Intermittent catheterisation
Intermittent Catheterisation (IC) is a medical procedure used to manage patients who are unable to empty their bladder effectively. This technique involves the periodic insertion of a catheter—a thin, flexible tube—into the bladder through the urethra to allow urine to drain out. It is a critical component of bladder management strategies, particularly for individuals with neurogenic bladder, spinal cord injuries, or certain neurological conditions that impair the normal function of the bladder.
Indications[edit | edit source]
Intermittent catheterisation is indicated for patients who have urinary retention that cannot be managed by more conservative means. This includes individuals with:
- Spinal Cord Injury
- Multiple Sclerosis
- Spina Bifida
- Certain forms of Urinary Incontinence
- Conditions leading to Bladder Dysfunction
Procedure[edit | edit source]
The procedure for intermittent catheterisation involves several steps to ensure safety and reduce the risk of infection. These steps include:
- Hand washing and genital area cleaning
- Preparation of the catheter (lubrication)
- Gently inserting the catheter into the urethra until urine begins to flow
- Waiting until the urine flow stops and then slowly removing the catheter
- Disposing of the catheter properly (if it is a single-use catheter)
Patients are often taught to perform IC themselves or with the assistance of a caregiver.
Types of Catheters[edit | edit source]
There are several types of catheters used for intermittent catheterisation, including:
- Hydrophilic Catheters - pre-lubricated for easier insertion
- Coated Catheters - designed to reduce friction and discomfort
- Uncoated Catheters - require manual lubrication before insertion
Complications[edit | edit source]
While intermittent catheterisation is generally safe, there are potential complications, such as:
- Urinary Tract Infection (UTI)
- Urethral injury
- Bladder Stones
- Hematuria (blood in the urine)
Benefits[edit | edit source]
The benefits of intermittent catheterisation include:
- Lower risk of UTI compared to indwelling catheters
- Increased independence for patients
- Improved quality of life
Conclusion[edit | edit source]
Intermittent catheterisation is a valuable technique for managing bladder dysfunction, offering independence and improved quality of life for affected individuals. Proper technique and hygiene are essential to minimize complications.
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