References

Harding C, Mossop H, Homer T Alternative to prophylactic antibiotics for the treatment of recurrent urinary tract infections in women: multicentre, open label, randomised, non-inferiority trial. BMJ.. 2022; 376 https://doi.org/10.1136/bmj-2021-0068229

Marckiewicz A, Goldstine J, Nichols T Emotional attributes, social connectivity and quality of life associated with intermittent catheterization. https://doi.org/10.1111/ijun.12222

Lower urinary tract symptoms in men: management. 2015;

Pickard R, Chadwick T, Oluboyede Y Continuous low-dose antibiotic prophylaxis to prevent urinary tract infection in adults who perform clean intermittent self-catheterisation: the AnTIC RCT. Health Technol Assess.. 2018; 22:(24)1-102 https://doi.org/10.3310/hta22240

Shamout S, Biardeau X, Corcos J, Campeau L Outcome comparison of different approaches to self-intermittent catheterization in neurogenic patients: a systematic review. Spinal Cord.. 2017; 55:(7)629-643 https://doi.org/10.1038/sc.2016.192

An overview of intermittent self-catheterisation

02 March 2023
Volume 28 · Issue 3

Intermittent self-catheterisation (ISC) is a highly effective method in the management of urinary incontinence issues. It is considered a gold standard for urine drainage (National Institute for Health and Care Excellence (NICE), (2015).

ISC is mostly used when dealing with issues that result from disturbances or injury to the nervous system, non-neurogenic bladder dysfunction or intravesical obstruction with incomplete bladder emptying. In a hospital, intermittent catheterisation is often used for diagnostic evaluation, such as in order to obtain a urine sample or to facilitate urodynamics (NICE, 2015).

Before starting a patient on intermittent catheterisation, the following should be considered: their symptom severity profile; renal function; risk assessment; psychological and physical ability to perform intermittent catheterisation; and their residual urine status (NICE, 2015). The patient should not be initiated on intermittent catheterisation based solely on their residual urine status.

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