Intermittent Selfcatheterization

The acute management of any type of UR requires bladder drainage. This can be accomplished by insertion of an indwelling urethral catheter, a suprapubic catheter, or intermittent self-catheterization (ISC). The primary goals of management are to empty the bladder and prevent renal deterioration. The ideal method would mimic the physiologic cycle, provide discretion and convenience for the patient, and have no risk of infection or injury to the urinary tract. Intermittent self-catheterization is able to fulfill many of these requirements.

There are numerous factors to consider when deciding on the best method of catheterization for a patient. Intermittent self-catheterization may not be possible for patients who lack the manual dexterity or mobility to reach the urethra by themselves. Often, the primary caregiver can perform the procedure; however, it places a large burden of responsibility on the caregiver, and forces complete dependence of the patient on the caregiver for bladder emptying.

At first, patients are often reluctant to accept the concept of self-catheterization. With teaching and reassurance, most patients quickly master the technique and enjoy the freedom from the indwelling catheter. Intermittent self-catheterization does not require sterile technique or special cleansing products and can be performed over a private or public toilet. A short female straight catheter and packet of lubrication can be kept conveniently in a purse or pocket. We instruct patients to perform catheterization as frequently as needed to achieve volumes between 300 to 400 mL, mimicking the normal physiologic bladder cycle and reducing the risk of damage to the upper tracts from overdistension of the bladder.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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