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Urinary catheter management: what neurologists need to know.
- Source :
-
Practical Neurology . Dec2021, Vol. 21 Issue 6, p504-514. 12p. - Publication Year :
- 2021
-
Abstract
- Patients with neurological disorders often have lower urinary tract dysfunction, manifesting as urinary retention or urinary incontinence, and so commonly use catheters. Neurologists should therefore be aware of the different types of catheters and appliances and their risks, benefits and complications. Clean intermittent self-catheterisation is preferable to an indwelling catheter; however, if this is not possible, then a suprapubic indwelling catheter is preferable to a urethral catheter for long-term management. We review the decision-making process when selecting catheters for neurological patients, the evidence base regarding the different options and how neurologists can recognise and address complications. We also discuss alternatives to catheterisation, such as non-invasive containment products and surgical treatments, and the indications for urological referral. [ABSTRACT FROM AUTHOR]
- Subjects :
- *URINARY incontinence treatment
*OCCUPATIONAL roles
*NEUROLOGISTS
*NEUROLOGICAL disorders
*EVIDENCE-based medicine
*URINARY catheters
*RISK assessment
*URINARY organs
*MEDICAL referrals
*PHYSICIANS
*DECISION making in clinical medicine
*RETENTION of urine
*UROLOGICAL surgery
*HEALTH self-care
*INTERMITTENT urinary catheterization
Subjects
Details
- Language :
- English
- ISSN :
- 14747758
- Volume :
- 21
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Practical Neurology
- Publication Type :
- Academic Journal
- Accession number :
- 153742371
- Full Text :
- https://doi.org/10.1136/practneurol-2020-002772