gold standard by medical guidelines, long-term need for bladder therapy, effective bladder emptying, less invasive compared to indwelling catheterization, lower risk of complications/UTI, and enhanced quality of life.
Indwelling urethral catheterization: Long-term continuous catheterization through the urethra, susceptible to infection, bladder stones, hydronephrosis, etc.
Advantages of intermittent catheterization.
1.It can empty the bladder regularly and reduce the amount of residual bladder urine.
2.Reduces urinary tract and pyelonephritis infections.
3.Reduce urinary tract stones.
4.Protect bladder and kidney function.
5.Improve sexual performance and fertility.
6.Improve the quality of life.
7.International guidelines gold standard.
Advantages of disposable intermittent catheter.
Hydrophilic coated catheter – lubricant is coated on the surface of the catheter and works in contact with water. Better than traditional catheter without lubrication layer and ordinary lubrication layer, disposable hydrophilic coated catheter – convenient and easy to use, and at the same time can promote the exercise of bladder autonomy function.