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Related Experiment Videos

Intermittent catheterization the right way! (Volume vs. time-directed)

J E Binard1, L Persky, J L Lockhart

  • 1Spinal Cord Injury Service, James A. Haley Veterans Hospital, Tampa, FL 33612, USA.

The Journal of Spinal Cord Medicine
|July 1, 1996
PubMed
Summary
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Intermittent catheterization (ICP) for spinal cord disease patients can be optimized. Using a bladder volume measuring device allows for volume-directed ICP, preventing over-distension and reducing catheterization frequency.

Area of Science:

  • Urology
  • Neurosurgery
  • Biomedical Engineering

Background:

  • Intermittent catheterization (ICP) is a standard urologic management for spinal cord disease (SCD) patients.
  • Effective ICP requires specific patient criteria including adequate bladder capacity, hand function, and cooperation.
  • Current time-directed ICP (Q4-Q6 H) often leads to unnecessary or over-distended bladder catheterizations.

Purpose of the Study:

  • To evaluate the efficacy of the PCI 5000 "Bladder Manager" device for optimizing ICP in SCD patients.
  • To determine if volume-directed ICP, guided by the device, improves patient outcomes compared to time-directed ICP.

Main Methods:

  • A miniaturized ultrasonic bladder volume measuring device (PCI 5000) was evaluated in twenty-one SCD patients.
  • Patients performed volume-directed ICP using the device's real-time bladder volume measurements.

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  • Catheterization frequency and bladder volumes were monitored.

    • Main Results:

    • The PCI 5000 enabled patients to perform volume-directed ICP.
    • This approach resulted in less frequent catheterizations for the majority of patients.
    • The device successfully prevented both early, unnecessary and late, over-distended bladder catheterizations.

    Conclusions:

    • Volume-directed ICP using the PCI 5000 "Bladder Manager" is an effective method for urologic management in SCD patients.
    • This approach optimizes bladder management by reducing catheterization frequency and preventing bladder over-distension.
    • The device offers a valuable tool for improving the quality of life and care for individuals with spinal cord disease.