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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Chronic Bowel Disorders: Introduction01:17

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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

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[Multiple sclerosis and intermittent self-catheterization].

C Jacq1, K Hubeaux2, J Ramanantsitonta1

  • 1Service de MPR, site d'Auray, Centre hospitalier Bretagne Atlantique, 20, boulevard du Général-Maurice-Guillaudot, BP 70555, 56017 Vannes cedex, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|December 5, 2020
PubMed
Summary

Clean intermittent self-catheterization is recommended for multiple sclerosis patients with urinary dysfunction. While beneficial for quality of life, careful assessment of indications and regular re-evaluation are crucial due to the disease

Keywords:
AutosondageCathétérisme intermittentIntermittent catheterizationMultiple sclerosisReviewRevueSclérose en plaquesintermittent self-catheterization

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Area of Science:

  • Neuro-urology
  • Multiple Sclerosis Management

Background:

  • Lower urinary tract dysfunctions are common in multiple sclerosis (MS), impacting quality of life and potentially causing complications.
  • Clean intermittent self-catheterization (CISC) is the preferred management for urinary retention or incomplete bladder emptying in MS patients when feasible.

Purpose of the Study:

  • To review existing data on the use of intermittent self-catheterization (ISC) in patients diagnosed with multiple sclerosis.

Main Methods:

  • A literature review was conducted using Medline/PubMed.
  • Articles were selected in English or French, focusing on multiple sclerosis and intermittent catheterization, self-catheterization, neuro-urology, and related terms.

Main Results:

  • ISC is a recommended and frequently utilized method for MS patients with urinary issues.
  • Limited studies exist specifically for this population, highlighting a need for more research on indications and practical application.
  • While ISC can improve symptoms and quality of life, comprehensive urinary management is essential. Urinary tract infections are the most common side effect.
  • Patient education for ISC must consider physical and cognitive impairments, with regular reassessment of indications and patient capability due to MS progression.

Conclusions:

  • Current research on intermittent self-catheterization in multiple sclerosis patients is scarce.
  • Further studies are needed to understand the specificities of ISC in MS compared to other neurogenic conditions.