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Intermittent self-catheterisation is of value for patients with neurogenic bladders, may also be considered for any patient with residual urine ( NICE CG171 September 2013), and is also used for stricture therapy. This form of management is only undertaken after medical or specialist consultation.
Residual urines not only cause a reservoir for infection but could also reduce the vascular supply to the bladder tissue making it more susceptible to bacterial invasion.
Some advantages of intermittent self-catheterisation:
The patient must be willing and able to carry out this procedure on a regular basis. It is very important that a full discussion takes place with the patient, plus the giving of written information before the patient learns the technique. A nurse with the knowledge and skills should teach this procedure and the patient should remain under regular review. The number of times a patient self-catheterises in 24 hours varies according to the residual urine.
Patients performing intermittent self-catheterisation who suffer with recurrent UTIs should have their technique observed, however may benefit from a more specialist catheter, which should be discussed with a specialist nurse.
All catheters used for intermittent self-catheterisation have the generic name, Nelaton.
The smallest size that is suitable for the patient should be used except when used in stricture therapy.
Please refer to the bladder and bowel nurse specialist for further advice on appropriate products if required.
These are single use catheters with integrated lubrication systems
For specialist initiation only in the following patients: