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Clean Intermittent Self catheterisation (CISC/CIC/ISC)

Self catheterisation to empty their own bladders is the truth for so many patients dealing with neurogenic bladder conditions and many other types of voiding dysfunctions (conditions where one is either unable to pass urine or it is not safe for him/her to pass urine on his/her own). According to estimates more than 50 adult men and women of every 1 lakh population may be doing so. This is the only way to maintain  safe storage of urine in many high risk neurogenic bladders ( covered in my earlier blog) or where the bladders have no reflexes and power to expel urine (atonic bladders). 

How is Neurogenic bladder treated?

How is Neurogenic bladder treated?

Goals of managing a case of neurogenic bladder in the order of priority are:

Prevention of kidney failure

Prevention of recurrent and sever infections and sepsis

Preventing urinary leakage and keeping the patient dry

Spontaneous Voiding of urine from natural urinary passage

In effect, the expectation which the patient has of being able to pass urine on his own is the last priority for us because other life threatening issues take up priory…