Intermittent clean self-catheterization in clients with neurogenic bladder resulting from multiple sclerosis

For the client with multiple sclerosis (MS), urinary retention is a symptom that must be dealt with effectively because of the risk of life-threatening complications. Estimates of bladder involvement in these clients range as high as 73-90%. Intermittent clean self-catheterization (ICSC) is now being used by some clients with neurogenic bladder resulting from MS. This article addresses the success of, and problems presented by this technique to the person with MS as recorded in the literature and as related in three actual case studies.