|
|
|
|
| Definition - Intermittent Catheters |
| Diane Newman, DNP, ANP-BC, FAAN |
| Intermittent catheterization (IC) is the insertion and removal of a catheter several times a day to empty the bladder. The purpose of catheterization is to drain urine from a bladder that is not emptying adequately or from a surgically created channel that connects the bladder with the abdominal surface (such as Mitrofanoff continent urinary diversion). Diane Newman describes what it is, methods, and the rationale. |
|
|
|
|
|
| Complications - Intermittent Catheters |
| Diane Newman, DNP, ANP-BC, FAAN
|
Intermittent catheterization (IC) is the preferred procedure for individuals with incomplete bladder emptying from non-neurogenic or neurogenic lower urinary tract dysfunction (NLUTD). IC is now considered the gold standard for bladder emptying in individuals following spinal cord injury (SCI) who have sufficient manual dexterity. Despite these recommendations, complications and adverse events can arise in both men and women but are seen especially in male patients performing intermittent self-catheterization (ISC) for long-term.
|
|
|
|
|
|
| Indication of Catheterization for Intermittent Catheters (IC) |
| Diane Newman, DNP, ANP-BC, FAAN |
| Current Association of French Urologists, European Association of Urology (EAU), American Urological Association (AUA), and the Healthcare Infection Control Practices Advisory Committee (HICPAC), guidelines recommend IC over other catheter-based options. Intermittent catheterization (IC) is the “gold standard” for individuals with bladder dysfunction caused by neurologic or non-neurologic causes, a significant and growing population in the United States and is the recommended method for individuals who are unable to void or completely empty the bladder. |
|
|
|
|
|
|
|
|
|
|
A Guide for Urogynecologic Patient Care Utilizing Telemedicine During the COVID-19 Pandemic: Review of Existing Evidence - Beyond the Abstract
|
| Kate Meriwether, MD; Cara L. Grimes, MD, MAS; Ladin A. Yurteri-Kaplan, MD, MS |
| As the COVID-19 pandemic evolves, the authors have determined evidence-based guidance for the care of women at female pelvic medicine and reconstructive surgery (FPMRS) practices. With certain medical conditions, past literature, and/or national and international guidelines exist that guided the care of patients when they could not be seen in person. While with other conditions, the management of FPMRS patients was similar to standard management with an emphasis on non-surgical or non-procedural management. |
|
|
|
|
|
| OnabotulinumtoxinA Injection to the External Urethral Sphincter for Voiding Dysfunction in Females
|
| Mariele Trimboli, MD
|
| The treatment options for voiding dysfunction in females, especially in the case of urinary retention, are limited. Management typically defaults to the use of catheterization to empty the bladder, either at regular intervals or continuously, in order to prevent long-term sequelae to the upper urinary tract. Mariele Trimboli along with her group at the University College London Hospital, examined the potential role of onabotulinumtoxinA injections into the external urethral sphincter (EUS) for the treatment of female voiding dysfunction.
|
|
|
|
|
|
|
|
|
|
|
PEER-TO-PEER CLINICAL CONVERSATION |
|
|
|
|
|
| Types of Neurogenic Bladder Disorders |
| Diane Newman, DNP, ANP-BC, FAAN |
| Diane Newman, adult nurse practitioner and a continence nurse specialist in urology outlines four types of neurogenic bladder disorders: atonic bladder, hyper-reflexive bladder, uninhibited bladder, and sensorimotor paralytic bladder. In addition to describing their symptoms, she also advises on how to diagnose and treat these disorders. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
