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Urinary catheter management: what neurologists need to know
Calum Clark1, Collette Haslam2, Sachin Malde1
1Department of Urology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Practical Neurology
|November 10, 2021
Summary
Neurologists must understand catheter options for patients with neurological disorders and lower urinary tract dysfunction. Clean intermittent self-catheterisation is preferred, followed by suprapubic indwelling catheters over urethral ones for long-term care.
Area of Science:
- Neurology
- Urology
Background:
- Neurological disorders frequently cause lower urinary tract dysfunction, including urinary retention and incontinence.
- Catheter use is common in these patients, necessitating neurologist awareness of management options.
Purpose of the Study:
- To review catheter selection for neurological patients with lower urinary tract dysfunction.
- To discuss risks, benefits, complications, and alternatives to catheterization.
Main Methods:
- Literature review on catheter types, management strategies, and urological referral indications.
- Analysis of decision-making processes for catheter selection in neurological patients.
Main Results:
- Clean intermittent self-catheterisation is the preferred method.
- Suprapubic indwelling catheters are favored over urethral ones for long-term management when self-catheterisation is not feasible.
Conclusions:
- Neurologists need comprehensive knowledge of urinary management options for neurological patients.
- Appropriate catheter selection and awareness of complications are crucial for patient care, with alternatives and urological referral considered.
Keywords:
neurogenic bladder
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