For MS
patients who experience neurogenic voiding dysfunction, clean intermittent
catheterization (CIC) is the preferred method of removing urine from the
bladder. Jack Lapides, MD first described this technique more than 40
years ago and today it remains the most successful technique for bladder
emptying in people with urinary retention.
Clean
intermittent self-catheterization, or clean intermittent catheterization, in
people who require help from others to catheterize, is intended to mimic the
normal bladder function of the filling and emptying cycle in normal
micturition. Intermittent catheterization prevents the development of chronic
fibrosis and the eventual development of a small capacity and poorly compliant
bladder.
There are many
materials and designs of intermittent catheters, however, there are several
advantages to the single-use, hydrophilic catheters. The single-use,
hydrophilic catheters may reduce the incidence of urinary tract infections in
all persons requiring intermittent catheterization, as well as reducing the
potential for urethral wall trauma.
Intermittent
catheters need to be selected in the right size and length. IC needs to be
performed at least 4 times per day to completely empty the bladder and some
patients more frequently each day. Compliance to IC is essential in patients
who have urinary retention.
This
presentation provides a review of the use of intermittent catheterization in MS
patients with neurogenic bladder dysfunction.
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